Post Resection Physiotherapy And Rehabilitation; Using Functionally Moulded Maxillary Guide Ramp.

ABSTRACT

Often the loss of the continuity of the mandible hampers the balance and the symmetry of mandibular function, leading to altered mandibular movements and deviation of the residual fragment towards the surgical side. Successful intercuspal position with the antagonist in the remainder arch was accomplished through the use of functionally moulded palatal guidance appliance in a patient who underwent hemisection and postsurgical radiation of the mandible, subsequent to treatment for a squamous cell carcinoma of right side of the ramus of mandible. This article describes the fabrication and function of a maxillary palatally positioned, functionally moulded guide flange to assist post resection physiotherapy and rehabilitation.