Guide Flange Prosthesis: A Case Report
D. Padmini *
Department of Prosthodontics, Lenora Institute of Dental Sciences, NTR University, Andhra Pradesh, India.
B. L. Rao
Department of Prosthodontics, Lenora Institute of Dental Sciences, NTR University, Andhra Pradesh, India.
C. D. Sai Kumar
Department of Prosthodontics, Lenora Institute of Dental Sciences, NTR University, Andhra Pradesh, India.
T. L. G. Sravanthi
Department of Prosthodontics, Lenora Institute of Dental Sciences, NTR University, Andhra Pradesh, India.
G. Krishna Teja
Department of Prosthodontics, Lenora Institute of Dental Sciences, NTR University, Andhra Pradesh, India.
Karuna Murali
Department of Orthodontics, Lenora Institute of Dental Sciences, NTR University, Andhra Pradesh, India.
*Author to whom correspondence should be addressed.
Abstract
Patients who have undergone surgical hemi/segmental/subtotal mandibulectomy for various reasons with resulting mandibular deviation are given a guide flange. If secondary osseous grafting is planned, the doctor must wait for the graft, lesion, or radiotherapeutic effects to resolve. A definitive prosthesis can be planned only when the graft has been healed. During this time lag, the patient must be fitted with a prosthesis to rectify mandibular deviation caused by unilateral muscle strain. Furthermore, in some circumstances, a definitive prosthesis must be postponed due to bone grafting failure or the patient's unwillingness to undergo a second surgery. This clinical case report shows a mandibular guide flange prosthesis fabricated for a patient.
Keywords: Guide Flange Prosthesis (GFP), mandibular deviation, mandibulectomy, mandibular continuity