INTEGRATION OF A PALATAL OBTURATOR WITH A GUIDE FLANGE PROSTHESIS: A CASE REPORT

*Dr. Nivedita M.R., Dr. Kiran Kumar H. S., Dr. Sanjayagouda B. Patil, Dr. Swetha D., Dr. Sushma K. V., Dr. Navya N. B.

ABSTRACT

Squamous cell carcinoma of the oral cavity is one of the most aggressive forms of cancers to be reported in literature. In most cases these lesions are ignored and detected at a very delayed stage, where prognosis of the disease is usually poor.[1] Treatment of such patients usually requires complete excision of the tumour, along with removable of vital structures such as muscles and lymph nodes of the area resulting in deviation of the mandible. Surgical treatment involving mandibular bone resection leads to an imbalance in the muscular pull on the right and left sides of the jaw causing residual mandibular deviation. This related altered muscle function will clinically result in facial asymmetry and malocclusion.[2] Mandible deviates medially and superiorly, and it will be more or less evident depending on the location and extent of the resection, the amount of soft tissue remaining, number of neural tissues involved and the presence of remaining natural teeth.

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