Non-surgical Approach to Correcting Severe Neglected Mandibular Asymmetry: Case Reports
K S, M., Mohamed, K., Ahmed, S., Raju, K. (2025). Non-surgical Approach to Correcting Severe Neglected Mandibular Asymmetry: Case Reports. EKB Journal Management System, 37(1), 225-231. doi: 10.21608/asdj.2025.342248.1706
Maheshwaran K S; Kasim Mohamed; Shakir Ahmed; Kapil Raju. "Non-surgical Approach to Correcting Severe Neglected Mandibular Asymmetry: Case Reports". EKB Journal Management System, 37, 1, 2025, 225-231. doi: 10.21608/asdj.2025.342248.1706
K S, M., Mohamed, K., Ahmed, S., Raju, K. (2025). 'Non-surgical Approach to Correcting Severe Neglected Mandibular Asymmetry: Case Reports', EKB Journal Management System, 37(1), pp. 225-231. doi: 10.21608/asdj.2025.342248.1706
K S, M., Mohamed, K., Ahmed, S., Raju, K. Non-surgical Approach to Correcting Severe Neglected Mandibular Asymmetry: Case Reports. EKB Journal Management System, 2025; 37(1): 225-231. doi: 10.21608/asdj.2025.342248.1706

Non-surgical Approach to Correcting Severe Neglected Mandibular Asymmetry: Case Reports

Ain Shams Dental Journal
Volume 37, Issue 1, March 2025, Page 225-231  XML PDF (1.17 MB)
Document Type: Case series/reports
DOI: 10.21608/asdj.2025.342248.1706
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Authors
Maheshwaran K Sorcid 1; Kasim Mohamed email orcid 2; Shakir Ahmed3; Kapil Raju4
1Department of Prosthodontics, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (DU).
2Department of Prosthodontics, Sri Ramachandra Dental College & Hospital, Sri Ramachandra Institute of Higher Education & Research.
3Department of Prosthodontics, SRDC & H, SRIHER (DU)
4Department of Prosthodontics and Crown & Bridge, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, (DU), Porur, Chennai- 600 116
Abstract
Aim: The loss of mandibular continuity due to tumour ablative surgery can pose challenges ‎at a functional and aesthetic level. The primary concern with rehabilitation is the ‎management of mandibular deviation, which when not corrected surgically, would need ‎prosthetic intervention. Mandibular guidance therapy works in principle by reprogramming ‎the mandible and associated muscles into an acceptable occlusal relationship, conducive to ‎rehabilitation. ‎
Case presentation: This case report discusses two patients: one presenting two weeks post-‎surgery and the other twelve weeks post-surgery. The report highlights the initial condition ‎of the stomatognathic system, the challenges encountered in managing mandibular ‎deviation, and the outcomes achieved through interdisciplinary treatment planning.‎
Conclusion: The outcome of prosthetic intervention post-surgery and subsequent ‎rehabilitation procedures is largely time dependent. In severe deviation with restricted ‎mobility, a holistic approach that includes immediate prosthetic intervention and supportive ‎therapy in the form of joint mobilization exercises is vital in improving mobility of the jaw.‎
 
Keywords
Mandibular prosthesis; Ameloblastoma; Fixed partial denture; hemimandibulectomy; physiotherapy
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