International Journal of Prosthodontics and Restorative Dentistry

Register      Login

VOLUME 2 , ISSUE 4 ( October-December, 2012 ) > List of Articles

CASE REPORT

Modified Neutral Zone Technique for the Partial Mandibulectomy Patient

Shuchi Tripathi, Saumyendra V Singh, Vibha Singh

Citation Information : Tripathi S, Singh SV, Singh V. Modified Neutral Zone Technique for the Partial Mandibulectomy Patient. Int J Prosthodont Restor Dent 2012; 2 (4):146-149.

DOI: 10.5005/jp-journals-10019-1064

Published Online: 01-12-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

Surgical removal of tumors in the mandible leads to discontinuity of bone which requires surgical reconstruction of the defect to provide a suitable tissue foundation for an acceptable prosthesis. At times when reconstructive surgeries are not possible, prosthetic rehabilitation is a successful alternative. In the present article, prosthetic rehabilitation using neutral zone technique has been discussed in the patient of marginal mandibulectomy.

Methods

The fabrication procedure of the removable partial denture was modified to achieve adequate retention and stability in a 22-year-old female patient with the anterior mandibulectomy. Polished surface contours and tooth positioning were recorded with modified neutral zone technique and mandibular teeth were characterized to provide esthetics.

Conclusion

The modified neutral zone technique enhanced the stability of the partial denture. A marked improvement in esthetics, function and psychology was noticed.

How to cite this article

Tripathi S, Singh V, Singh SV, Arya D. Modified Neutral Zone Technique for the Partial Mandibulectomy Patient. Int J Prosthodont Restor Dent 2012;2(4):146-149.


PDF Share
  1. A textbook of oral pathology (4th ed). Philadelphia: WB Saunders 1993;86-229.
  2. Maxillofacial rehabilitation: Prosthodontic and surgical considerations (2nd ed). St Louis: Ishiyaku Euromerica 1996;202-06.
  3. Prosthetic management of edentulous mandibulectomy patients. Part I. Anatomic, physiologic, and psychologic considerations. J Prosthet Dent 1971;25:446-57.
  4. Oral reconstruction for edentulous patients after partial mandibulectomies. J Prosthet Dent 1976;36:292.
  5. Occlusal considerations for the partial mandibulectomy patient. J Prosthet Dent 1979; 41:308-15.
  6. Orofacial and mandibular reconstruction with the iliac crest free flap: A review of 60 cases and a new method of classification. Plast Reconstr Surg 1989;84:391-403.
  7. Immediate reconstruction of the mandible using a vascularized segment of radius. Head Neck Surg 1986;8:232-46.
  8. Primary placement of osseointegrated implants in microvascular mandibular reconstruction. Otolaryngol Head Neck Surg 1989;101:56-73.
  9. Evaluation of osseointegration of endosseous implants in radiated, vascularized fibula flaps to the mandible: A pilot study. J Oral Maxillofac Surg 1995;53:640-44.
  10. Rehabilitation of a marginal mandibulectomy patient using a modified neutral zone technique: A case report. Braz Dent J 2007;18(1): 83-86.
  11. Prosthodontic management of postsurgical soft tissue deformities associated with marginal mandibulectomy. Part I: Loss of the vestibule. J Prosthet Dent 1982;48(2):178-83.
  12. The neutral zone impression revisited. Br Dent J 2005;198:269-72.
  13. Morphologic comparison of two neutral zone impression techniques: A pilot study. J Prosthet Dent 2004;92:563-68.
  14. The neutral zone in complete dentures. J Prosthet Dent 1976;36:356-67.
  15. Conventional complete denture for a left segmental mandibulectomy patient: A clinical report. J Prosthodont Res 2010;54:192-97.
  16. Segmental mandibulectomy and immediate free fibula osteoseptocutaneous flap reconstruction with endosteal implants: An ideal treatment method for mandibular ameloblastoma. Plast Reconstr Surg 2004;113(1):80-87.
  17. Reconstructive techniques for the repair of oral and maxillofacial oncological procedures: What are they, how do they work and what do they look like? Aust Dent J 2002;47(2):99-105.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.