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Management of lateral mandibular discontinuity by maxillary guidance

Authors
Journal
British Journal of Oral and Maxillofacial Surgery
0266-4356
Publisher
Elsevier
Publication Date
Volume
46
Issue
2
Identifiers
DOI: 10.1016/j.bjoms.2006.10.003
Keywords
  • Mandibular Discontinuity Defect
  • Resection
  • Maxillary Guidance
  • Ramp Prosthesis
Disciplines
  • Design
  • Philosophy

Abstract

Abstract Balance and symmetry of mandibular function is disturbed by loss of continuity of the mandible, which leads to altered mandibular movements and deviation of the residual fragment, as a consequence of which problems with chewing, swallowing, speech, and aesthetics develop. Methods such as maxillary fixation, and use of mandibular and palatal guidance have been used to reduce or eliminate the mandibular deviation. The aim of this study was to achieve a normal maxillomandibular relation in a patient with mandibular discontinuity. An acceptable maxillomandibular relation was obtained within 3 months with a maxillary guidance ramp prosthesis.

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