head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2023, vol. 29, issue2
Subject Area: Dental Medicine
DOI: 10.5272/jimab.2023292.4963
Published online: 07 June 2023

Case report
J of IMAB. 2023 Apr-Jun;29(2):4963-4966
Ivan GerdzhikovORCID logoCorresponding Autoremail,
Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria.

Background: Literature findings indicate an increase in mandible resection cases. Retention and stability of dentures are the main issues in the prosthetic treatment of these defects.
Aim:  The aim of the presented clinical case is to explore the possibility of prosthetic treatment of a patient with mandible resection of the frontal area.
Materials and methods: The clinical case monitors the prosthetic treatment of a 38-year-old patient with mandible cancer and resection in the frontal zone. The treatment plan was based on taking preliminary alginate impressions and developing gypsum models. It is planned to develop a partial acrylic denture sealed with silicone material. Additional preparation of the gypsum master model in the resection area took place in order to achieve the equal thickness of the special silicone material. The base of the alveolar bone was restored with hard plaster. In addition, the occlusal rim was fabricated with the purpose of establishing the centric relation and occlusal relationship. The denture was fabricated by acrylic resin with a low quantity of residual monomer and adjusted after adding silicone material over the resected part with functional tests to complete the design of the defect area.
Results: The accessed treatment results indicate good retention and stability of the denture. The application of silicone material provided a non-traumatic transition of the masticatory pressure without decubital ulcers in the resected zone.
Conclusion: The application of appropriate prosthetic treatment methods in patients with mandible resection leads to the successful restoration of feeding and speaking functions.

Keywords: oral tumor, oral rehabilitation, mandible resection, post-resection denture, cancer,

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Please cite this article as: Gerdzhikov I. Prosthetic Treatment of Patient with Mandible Resection. J of IMAB. 2023 Apr-Jun;29(2):4963-4966. DOI: 10.5272/jimab.2023292.4963

Corresponding AutorCorrespondence to: Dr Ivan Gerdzhikov, Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University – Sofia; 1, St. G. Sofiyski Blvd., 1431 Sofia, Bulgaria; E-mail: ivan_ger1971@abv.bg

1. Cohen N, Fedewa S, Chen A. Epidemiology and Demographics of the Head and Neck Cancer Population. Oral Maxillofac Surg Clin North Am. 2018 Nov;30(4):381-95. [PubMed]
2. Sonkodi I, Boda K, Decsi G, Buzás K, Nagy K. Clinicopathological Retrospective Epidemiological Analysis of Benign Tumors and Tumor-Like Lesions in the Oral and Maxillofacial Region, Diagnosed at the University of Szeged, Department of Oral Medicine (1960-2014). Orv Hetil. 2018 Sep;159(37):1516-24. [PubMed]
3. Dos Santos DM, de Caxias FP, Bitencourt SB, Turcio KH, Pesqueira AA, Goiato MC. Oral Rehabilitation of Patients After Maxillectomy. A Systematic Review. Br J Oral Maxillofac Surg. 2018 May;56(4):256-66. [PubMed]
4. Yanagi A, Sumita Y, Hattori M, Kamiyanagi A, Otomaru T, Kanazaki A. et al. Clinical Survey Over the Past 35 Years at the Clinic for Maxillofacial Prosthetics Tokyo Medical and Dental University. J Prosthodont Res. 2018 Jul;62(3):309312. [PubMed]
5. Gabriela LL, Daniel P, Mark KW.  Mandibular rehabilitation: From the Andy Gump deformity to jaw-in-a-day. Laryngoscope Investig Otolaryngol. 2021 May;6(4):708-20. [PubMed]
6. Petrovic I, Ahmed ZU, Huryn JM, Nelson J, Allen RJ Jr, Matros E, et al. Oral rehabilitation for patients with marginal and segmental mandibulectomy: A retrospective review of 111 mandibular resection prostheses. J Prosthet Dent. 2019 Jul;122(1):82-7. [PubMed]
7. Petrovic I, Shah JP, Huryn JM, Ahmed ZU, Rosen EB. Intraoral Rehabilitation After Marginal Mandibulectomy. Int J Prosthodont. 2019 May-Jun;32(3):241-7. [PubMed]
8. Gowda EM, Bahri R, Singh K, Sahoo NK. Rehabilitation of acquired mandibular defect with two-piece, magnet-retained salivary reservoir. Med J Armed Forces India. 2022 Sep;78(1):308-11. [PubMed]
9. Kataoka T, Akagi Y, Kagawa C, Sasaki R, Okamoto T, Ando T. A case of effective oral rehabilitation after mandibular resection. Clin Case Rep. 2019 Sep;7(11):2143-8. [PubMed]
10. Sato N, Koyama S, Mito T, Izumita K, Ishiko R, Yamauchi K, et al. Changes in oral health-related quality of life after oral rehabilitation with dental implants in patients following mandibular tumor resection. J Oral Sci. 2019 Aug;61(3):406-11. [PubMed]
11. Leinkram D, Wykes J, Palme C, Deshpande S, McLaughlin M, Garg P, et al. Occlusal-based planning for dental rehabilitation following segmental resection of the mandible and maxilla. ANZ J Surg. 2021 Mar;91(3):451-2. [PubMed]
12. Mendez M, Lee C. Use of a permanent soft denture liner in the retromylohyoid eminence and knife-edge ridge areas of the mandible to aid in retention and stability. Gen Dent. 2013 Nov-Dec;61(7):14-5. [PubMed]
13. Rastogi A, Srivastava S, Gaur A, Dupare A, Rastogi S, Kamatagi L. Electromyographic Evaluation of the Effect of Lined Dentures on Masticatory Muscle Activity in Edentulous Subjects. J Clin Diagn Res. 2015 Aug;9(8):80-3. [PubMed]
14. Tugut F, Coskun ME, Dogan DO, Kirmali O, Akin H. Tensile Bond Strength between Soft Liners and Two Chemically Different Denture Base Materials: Effect of Thermocycling. J Prosthodont. 2016 Jun;25(4):319-23. [PubMed]
15. Mutluay MM, Tezvergil-Mutluay A. The influence of cyclic stress on surface properties of soft liners. Odontology. 2017 Apr;105(2):214-21. [PubMed]
16. Nowakowska-Toporowska A, Raszewski Z, Wieckiewicz W. Color change of soft silicone relining materials after storage in artificial saliva. J Prosthet Dent. 2016 Mar;115(3):377-80. [PubMed]
17. Abdulrazaq SS, Riyadh S. The Fate of the Mandibular Reconstruction Plate. J Craniofac Surg. 2019 Mar-Apr;30(2):97-101. [PubMed]
18. Ahmed ZU, Huryn JM, Petrovic I, Rosen EB. Oral rehabilitation following fasciocutaneous free-flap reconstruction: A retrospective study. J Indian Prosthodont Soc. 2019 Jul-Sep;19(3):221-24. [PubMed]
19. Smojver I, Vuletić M, Manojlović S, Gabrić D. Multidisciplinary Approach to Rehabilitation after Tumor Resective Jaw Surgery: A 9-Year Follow-Up. Case Rep Dent. 2020 Dec 10;2020:8867320. [PubMed]

Received: 01 February 2023
Published online: 07 June 2023

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