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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Masticatory efficiency after rehabilitation of acquired maxillary and mandibular defects</title><author><name sortKey="Vijayaraghavan, N Vasantha" sort="Vijayaraghavan, N Vasantha" uniqKey="Vijayaraghavan N" first="N. Vasantha" last="Vijayaraghavan">N. Vasantha Vijayaraghavan</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Ramesh, Ganesh" sort="Ramesh, Ganesh" uniqKey="Ramesh G" first="Ganesh" last="Ramesh">Ganesh Ramesh</name><affiliation><nlm:aff id="aff2"><italic>Department of Prosthodontics, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India</italic></nlm:aff></affiliation></author><author><name sortKey="Thareja, Amit" sort="Thareja, Amit" uniqKey="Thareja A" first="Amit" last="Thareja">Amit Thareja</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Patil, Seema" sort="Patil, Seema" uniqKey="Patil S" first="Seema" last="Patil">Seema Patil</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26392731</idno><idno type="pmc">4558749</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4558749</idno><idno type="RBID">PMC:4558749</idno><idno type="doi">10.4103/0975-962X.155880</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000467</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000467</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Masticatory efficiency after rehabilitation of acquired maxillary and mandibular defects</title><author><name sortKey="Vijayaraghavan, N Vasantha" sort="Vijayaraghavan, N Vasantha" uniqKey="Vijayaraghavan N" first="N. Vasantha" last="Vijayaraghavan">N. Vasantha Vijayaraghavan</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Ramesh, Ganesh" sort="Ramesh, Ganesh" uniqKey="Ramesh G" first="Ganesh" last="Ramesh">Ganesh Ramesh</name><affiliation><nlm:aff id="aff2"><italic>Department of Prosthodontics, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India</italic></nlm:aff></affiliation></author><author><name sortKey="Thareja, Amit" sort="Thareja, Amit" uniqKey="Thareja A" first="Amit" last="Thareja">Amit Thareja</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Patil, Seema" sort="Patil, Seema" uniqKey="Patil S" first="Seema" last="Patil">Seema Patil</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Indian Journal of Dentistry</title><idno type="ISSN">0975-962X</idno><idno type="eISSN">2213-3666</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The effect of oral cancer with its therapeutic intervention involves significant facial and functional disabilities. It is customary to rehabilitate these patients by surgical or prosthetic means. Studies have been done to assess mastication and other functions after rehabilitation. A review of these studies for assessing masticatory function has been done under separate sections for maxillary and mandibular defects. Different masticatory tests are mentioned. Further scope for research has been highlighted.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Sullivan, M" uniqKey="Sullivan M">M Sullivan</name></author><author><name sortKey="Gaebler, C" uniqKey="Gaebler C">C Gaebler</name></author><author><name sortKey="Beukelman, D" uniqKey="Beukelman D">D Beukelman</name></author><author><name sortKey="Mahanna, G" uniqKey="Mahanna G">G Mahanna</name></author><author><name sortKey="Marshall, J" uniqKey="Marshall J">J Marshall</name></author><author><name sortKey="Lydiatt, D" uniqKey="Lydiatt D">D Lydiatt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rieger, J" uniqKey="Rieger J">J Rieger</name></author><author><name sortKey="Wolfaardt, J" uniqKey="Wolfaardt J">J Wolfaardt</name></author><author><name sortKey="Seikaly, H" uniqKey="Seikaly H">H Seikaly</name></author><author><name sortKey="Jha, N" uniqKey="Jha N">N Jha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roumanas, Ed" uniqKey="Roumanas E">ED Roumanas</name></author><author><name sortKey="Chang, Tl" uniqKey="Chang T">TL Chang</name></author><author><name sortKey="Beumer, J" uniqKey="Beumer J">J Beumer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kornblith, Ab" uniqKey="Kornblith A">AB Kornblith</name></author><author><name sortKey="Zlotolow, Im" uniqKey="Zlotolow I">IM Zlotolow</name></author><author><name sortKey="Gooen, J" uniqKey="Gooen J">J Gooen</name></author><author><name sortKey="Huryn, Jm" uniqKey="Huryn J">JM Huryn</name></author><author><name sortKey="Lerner, T" uniqKey="Lerner T">T Lerner</name></author><author><name sortKey="Strong, Ew" uniqKey="Strong E">EW Strong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Genden, Em" uniqKey="Genden E">EM Genden</name></author><author><name sortKey="Okay, D" uniqKey="Okay D">D Okay</name></author><author><name sortKey="Stepp, Mt" uniqKey="Stepp M">MT Stepp</name></author><author><name sortKey="Rezaee, Rp" uniqKey="Rezaee R">RP Rezaee</name></author><author><name sortKey="Mojica, Js" uniqKey="Mojica J">JS Mojica</name></author><author><name sortKey="Buchbinder, D" uniqKey="Buchbinder D">D Buchbinder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Koyama, S" uniqKey="Koyama S">S Koyama</name></author><author><name sortKey="Sasaki, K" uniqKey="Sasaki K">K Sasaki</name></author><author><name sortKey="Inai, T" uniqKey="Inai T">T Inai</name></author><author><name sortKey="Watanabe, M" uniqKey="Watanabe M">M Watanabe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baba, K" uniqKey="Baba K">K Baba</name></author><author><name sortKey="John, Mt" uniqKey="John M">MT John</name></author><author><name sortKey="Inukai, M" uniqKey="Inukai M">M Inukai</name></author><author><name sortKey="Aridome, K" uniqKey="Aridome K">K Aridome</name></author><author><name sortKey="Igarahsi, Y" uniqKey="Igarahsi Y">Y Igarahsi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matsuyama, M" uniqKey="Matsuyama M">M Matsuyama</name></author><author><name sortKey="Tsukiyama, Y" uniqKey="Tsukiyama Y">Y Tsukiyama</name></author><author><name sortKey="Tomioka, M" uniqKey="Tomioka M">M Tomioka</name></author><author><name sortKey="Koyano, K" uniqKey="Koyano K">K Koyano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ohara, A" uniqKey="Ohara A">A Ohara</name></author><author><name sortKey="Tsukiyama, Y" uniqKey="Tsukiyama Y">Y Tsukiyama</name></author><author><name sortKey="Ogawa, T" uniqKey="Ogawa T">T Ogawa</name></author><author><name sortKey="Koyano, K" uniqKey="Koyano K">K Koyano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ono, T" uniqKey="Ono T">T Ono</name></author><author><name sortKey="Kohda, H" uniqKey="Kohda H">H Kohda</name></author><author><name sortKey="Hori, K" uniqKey="Hori K">K Hori</name></author><author><name sortKey="Nokubi, T" uniqKey="Nokubi T">T Nokubi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Okiyama, S" uniqKey="Okiyama S">S Okiyama</name></author><author><name sortKey="Ikebe, K" uniqKey="Ikebe K">K Ikebe</name></author><author><name sortKey="Nokubi, T" uniqKey="Nokubi T">T Nokubi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ono, T" uniqKey="Ono T">T Ono</name></author><author><name sortKey="Hori, K" uniqKey="Hori K">K Hori</name></author><author><name sortKey="Ikebe, K" uniqKey="Ikebe K">K Ikebe</name></author><author><name sortKey="Nokubi, T" uniqKey="Nokubi T">T Nokubi</name></author><author><name sortKey="Nago, S" uniqKey="Nago S">S Nago</name></author><author><name sortKey="Kumakura, I" uniqKey="Kumakura I">I Kumakura</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Irish, J" uniqKey="Irish J">J Irish</name></author><author><name sortKey="Sandhu, N" uniqKey="Sandhu N">N Sandhu</name></author><author><name sortKey="Simpson, C" uniqKey="Simpson C">C Simpson</name></author><author><name sortKey="Wood, R" uniqKey="Wood R">R Wood</name></author><author><name sortKey="Gilbert, R" uniqKey="Gilbert R">R Gilbert</name></author><author><name sortKey="Gullane, P" uniqKey="Gullane P">P Gullane</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nagy, J" uniqKey="Nagy J">J Nagy</name></author><author><name sortKey="Braunitzer, G" uniqKey="Braunitzer G">G Braunitzer</name></author><author><name sortKey="Antal, M" uniqKey="Antal M">M Antal</name></author><author><name sortKey="Berkovits, C" uniqKey="Berkovits C">C Berkovits</name></author><author><name sortKey="Novak, P" uniqKey="Novak P">P Novák</name></author><author><name sortKey="Nagy, K" uniqKey="Nagy K">K Nagy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Depprich, R" uniqKey="Depprich R">R Depprich</name></author><author><name sortKey="Naujoks, C" uniqKey="Naujoks C">C Naujoks</name></author><author><name sortKey="Lind, D" uniqKey="Lind D">D Lind</name></author><author><name sortKey="Ommerborn, M" uniqKey="Ommerborn M">M Ommerborn</name></author><author><name sortKey="Meyer, U" uniqKey="Meyer U">U Meyer</name></author><author><name sortKey="Kubler, Nr" uniqKey="Kubler N">NR Kübler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kreeft, Am" uniqKey="Kreeft A">AM Kreeft</name></author><author><name sortKey="Krap, M" uniqKey="Krap M">M Krap</name></author><author><name sortKey="Wismeijer, D" uniqKey="Wismeijer D">D Wismeijer</name></author><author><name sortKey="Speksnijder, Cm" uniqKey="Speksnijder C">CM Speksnijder</name></author><author><name sortKey="Smeele, Le" uniqKey="Smeele L">LE Smeele</name></author><author><name sortKey="Bosch, Sd" uniqKey="Bosch S">SD Bosch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Salinas, Tj" uniqKey="Salinas T">TJ Salinas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Umino, S" uniqKey="Umino S">S Umino</name></author><author><name sortKey="Masuda, G" uniqKey="Masuda G">G Masuda</name></author><author><name sortKey="Fujita, K" uniqKey="Fujita K">K Fujita</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lorant, Ja" uniqKey="Lorant J">JA Lorant</name></author><author><name sortKey="Roumanas, E" uniqKey="Roumanas E">E Roumanas</name></author><author><name sortKey="Nishimura, R" uniqKey="Nishimura R">R Nishimura</name></author><author><name sortKey="Beumer J R, Rd" uniqKey="Beumer J R R">rd Beumer J 3 r</name></author><author><name sortKey="Wagman, Ld" uniqKey="Wagman L">LD Wagman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roumanas, Ed" uniqKey="Roumanas E">ED Roumanas</name></author><author><name sortKey="Nishimura, Rd" uniqKey="Nishimura R">RD Nishimura</name></author><author><name sortKey="Davis, Bk" uniqKey="Davis B">BK Davis</name></author><author><name sortKey="Beumer J, Rd" uniqKey="Beumer J R">rd Beumer J 3</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beumer, J" uniqKey="Beumer J">J Beumer</name></author><author><name sortKey="Marunick, Mt" uniqKey="Marunick M">MT Marunick</name></author><author><name sortKey="Curtis, Ta" uniqKey="Curtis T">TA Curtis</name></author><author><name sortKey="Roumanas, E" uniqKey="Roumanas E">E Roumanas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Branemark, Pi" uniqKey="Branemark P">PI Branemark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hidalgo, Da" uniqKey="Hidalgo D">DA Hidalgo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wagner, Jd" uniqKey="Wagner J">JD Wagner</name></author><author><name sortKey="Coleman, Jj" uniqKey="Coleman J">JJ Coleman</name></author><author><name sortKey="Weisberger, E" uniqKey="Weisberger E">E Weisberger</name></author><author><name sortKey="Righi, Pd" uniqKey="Righi P">PD Righi</name></author><author><name sortKey="Radpour, S" uniqKey="Radpour S">S Radpour</name></author><author><name sortKey="Mcgarvey, S" uniqKey="Mcgarvey S">S McGarvey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Urken, Ml" uniqKey="Urken M">ML Urken</name></author><author><name sortKey="Buchbinder, D" uniqKey="Buchbinder D">D Buchbinder</name></author><author><name sortKey="Weinberg, H" uniqKey="Weinberg H">H Weinberg</name></author><author><name sortKey="Vickery, C" uniqKey="Vickery C">C Vickery</name></author><author><name sortKey="Sheiner, A" uniqKey="Sheiner A">A Sheiner</name></author><author><name sortKey="Parker, R" uniqKey="Parker R">R Parker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roumanas, Ed" uniqKey="Roumanas E">ED Roumanas</name></author><author><name sortKey="Markowitz, Bl" uniqKey="Markowitz B">BL Markowitz</name></author><author><name sortKey="Lorant, Ja" uniqKey="Lorant J">JA Lorant</name></author><author><name sortKey="Calcaterra, Tc" uniqKey="Calcaterra T">TC Calcaterra</name></author><author><name sortKey="Jones, Nf" uniqKey="Jones N">NF Jones</name></author><author><name sortKey="Beumer J, Rd" uniqKey="Beumer J R">rd Beumer J 3</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gurlek, A" uniqKey="Gurlek A">A Gürlek</name></author><author><name sortKey="Miller, Mj" uniqKey="Miller M">MJ Miller</name></author><author><name sortKey="Jacob, Rf" uniqKey="Jacob R">RF Jacob</name></author><author><name sortKey="Lively, Ja" uniqKey="Lively J">JA Lively</name></author><author><name sortKey="Schusterman, Ma" uniqKey="Schusterman M">MA Schusterman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buchbinder, D" uniqKey="Buchbinder D">D Buchbinder</name></author><author><name sortKey="Urken, Ml" uniqKey="Urken M">ML Urken</name></author><author><name sortKey="Vickery, C" uniqKey="Vickery C">C Vickery</name></author><author><name sortKey="Weinberg, H" uniqKey="Weinberg H">H Weinberg</name></author><author><name sortKey="Sheiner, A" uniqKey="Sheiner A">A Sheiner</name></author><author><name sortKey="Biller, H" uniqKey="Biller H">H Biller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marunick, Mt" uniqKey="Marunick M">MT Marunick</name></author><author><name sortKey="Mathog, Rh" uniqKey="Mathog R">RH Mathog</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mackenna, Br" uniqKey="Mackenna B">BR Mackenna</name></author><author><name sortKey="Turker, Ks" uniqKey="Turker K">KS Türker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matsui, Y" uniqKey="Matsui Y">Y Matsui</name></author><author><name sortKey="Neukam, Fw" uniqKey="Neukam F">FW Neukam</name></author><author><name sortKey="Schmelzeisen, R" uniqKey="Schmelzeisen R">R Schmelzeisen</name></author><author><name sortKey="Ohno, K" uniqKey="Ohno K">K Ohno</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Suzuki, T" uniqKey="Suzuki T">T Suzuki</name></author><author><name sortKey="Kumagai, H" uniqKey="Kumagai H">H Kumagai</name></author><author><name sortKey="Yoshitomi, N" uniqKey="Yoshitomi N">N Yoshitomi</name></author><author><name sortKey="Minakuchi, S" uniqKey="Minakuchi S">S Minakuchi</name></author><author><name sortKey="Watanabe, T" uniqKey="Watanabe T">T Watanabe</name></author><author><name sortKey="Uchida, T" uniqKey="Uchida T">T Uchida</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matsui, Y" uniqKey="Matsui Y">Y Matsui</name></author><author><name sortKey="Ohno, K" uniqKey="Ohno K">K Ohno</name></author><author><name sortKey="Michi, K" uniqKey="Michi K">K Michi</name></author><author><name sortKey="Suzuki, Y" uniqKey="Suzuki Y">Y Suzuki</name></author><author><name sortKey="Yamagata, K" uniqKey="Yamagata K">K Yamagata</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matsui, Y" uniqKey="Matsui Y">Y Matsui</name></author><author><name sortKey="Ohno, K" uniqKey="Ohno K">K Ohno</name></author><author><name sortKey="Michi, K" uniqKey="Michi K">K Michi</name></author><author><name sortKey="Hata, H" uniqKey="Hata H">H Hata</name></author><author><name sortKey="Yamagata, K" uniqKey="Yamagata K">K Yamagata</name></author><author><name sortKey="Ohtsuka, S" uniqKey="Ohtsuka S">S Ohtsuka</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matsui, Y" uniqKey="Matsui Y">Y Matsui</name></author><author><name sortKey="Neukam, Fw" uniqKey="Neukam F">FW Neukam</name></author><author><name sortKey="Wichmann, M" uniqKey="Wichmann M">M Wichmann</name></author><author><name sortKey="Ohno, K" uniqKey="Ohno K">K Ohno</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Curtis, Da" uniqKey="Curtis D">DA Curtis</name></author><author><name sortKey="Plesh, O" uniqKey="Plesh O">O Plesh</name></author><author><name sortKey="Hannam, Ag" uniqKey="Hannam A">AG Hannam</name></author><author><name sortKey="Sharma, A" uniqKey="Sharma A">A Sharma</name></author><author><name sortKey="Curtis, Ta" uniqKey="Curtis T">TA Curtis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sposetti, Vj" uniqKey="Sposetti V">VJ Sposetti</name></author><author><name sortKey="Gibbs, Ch" uniqKey="Gibbs C">CH Gibbs</name></author><author><name sortKey="Alderson, Th" uniqKey="Alderson T">TH Alderson</name></author><author><name sortKey="Jaggers, Jh" uniqKey="Jaggers J">JH Jaggers</name></author><author><name sortKey="Richmond, A" uniqKey="Richmond A">A Richmond</name></author><author><name sortKey="Conlon, M" uniqKey="Conlon M">M Conlon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Haraguchi, M" uniqKey="Haraguchi M">M Haraguchi</name></author><author><name sortKey="Mukohyama, H" uniqKey="Mukohyama H">H Mukohyama</name></author><author><name sortKey="Reisberg, Dj" uniqKey="Reisberg D">DJ Reisberg</name></author><author><name sortKey="Taniguchi, H" uniqKey="Taniguchi H">H Taniguchi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Neill, Dj" uniqKey="Neill D">DJ Neill</name></author><author><name sortKey="Kydd, Wl" uniqKey="Kydd W">WL Kydd</name></author><author><name sortKey="Nairn, Ri" uniqKey="Nairn R">RI Nairn</name></author><author><name sortKey="Wilson, J" uniqKey="Wilson J">J Wilson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Curtis, Da" uniqKey="Curtis D">DA Curtis</name></author><author><name sortKey="Plesh, O" uniqKey="Plesh O">O Plesh</name></author><author><name sortKey="Miller, Aj" uniqKey="Miller A">AJ Miller</name></author><author><name sortKey="Curtis, Ta" uniqKey="Curtis T">TA Curtis</name></author><author><name sortKey="Sharma, A" uniqKey="Sharma A">A Sharma</name></author><author><name sortKey="Schweitzer, R" uniqKey="Schweitzer R">R Schweitzer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="List, Ma" uniqKey="List M">MA List</name></author><author><name sortKey="Ritter Sterr, C" uniqKey="Ritter Sterr C">C Ritter-Sterr</name></author><author><name sortKey="Lansky, Sb" uniqKey="Lansky S">SB Lansky</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roumanas, Ed" uniqKey="Roumanas E">ED Roumanas</name></author><author><name sortKey="Garrett, N" uniqKey="Garrett N">N Garrett</name></author><author><name sortKey="Blackwell, Ke" uniqKey="Blackwell K">KE Blackwell</name></author><author><name sortKey="Freymiller, E" uniqKey="Freymiller E">E Freymiller</name></author><author><name sortKey="Abemayor, E" uniqKey="Abemayor E">E Abemayor</name></author><author><name sortKey="Wong, Wk" uniqKey="Wong W">WK Wong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yurkstas, A" uniqKey="Yurkstas A">A Yurkstas</name></author><author><name sortKey="Manly, Rs" uniqKey="Manly R">RS Manly</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kapur, K" uniqKey="Kapur K">K Kapur</name></author><author><name sortKey="Soman, S" uniqKey="Soman S">S Soman</name></author><author><name sortKey="Yurkstas, A" uniqKey="Yurkstas A">A Yurkstas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kapur, Kk" uniqKey="Kapur K">KK Kapur</name></author><author><name sortKey="Garrett, Nr" uniqKey="Garrett N">NR Garrett</name></author><author><name sortKey="Hamada, Mo" uniqKey="Hamada M">MO Hamada</name></author><author><name sortKey="Roumanas, Ed" uniqKey="Roumanas E">ED Roumanas</name></author><author><name sortKey="Freymiller, E" uniqKey="Freymiller E">E Freymiller</name></author><author><name sortKey="Han, T" uniqKey="Han T">T Han</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roumanas, Ed" uniqKey="Roumanas E">ED Roumanas</name></author><author><name sortKey="Garrett, Nr" uniqKey="Garrett N">NR Garrett</name></author><author><name sortKey="Hamada, Mo" uniqKey="Hamada M">MO Hamada</name></author><author><name sortKey="Diener, Rm" uniqKey="Diener R">RM Diener</name></author><author><name sortKey="Kapur, Kk" uniqKey="Kapur K">KK Kapur</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Manns, A" uniqKey="Manns A">A Manns</name></author><author><name sortKey="Miralles, R" uniqKey="Miralles R">R Miralles</name></author><author><name sortKey="Palazzi, C" uniqKey="Palazzi C">C Palazzi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kapur, Kk" uniqKey="Kapur K">KK Kapur</name></author><author><name sortKey="Garrett, Nr" uniqKey="Garrett N">NR Garrett</name></author><author><name sortKey="Fischer, E" uniqKey="Fischer E">E Fischer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kapur, K" uniqKey="Kapur K">K Kapur</name></author><author><name sortKey="Garrett, N" uniqKey="Garrett N">N Garrett</name></author><author><name sortKey="Hamada, M" uniqKey="Hamada M">M Hamada</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Korioth, Tw" uniqKey="Korioth T">TW Korioth</name></author><author><name sortKey="Romilly, Dp" uniqKey="Romilly D">DP Romilly</name></author><author><name sortKey="Hannam, Ag" uniqKey="Hannam A">AG Hannam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nelson, Gj" uniqKey="Nelson G">GJ Nelson</name></author><author><name sortKey="Hannam, Ag" uniqKey="Hannam A">AG Hannam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buddula, A" uniqKey="Buddula A">A Buddula</name></author><author><name sortKey="Assad, Da" uniqKey="Assad D">DA Assad</name></author><author><name sortKey="Salinas, Tj" uniqKey="Salinas T">TJ Salinas</name></author><author><name sortKey="Garces, Yi" uniqKey="Garces Y">YI Garces</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sekine, J" uniqKey="Sekine J">J Sekine</name></author><author><name sortKey="Sano, K" uniqKey="Sano K">K Sano</name></author><author><name sortKey="Ikeda, H" uniqKey="Ikeda H">H Ikeda</name></author><author><name sortKey="Inokuchi, T" uniqKey="Inokuchi T">T Inokuchi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weischer, T" uniqKey="Weischer T">T Weischer</name></author><author><name sortKey="Mohr, C" uniqKey="Mohr C">C Mohr</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Urken, Ml" uniqKey="Urken M">ML Urken</name></author><author><name sortKey="Biller, Hf" uniqKey="Biller H">HF Biller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hernandez Alfaro, F" uniqKey="Hernandez Alfaro F">F Hernández-Alfaro</name></author><author><name sortKey="Ruiz Magaz, V" uniqKey="Ruiz Magaz V">V Ruiz-Magaz</name></author><author><name sortKey="Chatakun, P" uniqKey="Chatakun P">P Chatakun</name></author><author><name sortKey="Guijarro Martinez, R" uniqKey="Guijarro Martinez R">R Guijarro-Martínez</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Dent</journal-id><journal-id journal-id-type="iso-abbrev">Indian J Dent</journal-id><journal-id journal-id-type="publisher-id">IJDENT</journal-id><journal-title-group><journal-title>Indian Journal of Dentistry</journal-title></journal-title-group><issn pub-type="ppub">0975-962X</issn><issn pub-type="epub">2213-3666</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26392731</article-id><article-id pub-id-type="pmc">4558749</article-id><article-id pub-id-type="publisher-id">IJDENT-6-139</article-id><article-id pub-id-type="doi">10.4103/0975-962X.155880</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title>Masticatory efficiency after rehabilitation of acquired maxillary and mandibular defects</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Vijayaraghavan</surname><given-names>N. Vasantha</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Ramesh</surname><given-names>Ganesh</given-names></name><xref ref-type="aff" rid="aff2">1</xref></contrib><contrib contrib-type="author"><name><surname>Thareja</surname><given-names>Amit</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Patil</surname><given-names>Seema</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib></contrib-group><aff id="aff1"><italic>Department of Prosthodontics, Bharati Vidyapeeth Dental College, Pune, Maharashtra, India</italic></aff><aff id="aff2"><label>1</label><italic>Department of Prosthodontics, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India</italic></aff><author-notes><corresp id="cor1"><bold>Address for correspondence:</bold> Dr. N. Vasantha Vijayaraghavan, Department of Prosthodontics, Bharati Vidyapeeth Dental College, Pune, Maharashtra, India. E-mail: <email xlink:href="vijayvasuhome@gmail.com">vijayvasuhome@gmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><season>Jul-Sep</season><year>2015</year></pub-date><volume>6</volume><issue>3</issue><fpage>139</fpage><lpage>146</lpage><permissions><copyright-statement>Copyright: © Indian Journal of Dentistry</copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>The effect of oral cancer with its therapeutic intervention involves significant facial and functional disabilities. It is customary to rehabilitate these patients by surgical or prosthetic means. Studies have been done to assess mastication and other functions after rehabilitation. A review of these studies for assessing masticatory function has been done under separate sections for maxillary and mandibular defects. Different masticatory tests are mentioned. Further scope for research has been highlighted.</p></abstract><kwd-group><kwd>Acquired defects</kwd><kwd>implants</kwd><kwd>masticatory efficiency</kwd><kwd>obturators</kwd><kwd>oral rehabilitation</kwd></kwd-group></article-meta></front><body><sec sec-type="intro" id="sec1-1"><title>INTRODUCTION</title><p>Surgical resection of head and neck tumors often create large defects accompanied by dysfunction and disfigurement with radiation producing significant morbidity. Rehabilitation by prosthesis or reconstruction by surgery is always necessary for these defects. Traditionally, recurrence rates and survival have been used to evaluate therapeutic interventions in head and neck cancer. However, in recent years there is an increased interest in the quality of life (QOL) of these patients. Masticatory performance after rehabilitation of acquired defects of maxillae and mandible has been evaluated in various studies. A review of these studies has been done and presented under separate sections for maxillae and mandible. There is a need for continued research to assess the current prosthodontics treatment objectively, identify problems and address them in future rehabilitation efforts.</p></sec><sec id="sec1-2"><title>MAXILLARY DEFECTS</title><p>Obturators provide an effective means of rehabilitation of maxillary defect patients.[<xref rid="ref1" ref-type="bibr">1</xref><xref rid="ref2" ref-type="bibr">2</xref>] Remaining teeth or properly positioned osseointegrated implants or a combination of these two, play a major role if a satisfactory outcome is to be achieved.[<xref rid="ref3" ref-type="bibr">3</xref>] In edentulous patients, implants provide retention, enhance support, and improve the stability of the obturator prosthesis. Mastication has been assessed by subjective and objective methods by various authors as shown in <xref ref-type="table" rid="T1">Table 1</xref>.</p><table-wrap id="T1" position="float"><label>Table 1</label><caption><p>Evaluation of mastication after maxillary defect rehabilitation</p></caption><graphic xlink:href="IJDENT-6-139-g001"></graphic></table-wrap></sec><sec sec-type="discussion" id="sec1-3"><title>DISCUSSION</title><sec id="sec2-1"><title>Comparison between prosthetic rehabilitation and surgical reconstruction</title><p>Patients who underwent reconstruction with a vascularized bone-containing free flap achieved higher mastication and speech assessment scores with less oronasal reflux than defect-matched patients rehabilitated with a prosthetic obturator. Swallowing QOL and donor site assessments demonstrated that compared with their prosthetic counterparts, surgically reconstructed patients with a vascularized bone-containing free flap enjoyed a better QOL without incurring significant donor site morbidity.[<xref rid="ref5" ref-type="bibr">5</xref>] Osteomyocutaneous flap reconstruction of the maxillectomy cavity can obscure surveillance and may make rehabilitation more problematic by obstructing drainage in the remnants of ipsilateral and paranasal sinuses, immobilizing the upper lip, tethering the free end of the soft palate, and restricting mandibular mobility.[<xref rid="ref17" ref-type="bibr">17</xref>]</p></sec><sec id="sec2-2"><title>Comparison between dentate and edentate obturator wearer</title><p>Ono <italic>et al.</italic> objectively assessed the mastication.[<xref rid="ref10" ref-type="bibr">10</xref>] Patients performed maximal clenching with a pressure sensitive sheet placed between maxilla and mandible. Maximal occlusal force ranged between 15 and 375 N. Matsuyama <italic>et al.</italic> concluded that the presence of critical residual dentition with well-functioning obturator is essential for effective masticatory performance.[<xref rid="ref8" ref-type="bibr">8</xref>] Edentulous patients with obturator had worse outcomes than dentate patients, measured by mixing ability test and questionnaire.[<xref rid="ref16" ref-type="bibr">16</xref>] It was also found that the number of occluding postcanine teeth and the patient's sex were factors that influenced masticatory performance. It was most important to improve occlusion in the premolar/molar region.[<xref rid="ref18" ref-type="bibr">18</xref>]</p></sec><sec id="sec2-3"><title>Correlation between defect configuration and function</title><p>According to Ono <italic>et al.</italic> masticatory performance was better when the extent of the hard palate resection was less than half, and when there is the presence of mandibular teeth on nonresected side. Furthermore, masticatory performance was better when the occlusal force was >100 N.[<xref rid="ref10" ref-type="bibr">10</xref>] Koyama <italic>et al.</italic> concluded that the presence of teeth and the configuration of defect have significant correlation with masticatory function. There was no significant correlation between number of teeth and size of the defect in dentate group. However, the size of sample was limited in this study.[<xref rid="ref6" ref-type="bibr">6</xref>] Kornblith <italic>et al.</italic> based on telephonic questionnaire concluded that masticatory performance did not significantly differ between maxillectomy group and control group.[<xref rid="ref4" ref-type="bibr">4</xref>]</p></sec><sec id="sec2-4"><title>Difficulties reported with obturator functioning and surgical reconstruction</title><p>Patients reported most difficulty with leakage when swallowing foods. Other areas of difficulty included a dry mouth and chewing difficulty. Patients reported the least difficulty with speech intelligibility, inserting or removing the obturator and avoidance of family and social events.[<xref rid="ref13" ref-type="bibr">13</xref>] Good obturator function has been reported to account for improved QOL.[<xref rid="ref15" ref-type="bibr">15</xref>]</p></sec><sec id="sec2-5"><title>Use of implants in resected regions</title><p>Though implants can be used for retention in rehabilitation cases, specific implant sites reveal variable success rates, with the anterior maxilla being 86% successful compared with the posterior maxilla being 57% successful. Radiation reduces the success rate from 80% to 55%, although it does not eliminate a patient from being a candidate for implantation.[<xref rid="ref19" ref-type="bibr">19</xref>] The overall survival rate for implants in this patient population was 69.2%. The percent implant survival rate was 63.6% for the irradiated group (67.0% before radiation, 50.0% after radiation) and 82.6% for the nonirradiated group.[<xref rid="ref20" ref-type="bibr">20</xref>]</p></sec><sec id="sec2-6"><title>Acquired mandibular defects</title><p>A number of factors affect the patient's functional status after resection. The impairment of motor and/or sensory control, in particular the integrated neuromuscular balance between the tongue, lips, and cheeks, limits the ability of the patient to control saliva, the food bolus, and dentures during function. In addition, deviation of the mandible and the angular pathway of mandibular closure-induce lateral forces upon removable prostheses that tend to dislodge them. During the closure, the abnormal maxillomandibular relationship may prevent proper occlusion of the residual dentition or ideal placement of the denture teeth over their supporting structures.[<xref rid="ref21" ref-type="bibr">21</xref>] Frontal plane rotation and unilateral forces of occlusion tend to tip and dislodge both maxillary and mandibular dentures during function. This factor, with the addition of impaired tongue function, may totally compromise mastication in some patients.</p><p>In the 1980s, pedicled myocutaneous flaps were used to replace the resected soft tissues and these flaps eliminated the need to approximate the tongue margin to the cheek margin for primary closure of the defect.[<xref rid="ref22" ref-type="bibr">22</xref><xref rid="ref23" ref-type="bibr">23</xref>] The residual or reconstructed tongue had improved mobility and was better situated to control the air stream during articulation and manipulate the bolus during mastication. If the patient has dentition remaining in the unresected portion of the mandible or implants to retain the prosthesis, these patients may be able to masticate at a reasonable level dependent upon the amount of remaining tongue and innervation.[<xref rid="ref24" ref-type="bibr">24</xref><xref rid="ref25" ref-type="bibr">25</xref>] Patients whose wounds are closed with a myocutaneous or free flap soon attain an acceptable interocclusal relationship, without adjunctive therapy, although some patients whose wounds are closed primarily are never able to achieve an appropriate and stable interocclusal position. Scar contracture; tight wound closure, and muscle imbalances secondary to the primary resection all contribute to mandibular deviation. Mandibular deviation is most severe following primary closure of the base of the tongue lesions. When a usable occlusal relationship is achieved, the mandibular teeth often occlude distal to the presurgical pattern of cuspal interdigitation. On the nonsurgical side, the buccal slopes of the mandibular buccal cusps function with the central fossae of the maxillary teeth because of mandibular rotation in the frontal plane. The reported success rates of implants in fibula flaps are generally >95%.[<xref rid="ref26" ref-type="bibr">26</xref><xref rid="ref27" ref-type="bibr">27</xref><xref rid="ref28" ref-type="bibr">28</xref>] The results of studies postrehabilitation are summarized in <xref ref-type="table" rid="T2">Table 2</xref>.</p><table-wrap id="T2" position="float"><label>Table 2</label><caption><p>Evaluation of mastication after mandibular defect rehabilitation</p></caption><graphic xlink:href="IJDENT-6-139-g002"></graphic></table-wrap></sec></sec><sec sec-type="discussion" id="sec1-4"><title>DISCUSSION</title><sec id="sec2-7"><title>Correlation between mandibular continuity and mastication</title><p>In the study, it was found that the occlusal force values of mandibulectomy patients were lower than noncancer patients, but there was no statistically significant difference. This could be because of small sample size or because of between and within subject variability seen with occlusal force measurements.[<xref rid="ref36" ref-type="bibr">36</xref>] The area of contact was lowest in a patient who lacked mandibular continuity.[<xref rid="ref31" ref-type="bibr">31</xref>] This is in accordance with the original belief that mandibular continuity is essential for mastication.</p></sec><sec id="sec2-8"><title>Comparison between surgically reconstructed group and nonreconstructed group</title><p>Curtis <italic>et al.</italic> found that although bite force was lower in nonreconstructed patients, the levels were not significantly different from the reconstructed subjects and were probably above the threshold needed for mastication of the typical Western diet. The typical Western diet requires <40 <italic>N</italic> of biting force, whereas harder-to eat foods, such as nuts and carrots, require an average of 66 N.[<xref rid="ref40" ref-type="bibr">40</xref>] Impairment in masticatory ability remained following free flap reconstruction prior to prosthetic rehabilitation.[<xref rid="ref42" ref-type="bibr">42</xref>]</p></sec><sec id="sec2-9"><title>Comparison between dentate and edentulous patients</title><p>Dentate controls required the least amount of strokes to achieve swallowing threshold, followed by denture wearers and those without dentures. Edentulous patients had least scores with swallowing threshold and mastication. Subjects who had stable dental arch in the opposite jaw with either natural teeth or an implant supported fixed prosthesis (OIFP) had higher chromatic values than those who wore conventional dentures.[<xref rid="ref42" ref-type="bibr">42</xref>] According to Marunick and Mathog subjects who were rehabilitated performed better than those without them. Dentate controls required the least number of strokes and time to achieve swallowing. The edentulous cancer patients without dentures had low masticatory performance scores and swallowing threshold performance and required greater number of strokes and time to achieve swallowing threshold performance compared with appropriate control group.[<xref rid="ref29" ref-type="bibr">29</xref>] Measurements were made at an interocclusal distance of 13 mm as recommended by Manns <italic>et al.</italic>[<xref rid="ref47" ref-type="bibr">47</xref>]</p></sec><sec id="sec2-10"><title>Correlation between tongue innervation and mastication</title><p>Of the patient who had defects of the hypoglossal nerve none scored a value greater than the mean of nontumor patient. This is due to the low mobility of the tongue.[<xref rid="ref31" ref-type="bibr">31</xref>] This is in agreement with Kapur <italic>et al.</italic> who reported that masticatory function in normal dentate subjects could be reduced through the selective anesthesia of the oral cavity.[<xref rid="ref48" ref-type="bibr">48</xref>] Curtis <italic>et al.</italic> also found that occlusal force was poorly correlated with function, whereas measure of tongue function strongly correlated with successful mastication.[<xref rid="ref40" ref-type="bibr">40</xref>]</p></sec><sec id="sec2-11"><title>Comparison between implants prosthesis and conventional prosthesis OIFP and implant retained overdenture</title><p>Treatment with conventional prosthesis (CP) and implant-supported prosthesis (IP) significantly increased the performance on the defect side only in performance over post surgical interval and were not significantly different from performance at the entry level prior to surgery. Performance at the defect side with IP was significantly greater than the performance with CP. IP greatly increased the number of patients who masticated the test food on the defect side compared to CP. CP and IP may provide improved masticatory ability permitting patients to regain functional level they possessed prior to surgical intervention.[<xref rid="ref42" ref-type="bibr">42</xref>]</p><p>Implanted patients who had OIFP had higher chromatic values than those who wore implant retained overdenture.[<xref rid="ref31" ref-type="bibr">31</xref>] No statistically significant difference existed between three groups. Subject who had some natural teeth in the implanted jaw were also tested with the chewing side restricted to the prosthesis. However, there was no statistically significant difference between tumor and nontumor group because there were treated with implants. Swallowing threshold performance with IP was similar to that of an average denture wearer.[<xref rid="ref42" ref-type="bibr">42</xref>] Garrett <italic>et al.</italic> also found that after treatment with CP 88% of the 25 subjects completing evaluation were able to masticate the test food on the non-defect side, while half of these continued to not be able to masticate on the defect side. After the treatment with the IP 14 of the 15 subjects, completing evaluation could masticate the test food on both sides.[<xref rid="ref42" ref-type="bibr">42</xref>]</p></sec></sec><sec id="sec1-5"><title>ELECTROMYOGRAPHIC ACTIVITY IN MARGINAL MANDIBULECTOMY PATIENTS</title><p>Haraguchi <italic>et al.</italic> found that the electromyographic (EMG) activity in the patients during maximum voluntary clenching was significantly lower than that in the healthy subjects, and dominant anterior temporalis (TA) activities on the resected side were observed. Since the patients in the current study had undergone marginal resection of the mandible, it is plausible that the decrease in the muscle activity during maximum voluntary contraction (MVC) was observed only in the masseter muscle (MM) on the resected side. More specifically, as the equilibrium between TA and MM tended to compensate each other on one side and to balance between the left and right sides, the result was no difference between the normal and resected sides. However, the patients may not perform MVC aggressively due to psychological damage resulting from surgery.[<xref rid="ref38" ref-type="bibr">38</xref>] In his study, burst and chewing time/1 cycle and I EMG of 1 cycle/1 s during Gch in the patients with mandibular continuity were not significantly different from those of the healthy subjects despite having the mandibular defect. Every range of mandibular movement in the anterior-posterior direction/1 cycle during Gch in the patients showed significantly larger movements than that in healthy subjects, and that in a vertical direction also tended to increase. This result shows that patients may produce muscle activities for grinding foods by moving their mandibles to a larger extent in the posterior-down direction.</p><sec id="sec2-12"><title>Masticatory tests used</title><p>Standard masticatory function tests have used various food substances and synthetic materials designed primarily for evaluation of natural dentition and denture efficiency.[<xref rid="ref43" ref-type="bibr">43</xref><xref rid="ref44" ref-type="bibr">44</xref>] For determining tongue and cheek clearance during mastication peanuts were used.[<xref rid="ref49" ref-type="bibr">49</xref>] Matsuyama <italic>et al.</italic> used originally modified sieve method using hydrocolloid material.[<xref rid="ref8" ref-type="bibr">8</xref><xref rid="ref9" ref-type="bibr">9</xref>] A testing gummy jelly was originally developed for measuring masticatory performance (Ezaki Glico).[<xref rid="ref11" ref-type="bibr">11</xref><xref rid="ref12" ref-type="bibr">12</xref>] A jelly with texture number 3 was chosen among the 6 textures by Ono <italic>et al.</italic>[<xref rid="ref10" ref-type="bibr">10</xref>]</p><p>Originally chewing gum method was used for testing functional rehabilitation with implants. The chewing function is indicated by the color developed.[<xref rid="ref34" ref-type="bibr">34</xref><xref rid="ref35" ref-type="bibr">35</xref>] Yoshiro used one more method to evaluate mastication because mastication requires a combination of crushing, cutting and mixing actions. He used the dental prescale which is a horseshoe shaped sheet with a thickness of 97 μ that consists of two layers: A layer of microcapsules containing color forming material and a layer of color developing material.[<xref rid="ref31" ref-type="bibr">31</xref><xref rid="ref32" ref-type="bibr">32</xref><xref rid="ref33" ref-type="bibr">33</xref>] The dental prescale system can be used to detect contact areas to which a pressure of >30 kgf/cm<sup>2</sup> has been applied. This is superior to other tests such as silicone, which provide little resistance to occlusion.[<xref rid="ref34" ref-type="bibr">34</xref><xref rid="ref35" ref-type="bibr">35</xref>] By the mixing of two gums, this color is evaluated by chromameter.</p><p>Marunick and Mathog in his study found that partial mandibulectomy patients could not incise 0.5 g sample of carrot.[<xref rid="ref29" ref-type="bibr">29</xref>] He used Frito corn chips as an ideal test substance because according to him it satisfied the following criteria; soft to avoid local tissue injury or pain, pliable to allow for mastication, particulate for sieve analysis and acceptable to taste. It can be considered ideal for head and neck cancer patients. A customized gnathodynamometer was used to record biting pressure. The sensor portion of gnathodynamometer with silicone gum rubber was placed on the upper member of the bite plate. He made measurements at an interocclusal distance of 13 mm as recommended by Manns <italic>et al.</italic> who found that biting strength is greatest at a vertical dimension of 10–20 mm.[<xref rid="ref47" ref-type="bibr">47</xref>] Curtis <italic>et al.</italic> used uniaxial strain beam test, which was first used by Sposetti <italic>et al.</italic>[<xref rid="ref36" ref-type="bibr">36</xref><xref rid="ref37" ref-type="bibr">37</xref>] Garrett <italic>et al.</italic> used interleaving beam strain gauge transducer. It is placed in second premolar, and first molar area, and subjects are asked to bite as hard as possible.[<xref rid="ref42" ref-type="bibr">42</xref>] Use of easier to chew food items was not considered in the study of Garrett <italic>et al.</italic> as he felt that this would have required extensive testing to verify that the revised masticatory test was sensitive to differences in masticatory ability and would provide sufficient data against which to compare.[<xref rid="ref42" ref-type="bibr">42</xref>]</p><p>In another study Curtis <italic>et al.</italic> used a food scale questionnaire to subjectively assess mastication.[<xref rid="ref40" ref-type="bibr">40</xref>] Food scale questionnaire was developed by List <italic>et al.</italic> and was shown to be reliable and valid specifically to measure masticatory performance of head and neck cancer patients.[<xref rid="ref41" ref-type="bibr">41</xref>] The swallowing threshold test was included to assess the particle size distribution, number of strokes, and the time that was taken for the subject to accept the food as ready to swallow in normal unrestricted mastication. This is because subjects may attempt to compensate for reduced ability using more masticatory strokes, longer time for each stroke or accepting larger particles for ingestion.[<xref rid="ref5" ref-type="bibr">5</xref><xref rid="ref16" ref-type="bibr">16</xref><xref rid="ref42" ref-type="bibr">42</xref>] Both unstimulated and stimulated salivary flow rates were recorded because alterations in salivary flow affect mastication.[<xref rid="ref29" ref-type="bibr">29</xref><xref rid="ref42" ref-type="bibr">42</xref>] Evaluation for lips and tongue were also done by Marunick and Mathog for assessing sensory motor function.[<xref rid="ref29" ref-type="bibr">29</xref>]</p></sec><sec id="sec2-13"><title>Additional studies and tests</title><p>The computer model for mandibulectomy subject with reconstructed mandible was generated by simulation of the average person and removing structures to represent anatomic loss.[<xref rid="ref36" ref-type="bibr">36</xref>] The model was developed based on the computer modeling program developed by Nelson and Hannam, which was developed according to static equilibrium theory.[<xref rid="ref50" ref-type="bibr">50</xref><xref rid="ref51" ref-type="bibr">51</xref>] Computer simulations predicted reconstructed mandibulectomy patients would have 45% less molar clenching force and 50% less incisal clenching force with respect to first molar force. However, the predicted occlusal force values were less than the clinically determined average of 118 N. Muscles can reinsert to neomandible and may have provided the additional pull.[<xref rid="ref36" ref-type="bibr">36</xref>] Haraguchi <italic>et al.</italic> conducted a study to measure the mandibular movements and EMG activity of muscles after prosthetic rehabilitation in marginal mandibulectomy patients. The measurements were done using Gnathohexograph. This system is a noncontact-measuring device and has the ability to record three-dimensional measurements of movements of arbitrary points with 6° of freedom.[<xref rid="ref38" ref-type="bibr">38</xref><xref rid="ref39" ref-type="bibr">39</xref>]</p></sec><sec id="sec2-14"><title>Implants in the rehabilitation of oral cancer patients</title><p>Implant-supported prosthesis may contribute to greater support and stability of the prosthesis resulting in increased use for mastication and superior performance on the defect side compared to CP.[<xref rid="ref40" ref-type="bibr">40</xref>] However, this treatment should be considered after 1-year of surgical treatment due to a high rate of recurrence/metastasis (35%). Survival of implants in native bone in maxilla and mandible was 79.8% and 100%, respectively, after 3 years. For implants placed in the native bone, there was a higher likelihood of failure in the maxilla compared to the mandible and there was also a tendency for implants placed in the posterior region to fail compared to those placed in the anterior region.[<xref rid="ref52" ref-type="bibr">52</xref>] With regard to the preparation of the fixture hole, a 2Æ85 mm twist drill was used instead of a 3 mm drill, and drilling was done very gently and without tapping because grafted iliac bone is very soft.[<xref rid="ref53" ref-type="bibr">53</xref>] Exclusively, implant-supported telescopic prostheses seem to avoid prosthesis related soft tissue ulcers and appear to be favorable, especially in the case of difficult anatomic conditions and following irradiation.[<xref rid="ref54" ref-type="bibr">54</xref>] Gürlek <italic>et al.</italic> concluded that implants enhance dental restoration in selected patients, and micro-vascular bone flaps, including the fibula and iliac crest, are well suited for dental implant restoration.[<xref rid="ref27" ref-type="bibr">27</xref>]</p></sec><sec id="sec2-15"><title>Further scope of research</title><p>Results also indicate that preservation of the hypoglossal nerve is the main determinant of whether postoperative tumor patients could achieve the same level of mastication as nontumor patients. Use of sensate flaps might be helpful.[<xref rid="ref55" ref-type="bibr">55</xref><xref rid="ref40" ref-type="bibr">40</xref>] If a patient has compromised tongue function and cannot selectively manipulate a bolus to the occlusal platform or consolidate a bolus prior to swallowing, even a stable and retentive mandibular prosthesis will not benefit the patient. Curtis <italic>et al.</italic> found that occlusal force was poorly correlated with function, whereas measurement of tongue function strongly correlated with successful mastication.[<xref rid="ref40" ref-type="bibr">40</xref>] Model simulations which exactly duplicate exact anatomic deficits of these patients could be developed.[<xref rid="ref40" ref-type="bibr">40</xref>] Stem cells along with xenograft and bone morphogenic protein attains new bone formation with sufficient quantity and quality to allow for implant placement, with decreased patient morbidity and surgical time compared to conventional reconstructive methods.[<xref rid="ref56" ref-type="bibr">56</xref>] A multi-site clinical trial could provide sufficient samples to address problems related to specific defects and adaptation.</p></sec></sec></body><back><fn-group><fn fn-type="supported-by"><p><bold>Source of Support:</bold> Nil.</p></fn><fn fn-type="conflict"><p><bold>Conflict of Interest:</bold> None declared.</p></fn></fn-group><ref-list><title>REFERENCES</title><ref id="ref1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sullivan</surname><given-names>M</given-names></name><name><surname>Gaebler</surname><given-names>C</given-names></name><name><surname>Beukelman</surname><given-names>D</given-names></name><name><surname>Mahanna</surname><given-names>G</given-names></name><name><surname>Marshall</surname><given-names>J</given-names></name><name><surname>Lydiatt</surname><given-names>D</given-names></name><etal></etal></person-group><article-title>Impact of palatal prosthodontic intervention on communication performanceof patients’ maxillectomy defects: A multilevel outcome study</article-title><source>Head Neck</source><year>2002</year><volume>24</volume><fpage>530</fpage><lpage>8</lpage><pub-id pub-id-type="pmid">12112549</pub-id></element-citation></ref><ref id="ref2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rieger</surname><given-names>J</given-names></name><name><surname>Wolfaardt</surname><given-names>J</given-names></name><name><surname>Seikaly</surname><given-names>H</given-names></name><name><surname>Jha</surname><given-names>N</given-names></name></person-group><article-title>Speech outcomes in patients rehabilitated with maxillary obturator prostheses after maxillectomy: A prospective study</article-title><source>Int J Prosthodont</source><year>2002</year><volume>15</volume><fpage>139</fpage><lpage>44</lpage><pub-id pub-id-type="pmid">11951803</pub-id></element-citation></ref><ref id="ref3"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Roumanas</surname><given-names>ED</given-names></name><name><surname>Chang</surname><given-names>TL</given-names></name><name><surname>Beumer</surname><given-names>J</given-names></name></person-group><article-title>Use of osseointegrated implants in the restoration of head and neck defects</article-title><source>J Calif Dent Assoc</source><year>2006</year><volume>34</volume><fpage>711</fpage><lpage>8</lpage><pub-id pub-id-type="pmid">17022295</pub-id></element-citation></ref><ref id="ref4"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kornblith</surname><given-names>AB</given-names></name><name><surname>Zlotolow</surname><given-names>IM</given-names></name><name><surname>Gooen</surname><given-names>J</given-names></name><name><surname>Huryn</surname><given-names>JM</given-names></name><name><surname>Lerner</surname><given-names>T</given-names></name><name><surname>Strong</surname><given-names>EW</given-names></name><etal></etal></person-group><article-title>Quality of life of maxillectomy patients using an obturator prosthesis</article-title><source>Head Neck</source><year>1996</year><volume>18</volume><fpage>323</fpage><lpage>34</lpage><pub-id pub-id-type="pmid">8780943</pub-id></element-citation></ref><ref id="ref5"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Genden</surname><given-names>EM</given-names></name><name><surname>Okay</surname><given-names>D</given-names></name><name><surname>Stepp</surname><given-names>MT</given-names></name><name><surname>Rezaee</surname><given-names>RP</given-names></name><name><surname>Mojica</surname><given-names>JS</given-names></name><name><surname>Buchbinder</surname><given-names>D</given-names></name><etal></etal></person-group><article-title>Comparison of functional and quality-of-life outcomes in patients with and without palatomaxillary reconstruction: A preliminary report</article-title><source>Arch Otolaryngol Head Neck Surg</source><year>2003</year><volume>129</volume><fpage>775</fpage><lpage>80</lpage><pub-id pub-id-type="pmid">12874081</pub-id></element-citation></ref><ref id="ref6"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Koyama</surname><given-names>S</given-names></name><name><surname>Sasaki</surname><given-names>K</given-names></name><name><surname>Inai</surname><given-names>T</given-names></name><name><surname>Watanabe</surname><given-names>M</given-names></name></person-group><article-title>Effects of defect configuration, size, and remaining teeth on masticatory function in post-maxillectomy patients</article-title><source>J Oral Rehabil</source><year>2005</year><volume>32</volume><fpage>635</fpage><lpage>41</lpage><pub-id pub-id-type="pmid">16102075</pub-id></element-citation></ref><ref id="ref7"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Baba</surname><given-names>K</given-names></name><name><surname>John</surname><given-names>MT</given-names></name><name><surname>Inukai</surname><given-names>M</given-names></name><name><surname>Aridome</surname><given-names>K</given-names></name><name><surname>Igarahsi</surname><given-names>Y</given-names></name></person-group><article-title>Validating an alternate version of the chewing function questionnaire in partially dentate patients</article-title><source>BMC Oral Health</source><year>2009</year><volume>9</volume><fpage>9</fpage><pub-id pub-id-type="pmid">19291293</pub-id></element-citation></ref><ref id="ref8"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Matsuyama</surname><given-names>M</given-names></name><name><surname>Tsukiyama</surname><given-names>Y</given-names></name><name><surname>Tomioka</surname><given-names>M</given-names></name><name><surname>Koyano</surname><given-names>K</given-names></name></person-group><article-title>Clinical assessment of chewing function of obturator prosthesis wearers by objective measurement of masticatory performance and maximum occlusal force</article-title><source>Int J Prosthodont</source><year>2006</year><volume>19</volume><fpage>253</fpage><lpage>7</lpage><pub-id pub-id-type="pmid">16752621</pub-id></element-citation></ref><ref id="ref9"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ohara</surname><given-names>A</given-names></name><name><surname>Tsukiyama</surname><given-names>Y</given-names></name><name><surname>Ogawa</surname><given-names>T</given-names></name><name><surname>Koyano</surname><given-names>K</given-names></name></person-group><article-title>A simplified sieve method for determining masticatory performance using hydrocolloid material</article-title><source>J Oral Rehabil</source><year>2003</year><volume>30</volume><fpage>927</fpage><lpage>35</lpage><pub-id pub-id-type="pmid">12950975</pub-id></element-citation></ref><ref id="ref10"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ono</surname><given-names>T</given-names></name><name><surname>Kohda</surname><given-names>H</given-names></name><name><surname>Hori</surname><given-names>K</given-names></name><name><surname>Nokubi</surname><given-names>T</given-names></name></person-group><article-title>Masticatory performance in postmaxillectomy patients with edentulous maxillae fitted with obturator prostheses</article-title><source>Int J Prosthodont</source><year>2007</year><volume>20</volume><fpage>145</fpage><lpage>50</lpage><pub-id pub-id-type="pmid">17455434</pub-id></element-citation></ref><ref id="ref11"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Okiyama</surname><given-names>S</given-names></name><name><surname>Ikebe</surname><given-names>K</given-names></name><name><surname>Nokubi</surname><given-names>T</given-names></name></person-group><article-title>Association between masticatory performance and maximal occlusal force in young men</article-title><source>J Oral Rehabil</source><year>2003</year><volume>30</volume><fpage>278</fpage><lpage>82</lpage><pub-id pub-id-type="pmid">12588500</pub-id></element-citation></ref><ref id="ref12"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ono</surname><given-names>T</given-names></name><name><surname>Hori</surname><given-names>K</given-names></name><name><surname>Ikebe</surname><given-names>K</given-names></name><name><surname>Nokubi</surname><given-names>T</given-names></name><name><surname>Nago</surname><given-names>S</given-names></name><name><surname>Kumakura</surname><given-names>I</given-names></name></person-group><article-title>Factors influencing eating ability of old in-patients in a rehabilitation hospital in Japan</article-title><source>Gerodontology</source><year>2003</year><volume>20</volume><fpage>24</fpage><lpage>31</lpage><pub-id pub-id-type="pmid">12926748</pub-id></element-citation></ref><ref id="ref13"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Irish</surname><given-names>J</given-names></name><name><surname>Sandhu</surname><given-names>N</given-names></name><name><surname>Simpson</surname><given-names>C</given-names></name><name><surname>Wood</surname><given-names>R</given-names></name><name><surname>Gilbert</surname><given-names>R</given-names></name><name><surname>Gullane</surname><given-names>P</given-names></name><etal></etal></person-group><article-title>Quality of life in patients with maxillectomy prostheses</article-title><source>Head Neck</source><year>2009</year><volume>31</volume><fpage>813</fpage><lpage>21</lpage><pub-id pub-id-type="pmid">19280665</pub-id></element-citation></ref><ref id="ref14"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nagy</surname><given-names>J</given-names></name><name><surname>Braunitzer</surname><given-names>G</given-names></name><name><surname>Antal</surname><given-names>M</given-names></name><name><surname>Berkovits</surname><given-names>C</given-names></name><name><surname>Novák</surname><given-names>P</given-names></name><name><surname>Nagy</surname><given-names>K</given-names></name></person-group><article-title>Quality of life in head and neck cancer patients after tumor therapy and subsequent rehabilitation: An exploratory study</article-title><source>Qual Life Res</source><year>2014</year><volume>23</volume><fpage>135</fpage><lpage>43</lpage><pub-id pub-id-type="pmid">23733663</pub-id></element-citation></ref><ref id="ref15"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Depprich</surname><given-names>R</given-names></name><name><surname>Naujoks</surname><given-names>C</given-names></name><name><surname>Lind</surname><given-names>D</given-names></name><name><surname>Ommerborn</surname><given-names>M</given-names></name><name><surname>Meyer</surname><given-names>U</given-names></name><name><surname>Kübler</surname><given-names>NR</given-names></name><etal></etal></person-group><article-title>Evaluation of the quality of life of patients with maxillofacial defects after prosthodontic therapy with obturator prostheses</article-title><source>Int J Oral Maxillofac Surg</source><year>2011</year><volume>40</volume><fpage>71</fpage><lpage>9</lpage><pub-id pub-id-type="pmid">20980129</pub-id></element-citation></ref><ref id="ref16"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kreeft</surname><given-names>AM</given-names></name><name><surname>Krap</surname><given-names>M</given-names></name><name><surname>Wismeijer</surname><given-names>D</given-names></name><name><surname>Speksnijder</surname><given-names>CM</given-names></name><name><surname>Smeele</surname><given-names>LE</given-names></name><name><surname>Bosch</surname><given-names>SD</given-names></name><etal></etal></person-group><article-title>Oral function after maxillectomy and reconstruction with an obturator</article-title><source>Int J Oral Maxillofac Surg</source><year>2012</year><volume>41</volume><fpage>1387</fpage><lpage>92</lpage><pub-id pub-id-type="pmid">22939876</pub-id></element-citation></ref><ref id="ref17"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Salinas</surname><given-names>TJ</given-names></name></person-group><article-title>Prosthetic rehabilitation of defects of the head and neck</article-title><source>Semin Plast Surg</source><year>2010</year><volume>24</volume><fpage>299</fpage><lpage>308</lpage><pub-id pub-id-type="pmid">22550451</pub-id></element-citation></ref><ref id="ref18"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Umino</surname><given-names>S</given-names></name><name><surname>Masuda</surname><given-names>G</given-names></name><name><surname>Fujita</surname><given-names>K</given-names></name></person-group><article-title>Masticatory performance with a prosthesis following maxillectomy: An analysis of 43 cases</article-title><source>J Oral Rehabil</source><year>2003</year><volume>30</volume><fpage>642</fpage><lpage>5</lpage><pub-id pub-id-type="pmid">12787462</pub-id></element-citation></ref><ref id="ref19"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lorant</surname><given-names>JA</given-names></name><name><surname>Roumanas</surname><given-names>E</given-names></name><name><surname>Nishimura</surname><given-names>R</given-names></name><name><surname>Beumer J 3 r</surname><given-names>rd</given-names></name><name><surname>Wagman</surname><given-names>LD</given-names></name></person-group><article-title>Restoration of oral function after maxillectomy with osseous integrated implant retained maxillary obturators</article-title><source>Am J Surg</source><year>1994</year><volume>168</volume><fpage>412</fpage><lpage>4</lpage><pub-id pub-id-type="pmid">7977962</pub-id></element-citation></ref><ref id="ref20"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Roumanas</surname><given-names>ED</given-names></name><name><surname>Nishimura</surname><given-names>RD</given-names></name><name><surname>Davis</surname><given-names>BK</given-names></name><name><surname>Beumer J 3</surname><given-names>rd</given-names></name></person-group><article-title>Clinical evaluation of implants retaining edentulous maxillary obturator prostheses</article-title><source>J Prosthet Dent</source><year>1997</year><volume>77</volume><fpage>184</fpage><lpage>90</lpage><pub-id pub-id-type="pmid">9051607</pub-id></element-citation></ref><ref id="ref21"><label>21</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Beumer</surname><given-names>J</given-names></name><name><surname>Marunick</surname><given-names>MT</given-names></name><name><surname>Curtis</surname><given-names>TA</given-names></name><name><surname>Roumanas</surname><given-names>E</given-names></name></person-group><person-group person-group-type="editor"><name><surname>Beumer</surname><given-names>J</given-names></name><name><surname>Curtis</surname><given-names>TA</given-names></name><name><surname>Marunick</surname><given-names>MT</given-names></name></person-group><article-title>Acquired defects of the mandible: Aetiology, treatment and rehabilitation</article-title><source>Maxillofacial rehabilitation: prosthodonticand surgical considerations</source><year>1996</year><publisher-loc>St. Louis</publisher-loc><publisher-name>Ishiyaku Euro America</publisher-name><fpage>113</fpage><lpage>223</lpage></element-citation></ref><ref id="ref22"><label>22</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Branemark</surname><given-names>PI</given-names></name></person-group><person-group person-group-type="editor"><name><surname>Branemark</surname><given-names>PI</given-names></name><name><surname>Zarb</surname><given-names>G</given-names></name><name><surname>Albertson</surname><given-names>T</given-names></name></person-group><article-title>Introduction to osseointegration</article-title><source>Tissue-Integrated Implants. Osseointegration in Clinical Dentistry</source><year>1985</year><publisher-loc>Chicago</publisher-loc><publisher-name>Quintessence Co</publisher-name><fpage>11</fpage><lpage>76</lpage></element-citation></ref><ref id="ref23"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hidalgo</surname><given-names>DA</given-names></name></person-group><article-title>Fibula free flap: A new method of mandible reconstruction</article-title><source>Plast Reconstr Surg</source><year>1989</year><volume>84</volume><fpage>71</fpage><lpage>9</lpage><pub-id pub-id-type="pmid">2734406</pub-id></element-citation></ref><ref id="ref24"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wagner</surname><given-names>JD</given-names></name><name><surname>Coleman</surname><given-names>JJ</given-names><suffix>3rd</suffix></name><name><surname>Weisberger</surname><given-names>E</given-names></name><name><surname>Righi</surname><given-names>PD</given-names></name><name><surname>Radpour</surname><given-names>S</given-names></name><name><surname>McGarvey</surname><given-names>S</given-names></name><etal></etal></person-group><article-title>Predictive factors for functional recovery after free tissue transfer oromandibular reconstruction</article-title><source>Am J Surg</source><year>1998</year><volume>176</volume><fpage>430</fpage><lpage>5</lpage><pub-id pub-id-type="pmid">9874428</pub-id></element-citation></ref><ref id="ref25"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Urken</surname><given-names>ML</given-names></name><name><surname>Buchbinder</surname><given-names>D</given-names></name><name><surname>Weinberg</surname><given-names>H</given-names></name><name><surname>Vickery</surname><given-names>C</given-names></name><name><surname>Sheiner</surname><given-names>A</given-names></name><name><surname>Parker</surname><given-names>R</given-names></name><etal></etal></person-group><article-title>Functional evaluation following microvascular oromandibular reconstruction of the oral cancer patient: A comparative study of reconstructed and non reconstructed patients</article-title><source>Laryngoscop</source><year>1991</year><volume>101</volume><fpage>935</fpage><lpage>50</lpage></element-citation></ref><ref id="ref26"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Roumanas</surname><given-names>ED</given-names></name><name><surname>Markowitz</surname><given-names>BL</given-names></name><name><surname>Lorant</surname><given-names>JA</given-names></name><name><surname>Calcaterra</surname><given-names>TC</given-names></name><name><surname>Jones</surname><given-names>NF</given-names></name><name><surname>Beumer J 3</surname><given-names>rd</given-names></name></person-group><article-title>Reconstructed mandibular defects: Fibula free flaps and osseointegrated implants</article-title><source>Plast Reconstr Surg</source><year>1997</year><volume>99</volume><fpage>356</fpage><lpage>65</lpage><pub-id pub-id-type="pmid">9030140</pub-id></element-citation></ref><ref id="ref27"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gürlek</surname><given-names>A</given-names></name><name><surname>Miller</surname><given-names>MJ</given-names></name><name><surname>Jacob</surname><given-names>RF</given-names></name><name><surname>Lively</surname><given-names>JA</given-names></name><name><surname>Schusterman</surname><given-names>MA</given-names></name></person-group><article-title>Functional results of dental restoration with osseointegrated implants after mandible reconstruction</article-title><source>Plast Reconstr Surg</source><year>1998</year><volume>101</volume><fpage>650</fpage><lpage>5</lpage><pub-id pub-id-type="pmid">9500381</pub-id></element-citation></ref><ref id="ref28"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Buchbinder</surname><given-names>D</given-names></name><name><surname>Urken</surname><given-names>ML</given-names></name><name><surname>Vickery</surname><given-names>C</given-names></name><name><surname>Weinberg</surname><given-names>H</given-names></name><name><surname>Sheiner</surname><given-names>A</given-names></name><name><surname>Biller</surname><given-names>H</given-names></name></person-group><article-title>Functional mandibular reconstruction of patients with oral cancer</article-title><source>Oral Surg Oral Med Oral Pathol</source><year>1989</year><volume>68</volume><fpage>499</fpage><lpage>503</lpage><pub-id pub-id-type="pmid">2694053</pub-id></element-citation></ref><ref id="ref29"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Marunick</surname><given-names>MT</given-names></name><name><surname>Mathog</surname><given-names>RH</given-names></name></person-group><article-title>Mastication in patients treated for head and neck cancer: A pilot study</article-title><source>J Prosthet Dent</source><year>1990</year><volume>63</volume><fpage>566</fpage><lpage>73</lpage><pub-id pub-id-type="pmid">2338669</pub-id></element-citation></ref><ref id="ref30"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mackenna</surname><given-names>BR</given-names></name><name><surname>Türker</surname><given-names>KS</given-names></name></person-group><article-title>Jaw separation and maximum incising force</article-title><source>J Prosthet Dent</source><year>1983</year><volume>49</volume><fpage>726</fpage><lpage>30</lpage><pub-id pub-id-type="pmid">6574243</pub-id></element-citation></ref><ref id="ref31"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Matsui</surname><given-names>Y</given-names></name><name><surname>Neukam</surname><given-names>FW</given-names></name><name><surname>Schmelzeisen</surname><given-names>R</given-names></name><name><surname>Ohno</surname><given-names>K</given-names></name></person-group><article-title>Masticatory function of postoperative tumor patients rehabilitated with osseointegrated implants</article-title><source>J Oral Maxillofac Surg</source><year>1996</year><volume>54</volume><fpage>441</fpage><lpage>7</lpage><pub-id pub-id-type="pmid">8600260</pub-id></element-citation></ref><ref id="ref32"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Suzuki</surname><given-names>T</given-names></name><name><surname>Kumagai</surname><given-names>H</given-names></name><name><surname>Yoshitomi</surname><given-names>N</given-names></name><name><surname>Minakuchi</surname><given-names>S</given-names></name><name><surname>Watanabe</surname><given-names>T</given-names></name><name><surname>Uchida</surname><given-names>T</given-names></name><etal></etal></person-group><article-title>Clinical evaluation of measuring system of occlusal force</article-title><source>Kokubyo Gakkai Zasshi</source><year>1994</year><volume>61</volume><fpage>437</fpage><lpage>45</lpage><pub-id pub-id-type="pmid">7806939</pub-id></element-citation></ref><ref id="ref33"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Matsui</surname><given-names>Y</given-names></name><name><surname>Ohno</surname><given-names>K</given-names></name><name><surname>Michi</surname><given-names>K</given-names></name><name><surname>Suzuki</surname><given-names>Y</given-names></name><name><surname>Yamagata</surname><given-names>K</given-names></name></person-group><article-title>A computerized method for evaluating balance of occlusal load</article-title><source>J Oral Rehabil</source><year>1996</year><volume>23</volume><fpage>530</fpage><lpage>5</lpage><pub-id pub-id-type="pmid">8866265</pub-id></element-citation></ref><ref id="ref34"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Matsui</surname><given-names>Y</given-names></name><name><surname>Ohno</surname><given-names>K</given-names></name><name><surname>Michi</surname><given-names>K</given-names></name><name><surname>Hata</surname><given-names>H</given-names></name><name><surname>Yamagata</surname><given-names>K</given-names></name><name><surname>Ohtsuka</surname><given-names>S</given-names></name></person-group><article-title>The evaluation of masticatory function with low adhesive colour-developing chewing gum</article-title><source>J Oral Rehabil</source><year>1996</year><volume>23</volume><fpage>251</fpage><lpage>6</lpage><pub-id pub-id-type="pmid">8730272</pub-id></element-citation></ref><ref id="ref35"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Matsui</surname><given-names>Y</given-names></name><name><surname>Neukam</surname><given-names>FW</given-names></name><name><surname>Wichmann</surname><given-names>M</given-names></name><name><surname>Ohno</surname><given-names>K</given-names></name></person-group><article-title>Application of a low-adhesive color-developing chewing gum system to patients with osseointegrated implant-supported prostheses</article-title><source>Int J Oral Maxillofac Implants</source><year>1995</year><volume>10</volume><fpage>583</fpage><lpage>8</lpage><pub-id pub-id-type="pmid">7591003</pub-id></element-citation></ref><ref id="ref36"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Curtis</surname><given-names>DA</given-names></name><name><surname>Plesh</surname><given-names>O</given-names></name><name><surname>Hannam</surname><given-names>AG</given-names></name><name><surname>Sharma</surname><given-names>A</given-names></name><name><surname>Curtis</surname><given-names>TA</given-names></name></person-group><article-title>Modeling of jaw biomechanics in the reconstructed mandibulectomy patient</article-title><source>J Prosthet Dent</source><year>1999</year><volume>81</volume><fpage>167</fpage><lpage>73</lpage><pub-id pub-id-type="pmid">9922429</pub-id></element-citation></ref><ref id="ref37"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sposetti</surname><given-names>VJ</given-names></name><name><surname>Gibbs</surname><given-names>CH</given-names></name><name><surname>Alderson</surname><given-names>TH</given-names></name><name><surname>Jaggers</surname><given-names>JH</given-names></name><name><surname>Richmond</surname><given-names>A</given-names></name><name><surname>Conlon</surname><given-names>M</given-names></name><etal></etal></person-group><article-title>Bite force and muscle activity in overdenture wearers before and after attachment placement</article-title><source>J Prosthet Dent</source><year>1986</year><volume>55</volume><fpage>265</fpage><lpage>73</lpage><pub-id pub-id-type="pmid">3457158</pub-id></element-citation></ref><ref id="ref38"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Haraguchi</surname><given-names>M</given-names></name><name><surname>Mukohyama</surname><given-names>H</given-names></name><name><surname>Reisberg</surname><given-names>DJ</given-names></name><name><surname>Taniguchi</surname><given-names>H</given-names></name></person-group><article-title>Electromyographic activity of masticatory muscles and mandibular movement during function in marginal mandibulectomy patients</article-title><source>J Med Dent Sci</source><year>2003</year><volume>50</volume><fpage>257</fpage><lpage>64</lpage><pub-id pub-id-type="pmid">15074353</pub-id></element-citation></ref><ref id="ref39"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Neill</surname><given-names>DJ</given-names></name><name><surname>Kydd</surname><given-names>WL</given-names></name><name><surname>Nairn</surname><given-names>RI</given-names></name><name><surname>Wilson</surname><given-names>J</given-names></name></person-group><article-title>Functional loading of the dentition during mastication</article-title><source>J Prosthet Dent</source><year>1989</year><volume>62</volume><fpage>218</fpage><lpage>28</lpage><pub-id pub-id-type="pmid">2760864</pub-id></element-citation></ref><ref id="ref40"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Curtis</surname><given-names>DA</given-names></name><name><surname>Plesh</surname><given-names>O</given-names></name><name><surname>Miller</surname><given-names>AJ</given-names></name><name><surname>Curtis</surname><given-names>TA</given-names></name><name><surname>Sharma</surname><given-names>A</given-names></name><name><surname>Schweitzer</surname><given-names>R</given-names></name><etal></etal></person-group><article-title>A comparison of masticatory function in patients with or without reconstruction of the mandible</article-title><source>Head Neck</source><year>1997</year><volume>19</volume><fpage>287</fpage><lpage>96</lpage><pub-id pub-id-type="pmid">9213107</pub-id></element-citation></ref><ref id="ref41"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>List</surname><given-names>MA</given-names></name><name><surname>Ritter-Sterr</surname><given-names>C</given-names></name><name><surname>Lansky</surname><given-names>SB</given-names></name></person-group><article-title>A performance status scale for head and neck cancer patients</article-title><source>Cancer</source><year>1990</year><volume>66</volume><fpage>564</fpage><lpage>9</lpage><pub-id pub-id-type="pmid">2364368</pub-id></element-citation></ref><ref id="ref42"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Roumanas</surname><given-names>ED</given-names></name><name><surname>Garrett</surname><given-names>N</given-names></name><name><surname>Blackwell</surname><given-names>KE</given-names></name><name><surname>Freymiller</surname><given-names>E</given-names></name><name><surname>Abemayor</surname><given-names>E</given-names></name><name><surname>Wong</surname><given-names>WK</given-names></name><etal></etal></person-group><article-title>Masticatory and swallowing threshold performances with conventional and implant-supported prostheses after mandibular fibula free-flap reconstruction</article-title><source>J Prosthet Dent</source><year>2006</year><volume>96</volume><fpage>289</fpage><lpage>97</lpage><pub-id pub-id-type="pmid">17052474</pub-id></element-citation></ref><ref id="ref43"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yurkstas</surname><given-names>A</given-names></name><name><surname>Manly</surname><given-names>RS</given-names></name></person-group><article-title>Value of different test foods in estimating masticatory ability</article-title><source>J Appl Physiol</source><year>1950</year><volume>3</volume><fpage>45</fpage><lpage>53</lpage><pub-id pub-id-type="pmid">14774321</pub-id></element-citation></ref><ref id="ref44"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kapur</surname><given-names>K</given-names></name><name><surname>Soman</surname><given-names>S</given-names></name><name><surname>Yurkstas</surname><given-names>A</given-names></name></person-group><article-title>Test foods for measuring masticatory performance of denture wearers</article-title><source>J Prosthet Dent</source><year>1964</year><volume>14</volume><fpage>483</fpage><lpage>91</lpage></element-citation></ref><ref id="ref45"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kapur</surname><given-names>KK</given-names></name><name><surname>Garrett</surname><given-names>NR</given-names></name><name><surname>Hamada</surname><given-names>MO</given-names></name><name><surname>Roumanas</surname><given-names>ED</given-names></name><name><surname>Freymiller</surname><given-names>E</given-names></name><name><surname>Han</surname><given-names>T</given-names></name><etal></etal></person-group><article-title>Randomized clinical trial comparing the efficacy of mandibular implant-supported overdentures and conventional dentures in diabetic patients. Part III: Comparisons of patient satisfaction</article-title><source>J Prosthet Dent</source><year>1999</year><volume>82</volume><fpage>416</fpage><lpage>27</lpage><pub-id pub-id-type="pmid">10512960</pub-id></element-citation></ref><ref id="ref46"><label>46</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Roumanas</surname><given-names>ED</given-names></name><name><surname>Garrett</surname><given-names>NR</given-names></name><name><surname>Hamada</surname><given-names>MO</given-names></name><name><surname>Diener</surname><given-names>RM</given-names></name><name><surname>Kapur</surname><given-names>KK</given-names></name></person-group><article-title>A randomized clinical trial comparing the efficacy of mandibular implant-supported overdentures and conventional dentures in diabetic patients. Part V: Food preference comparisons</article-title><source>J Prosthet Dent</source><year>2002</year><volume>87</volume><fpage>62</fpage><lpage>73</lpage><pub-id pub-id-type="pmid">11807486</pub-id></element-citation></ref><ref id="ref47"><label>47</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Manns</surname><given-names>A</given-names></name><name><surname>Miralles</surname><given-names>R</given-names></name><name><surname>Palazzi</surname><given-names>C</given-names></name></person-group><article-title>EMG, bite force, and elongation of the masseter muscle under isometric voluntary contractions and variations of vertical dimension</article-title><source>J Prosthet Dent</source><year>1979</year><volume>42</volume><fpage>674</fpage><lpage>82</lpage><pub-id pub-id-type="pmid">292779</pub-id></element-citation></ref><ref id="ref48"><label>48</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kapur</surname><given-names>KK</given-names></name><name><surname>Garrett</surname><given-names>NR</given-names></name><name><surname>Fischer</surname><given-names>E</given-names></name></person-group><article-title>Effects of anaesthesia of human oral structures on masticatory performance and food particle size distribution</article-title><source>Arch Oral Biol</source><year>1990</year><volume>35</volume><fpage>397</fpage><lpage>403</lpage><pub-id pub-id-type="pmid">2372243</pub-id></element-citation></ref><ref id="ref49"><label>49</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kapur</surname><given-names>K</given-names></name><name><surname>Garrett</surname><given-names>N</given-names></name><name><surname>Hamada</surname><given-names>M</given-names></name></person-group><article-title>A new approach for assessing tongue and cheek function</article-title><source>J Dent Res</source><year>1991</year><volume>70</volume><fpage>207</fpage></element-citation></ref><ref id="ref50"><label>50</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Korioth</surname><given-names>TW</given-names></name><name><surname>Romilly</surname><given-names>DP</given-names></name><name><surname>Hannam</surname><given-names>AG</given-names></name></person-group><article-title>Three-dimensional finite element stress analysis of the dentate human mandible</article-title><source>Am J Phys Anthropol</source><year>1992</year><volume>88</volume><fpage>69</fpage><lpage>96</lpage><pub-id pub-id-type="pmid">1510115</pub-id></element-citation></ref><ref id="ref51"><label>51</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nelson</surname><given-names>GJ</given-names></name><name><surname>Hannam</surname><given-names>AG</given-names></name></person-group><article-title>A biomechanical simulation of craniomandibular apparatus during tooth clenching (Abstract)</article-title><source>J Dent Res</source><year>1982</year><volume>61</volume><fpage>211</fpage></element-citation></ref><ref id="ref52"><label>52</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Buddula</surname><given-names>A</given-names></name><name><surname>Assad</surname><given-names>DA</given-names></name><name><surname>Salinas</surname><given-names>TJ</given-names></name><name><surname>Garces</surname><given-names>YI</given-names></name></person-group><article-title>Survival of dental implants in native and grafted bone in irradiated head and neck cancer patients: A retrospective analysis</article-title><source>Indian J Dent Res</source><year>2011</year><volume>22</volume><fpage>644</fpage><lpage>8</lpage><pub-id pub-id-type="pmid">22406706</pub-id></element-citation></ref><ref id="ref53"><label>53</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sekine</surname><given-names>J</given-names></name><name><surname>Sano</surname><given-names>K</given-names></name><name><surname>Ikeda</surname><given-names>H</given-names></name><name><surname>Inokuchi</surname><given-names>T</given-names></name></person-group><article-title>Rehabilitation by means of osseointegrated implants in oral cancer patients with about four to six years follow-up</article-title><source>J Oral Rehabil</source><year>2006</year><volume>33</volume><fpage>170</fpage><lpage>4</lpage><pub-id pub-id-type="pmid">16512882</pub-id></element-citation></ref><ref id="ref54"><label>54</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Weischer</surname><given-names>T</given-names></name><name><surname>Mohr</surname><given-names>C</given-names></name></person-group><article-title>Implant-supported mandibular telescopic prostheses in oral cancer patients: An up to 9-year retrospective study</article-title><source>Int J Prosthodont</source><year>2001</year><volume>14</volume><fpage>329</fpage><lpage>34</lpage><pub-id pub-id-type="pmid">11508087</pub-id></element-citation></ref><ref id="ref55"><label>55</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Urken</surname><given-names>ML</given-names></name><name><surname>Biller</surname><given-names>HF</given-names></name></person-group><article-title>A new bilobed design for the sensate radial forearm flap to preserve tongue mobility following significant glossectomy</article-title><source>Arch Otolaryngol Head Neck Surg</source><year>1994</year><volume>120</volume><fpage>26</fpage><lpage>31</lpage><pub-id pub-id-type="pmid">8274252</pub-id></element-citation></ref><ref id="ref56"><label>56</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hernández-Alfaro</surname><given-names>F</given-names></name><name><surname>Ruiz-Magaz</surname><given-names>V</given-names></name><name><surname>Chatakun</surname><given-names>P</given-names></name><name><surname>Guijarro-Martínez</surname><given-names>R</given-names></name></person-group><article-title>Mandibular reconstruction with tissue engineering in multiple recurrent ameloblastoma</article-title><source>Int J Periodontics Restorative Dent</source><year>2012</year><volume>32</volume><fpage>e82</fpage><lpage>6</lpage><pub-id pub-id-type="pmid">22408782</pub-id></element-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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