Management of a Hemi-Mandibulectomy defect with a definitive Guiding Flange Prosthesis

Acquired defects of the orofacial structures must be analyzed as to the specific cause and the consequent objectives of rehabilitation.Resection of oral tumours of the tongue, floor of the mouth and mandible results in functional disability and cosmetic disfigurement which presents a major challenge to the rehabilitation team and to the maxillofacial prosthodontist.A guiding flange guides the resected mandible into correct position.Guiding Flange made of acrylic polymers which lacks the principles of Removable Partial Denture design may affect the longevity of the remaining teeth.A guiding flange attached to a cast partial denture was fabricated to be used as a long term prosthesis restoring reasonable function and appearance.