Resumen de Combined Mandibular Guidance Therapy in the Management of a Hemimandibulectomy Patient

Nafij Bin Jamayet, Asa Yazdani Fard, Adam Husein, Zaihan Ariffin, Mohammad Khursheed Alam

• This case history report describes two different devices, maxillary ramp prostheses (MRP) and mandibular guide flange prostheses (MGFP), prescribed for managing a hemimandibulectomy patient’s deviated mandible. The patient was given muscle reprogramming exercises with coordinated use of both guidance prostheses for 2 months, leading to improvements in both postsurgical mandibular deviation and occlusal equilibration. A successful intercuspal position was eventually accomplished through the use of the combination therapy. MRP and MGFP can be a useful approach to avoid mandibular deviation and compromised function following a partial mandibular resection.