The fabrication of cast metal guidance flange prostheses for a patient with segmental mandibulectomy: a clinical report.

Deviation of the mandible toward the resected side is dependent upon the amount of soft and hard tissue resected, the method of surgical site closure, the degree of impaired tongue function, the presence and condition of teeth, the loss of proprioceptive sense of occlusion, and the timing of prosthodontic therapy. Prosthodontic therapy combined with physical therapy may be beneficial for reducing and minimizing mandibular deviation. This clinical report describes the fabrication of cast metal guidance flange prostheses. The supporting flanges assist in controlling mandibular deviation and coordinate masticatory movements for a patient following a segmental mandibulectomy.