International Journal of Prosthodontics and Restorative Dentistry

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VOLUME 10 , ISSUE 1 ( January-March, 2020 ) > List of Articles


Twin-occlusion Prosthesis in a Class III Hemimandibulectomy Patient

Cora A Coutinho, Divya Hegde, Chottakyatanahalli R Vijayalakshmi, Ruchika Iyer, Akansha Priya

Keywords : Hemimandibulectomy, Mandibular deviation, Paired occlusion, Twin occlusion

Citation Information : Coutinho CA, Hegde D, Vijayalakshmi CR, Iyer R, Priya A. Twin-occlusion Prosthesis in a Class III Hemimandibulectomy Patient. Int J Prosthodont Restor Dent 2020; 10 (1):35-38.

DOI: 10.5005/jp-journals-10019-1257

License: CC BY-NC 4.0

Published Online: 01-08-2018

Copyright Statement:  Copyright © 2020; The Author(s).


Discontinuity of the mandible results in deviation of remaining mandible toward the resected side. There are many ways of rehabilitating a hemimandibulectomy patient. The patient described in this case report presented with early squamous cell carcinoma of left mandibular alveolus underwent class III hemimandibulectomy and reported to the department of prosthodontics for rehabilitation of the defect as he faced difficulties in mastication and was also concerned about esthetics. This case report describes a technique for rehabilitating a hemimandibulectomy with complete dentures along with twin occlusion.

  1. Maxillofacial rehabilitation, In: Beumer J, Curtis T, Firtell D St. Louis: Mosby; 1979. p. 90–169.
  2. Cantor R, Curtis TA. Prosthetic management of edentlous mandibulectomy patients. part 1. Anatomic, physiologic and psychologic consideration. J Prosthet Dent 1971;25(4):446–457. DOI: 10.1016/0022-3913(71)90236-8.
  3. Swoope CC. Prosthetic management of resected edentulous mandible. J Prosthet Dent 1969;21(2):197–202. DOI: 10.1016/0022-3913(69)90092-4.
  4. Rosenthal LE. The edentulous patient with jaw defects. Dent Clin N Am 1994;8:773–779.
  5. Sureja R, Naveen YG, Sethuraman R, et al. Twin occlusion prosthesis: a ray of hope for hemimandibulectomy patient–a case report. Eur J Dent Ther Res 2014;3:231–233.
  6. Marathe AS, Kshirsagar PS. A systematic approach in rehabilitation of hemimandibulectomy: a case report. J Indian Prosthodont Soc 2016;16(2):208–212. DOI: 10.4103/0972-4052.164914.
  7. Sahu SK, Motwani BK, Dani A. Prosthetic rehabilitation of edentulous hemimandibulectomy patient: a clinical report. Clin Case Rep 2017;5(11):1739–1742. DOI: 10.1002/ccr3.1125.
  8. Mathew A, Thomas S. Management of a hemimandibulectomy defect with a definitive guiding flange prothesis. Pushpagiri Med J 2012;3:132–134.
  9. Sharma R, Sharma A, Verma BP, et al. Twin-occlusion prosthesis: A glimmer of hope for hemimandibulectomy patient. Indian J Dent Sci 2019;11:61–64. DOI: 10.4103/IJDS.IJDS_89_18.
  10. Ruby KM, Choudhary H. Prosthetic management of hemimandibulectomy patient – a case report. JMSCR 2018;06(07): 158–162. DOI: 10.18535/jmscr/v6i7.26.
  11. Beumer 3rd J, Curtis TA, Marunick MT. Maxillofacial Rehabilitation: Prosthodontic and Surgical Consideration. St. Louis: IshiyakuEuroAmerica; 1996. pp. 184–188.
  12. Taylor TD. Diagnostic considerations for prosthodontic rehabilitation of the mandibulectomy patient. In: Taylor TD. Clinical Maxillofacial Prosthetics. Chicago: Quintessence Publishing; 2000. pp. 155–170.
  13. Beumer 3rd J, Marunick MT, Esposito SJ. Maxillofacial Rehabilitation. 3rd ed., Chicago: Quintessence; 2011. pp. 87–89. (118-20).
  14. Goyal P, Manvi S, Arya S. Prosthodontic management of hemimandibulectomy patient: implants, a better solution. J Dent Implant 2016;6:37–40. DOI: 10.4103/0974-6781.190385.
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