Meeting abstract
Treatment Considerations for Mandibulectomy Patients
D. Rolski
K. Rusiniak-Kubik
E. Mierzwinska-Nastalska
J. Kostrzewa-Janicka
Abstract
Prosthetic rehabilitation of patients after resection of the mandible due to operation of malignant tumors usually poses a great problem. Loss of tissues and damage caused by radiotherapy cause various functional deficiencies and dysfunction in the stomatognathic system. The study concerned treatment of a group of mandibulectomy patients with problems related mainly to restoration of jaw relationship, lack of occlusion and dysfunctions. In the escamined cases immediate or delayed reconstructive surgery had been completed before prosthetics to treat mandibular discontinuity defects. Unfortunately, many of the patients exibit lack of occlusion, mandibular deviations and torque due to incorrect muscle activity.
Prosthetic management was part of a multidisciplinary approach to the problem. Treatment included myotherapy, gradual occlusal rearrangement with the use of therapeutic and corrective splints, special appliances and prostheses with leading inclined planes and guiding surfaces. The degree of success was related to the location and extent of the mandibular resection, the shape of the bone
transplants and presence or absence of natural teeth. The aims of treatment realised were the restoration of acceptable occlusion and improved functional efficiency of the masticatory system.
Keywords
Hrčak ID:
10057
URI
Publication date:
15.9.2002.
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