Customizing guidance flange prosthesis for management of segmental mandibulectomy

Treatment of benign and malignant tumors may involve surgical resection of the mandible, which may be segmental or hemisectioned. The prosthetic rehabilitation of resected mandible becomes difficult when preprosthetic planning is not considered. Preprosthetic plastic surgery and/or implant assisted overdenture may enhance the prosthetic rehabilitation of edentulous patients who have undergone resection of the mandible. Due to medical conditions, unwillingness for additional surgery or economical restraints, the treatment is limited to guidance flange prosthesis. The guidance flange prosthesis helps in directing the deviating mandible to improve form and function. This case report describes a procedure for fabricating customized guiding flange prosthesis to rehabilitate edentulous segmental mandibulectomy.