British Journal of Oral and Maxillofacial Surgery
Volume 46, Issue 2 , Pages 123-125, March 2008

Management of lateral mandibular discontinuity by maxillary guidance

Ege University, School of Dentistry, Department of Prosthodontics, Bornova, 35100 Izmir, Turkey

Accepted 5 October 2006. published online 15 November 2006.

Abstract 

Balance and symmetry of mandibular function is disturbed by loss of continuity of the mandible, which leads to altered mandibular movements and deviation of the residual fragment, as a consequence of which problems with chewing, swallowing, speech, and aesthetics develop. Methods such as maxillary fixation, and use of mandibular and palatal guidance have been used to reduce or eliminate the mandibular deviation. The aim of this study was to achieve a normal maxillomandibular relation in a patient with mandibular discontinuity. An acceptable maxillomandibular relation was obtained within 3 months with a maxillary guidance ramp prosthesis.

Keywords: Mandibular discontinuity defect, Resection, Maxillary guidance, Ramp prosthesis

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PII: S0266-4356(06)00190-2

doi:10.1016/j.bjoms.2006.10.003

British Journal of Oral and Maxillofacial Surgery
Volume 46, Issue 2 , Pages 123-125, March 2008