Case Report
Copyright ©The Author(s) 2017.
World J Clin Cases. Oct 16, 2017; 5(10): 384-389
Published online Oct 16, 2017. doi: 10.12998/wjcc.v5.i10.384
Table 1 Protocol for guiding flange
Based on time of referral
1Before surgery - 1 wk post-surgeryIntermaxillary fixation done with elastics
21 wk post-surgery - 1 moGF prosthesis and Physiotherapy
31 mo - 1 yrActive physiotherapy, Counseling followed by GF prosthesis
4> 1 yrSurgical intervention
Based on amount of tissue resected
1Amount of hard and soft tissueDirectly influences success and difficulty in rehabilitation
2Segmental resection of mandible distal to cuspidMaxillary or Mandibular GF
2Segmental resection of mandible that involves canineMaxillary GF is the choice as the loss of mandibular canine results in more downward rotation of mandible and the mandibular GF might not be stable
Types of prosthesis
1Acrylic GFImmediately after surgery and as training prosthesis
2Definitive Cast metal GFOne year after training prosthesis
1To prevent supraeruptionOcclusal table on Maxillary teeth on defect side
2To stabilize occlusionFunctionally generated occlusal table on Maxillary teeth on nondefect side
1From the time of planning and surgeryBetter
2Long time interval after surgeryGuarded