Journal of Pierre Fauchard Academy (India Section)

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Prosthetic Management Following Anterior Segmental Mandibular Resection: A Case Report


Affiliations
1 MDS, Senior Lecturer, Department of Prosthodontics, Institute of Dental Sciences, Bareilly - 243006, Uttar Pradesh, India
2 MDS, Senior Lecturer, Department of Prosthodontics, Government Dental College, Dibrugarh - 786001, Assam, India
3 MDS, Professor, Department of Prosthodontics, Institute of Dental Sciences, Bareilly - 243006, Uttar Pradesh, India
     

   Subscribe/Renew Journal


The rehabilitation of a patient in the Kennedy class IV situation demands biomechanical balance and aesthetic improvement. Larger defects usually lead to increased movement of the prosthesis, due to the compromised mucosal support and a longer edentulous span of the prosthesis. The article describes the prosthetic management of a patient following partial mandibular resection. The long span of missing teeth and the unavailability of a sufficient number of abutments are challenges for prostheses. This case report describes an inexpensive technique for the fabrication of attachment retained prosthesis over castable bar assembly for rehabilitating the long‑span Kennedy class IV situation.

Keywords

Extracoronal Attachment, Hybrid Prosthesis, Kennedy Class IV Partial Denture, Segmental Mandibulectomy.
User
Subscription Login to verify subscription
Notifications
Font Size

  • Carr AB, Brown DT. McCracken’s removable partial prosthodontics- E-Book. Elsevier Health Sciences; 2010 Jun 22.

  • Beumer III J, Marunick MT, Esposito SJ. Maxillofacial rehabilitation: Prosthodontic and surgical management of cancer-related, acquired, and congenital defects of the head and neck. Quintessence Pub. 2011; 276.

  • Joshi PR, Saini GS, Shetty P, Bhat SG. Prosthetic rehabilitation following segmental mandibulectomy. J. Indian Prosthodont Soc. 2008; 8:108-11. Available from: https://www.j-ips.org/text.asp?2008/8/2/108/43614 https://doi.org/10.4103/0972-4052.43614 DOI: https://doi.org/10.4103/0972-4052.43614

  • Cheatham JL, Newland JR, Radentz WH, O’Brien R. The ‘fixed’ removable partial denture: Report of case. J Am Dent Assoc. 1984 Jul 1; 109(1):57-9. https://doi.org/10.14219/ jada.archive.1984.0256 PMid:6379018 DOI: https://doi.org/10.14219/jada.archive.1984.0256

  • Jain AR. A prosthetic alternative treatment for severe anterior ridge defect using fixed removable partial denture Andrew’s bar system. World J Dent. 2013 Oct; DOI: https://doi.org/10.5005/jp-journals-10015-1246

  • (4):282-5. Available from: https://www.researchgate. net/publication/269659514 https://doi.org/10.5005/ jp-journals-10015-1246

  • Mundhe K, Pruthi G, Jain V. Prosthodontic rehabilitation of patient with marginal mandibular resection using attachment supported prostheses: A clinical report. Contemp Clin Dent. 2014Jan; 5(1):123. Available from: https://www.contempclindent.org/text.asp?2014 /5/1/123/128690 https://doi.org/10.4103/0976-237X. 128690 PMid:24808712 PMCid:PMC4012104 DOI: https://doi.org/10.4103/0976-237X.128690

  • Singh K, Gupta N, Kapoor V, Gupta R. Hader bar and clip attachment retained mandibular complete denture. Case Reports. 2013 Oct 21; 2013:bcr2013010401. Available from: https://www.researchgate.net/publication/258064650 https://doi.org/10.1136/bcr-2013-010401 PMid:24145505 PMCid:PMC3822056 DOI: https://doi.org/10.1136/bcr-2013-010401

  • Bhapkar P, Boyre A, Menon P, Gubrellay P. Andrew’s bridge system: An esthetic option. J Dent Sci. 2015; 4:36-40. Available from: https://www.jdas.in/text. asp?2015/4/1/36/167541 https://doi.org/10.4103/2277- 4696.167541 DOI: https://doi.org/10.4103/2277-4696.167541

  • Everhart RJ, Cavazos Jr E. Evaluation of a fixed removable partial denture: Andrews bridge system. J Prosthet Dent. 1983 Aug 1; 50(2):180-4. https://doi.org/10.1016/0022- 3913(83)90008-2 PMid:6352902 DOI: https://doi.org/10.1016/0022-3913(83)90008-2

  • VK, Nayakar RP, Patil R. Prosthetic rehabilitation of mandibular defects with fixed-removable partial denture prosthesis using precision attachment: A twin case report. Contemp Clin Dent 2017 Jul; 8(3):473. Available from: https://www.contempclindent.org/text. asp?2017/8/3/473/214525 https://doi.org/10.4103/ccd. ccd_117_17 PMid:29042738 PMCid:PMC5644010 DOI: https://doi.org/10.4103/ccd.ccd_117_17


Abstract Views: 112

PDF Views: 0




  • Prosthetic Management Following Anterior Segmental Mandibular Resection: A Case Report

Abstract Views: 112  |  PDF Views: 0

Authors

Sakshi Gangwar
MDS, Senior Lecturer, Department of Prosthodontics, Institute of Dental Sciences, Bareilly - 243006, Uttar Pradesh, India
Polysmita Ojah
MDS, Senior Lecturer, Department of Prosthodontics, Government Dental College, Dibrugarh - 786001, Assam, India
Chandana Nair
MDS, Professor, Department of Prosthodontics, Institute of Dental Sciences, Bareilly - 243006, Uttar Pradesh, India

Abstract


The rehabilitation of a patient in the Kennedy class IV situation demands biomechanical balance and aesthetic improvement. Larger defects usually lead to increased movement of the prosthesis, due to the compromised mucosal support and a longer edentulous span of the prosthesis. The article describes the prosthetic management of a patient following partial mandibular resection. The long span of missing teeth and the unavailability of a sufficient number of abutments are challenges for prostheses. This case report describes an inexpensive technique for the fabrication of attachment retained prosthesis over castable bar assembly for rehabilitating the long‑span Kennedy class IV situation.

Keywords


Extracoronal Attachment, Hybrid Prosthesis, Kennedy Class IV Partial Denture, Segmental Mandibulectomy.

References





DOI: https://doi.org/10.18311/jpfa%2F2022%2F31393