Goiato MC, de Medeiros RA, Vechiato Filho AJ, da Silva EVF, Sônego MV, de Carvalho KHT, Guiotti AM, de Carvalho Dekon SF, Pesqueira AA, dos Santos DM. Prosthetic rehabilitation of a patient after a partial mandibulectomy.
Ann Med Surg (Lond) 2015;
4:200-3. [PMID:
26052437 PMCID:
PMC4454786 DOI:
10.1016/j.amsu.2015.05.004]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2015] [Revised: 05/08/2015] [Accepted: 05/08/2015] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION
The treatment of orofacial tumors may cause facial deformities by losses of structures that affect basic functions, i.e. feeding, speech, and the reduction of patient self-steam.
PRESENTATION OF CASE
A white male patient was diagnosed with epidermoid cancer on the mandibular alveolar ridge with infiltration staging IV A. The patient was submitted to a mandibulectomy associated with a complete extraction of mandibular teeth. For rehabilitation, a conventional denture for the mandibular arch and a removable partial denture for the maxillary arch were fabricated. A correct occlusal adjustment and a satisfactory amount of alveolar bone was favorable for conventional dentures of the prostheses bases improve their retention and stability. After one year of follow-up, the patient was adapted to the prostheses, satisfied with their retention, and reported an improvement on his feeding.
DISCUSSION
The prosthetic rehabilitation of patients after a partial mandibulectomy is essential for their self-steam. Conventional dentures may have their retention and stability improved if they are well fabricated, recorded and have a balanced occlusion.
CONCLUSION
A correct occlusal adjustment and an adequate retention of the prostheses bases may improve their retention and stability. Patients without xerostomy and with a satisfactory amount of alveolar bone may have a favorable prognosis for conventional dentures.
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