Prosthetic rehabilitation following segmental mandibulectomy

Mandibular defects caused by surgical intervention to eradicate or control disease frequently involve jaw resection. Loss of continuity of the mandible destroys the balance of the lower face and leads to decreased mandibular function by deviation of the residual segment toward the surgical site. Prosthetic methods advocated to reduce or eliminate mandibular deviation include intermaxillary fixation, removable mandibular guide flange prosthesis, implant-supported prosthesis, and palatally based guidance restorations. These methods and restorations would be combined with a well-organized mandibular exercise regimen. This clinical report describes the prosthetic rehabilitation following segmental mandibulectomy.