Rehabilitation of segmental mandibular defect using semi-precision attachment and neutral zone technique

Pramod K Chahar
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Abstract

The mandible along with its adjoining structures forms the lower third of the face. Any mandibular defect, either congenital or acquired, affects the form, function, esthetics and psycho-social well being of the patient. In segmental mandibular defect, the inferior border of the mandible remains intact. Rehabilitation of such patients poses a great challenge due to loss of teeth, alveolar bone, obliteration of vestibule and remaining movable mucosa, which severely interferes with the retention, stability and support of the prosthesis. This case report describes the rehabilitation of segmental mandibulectomy patients using semi-precision attachment and application of neutral zone technique to achieve adequate retention and stability of prosthesis and a high level of clientele satisfaction
半精密附着体结合中性区技术修复下颌骨节段性缺损
下颌骨和它毗邻的结构构成了脸的下三分之一。任何下颌缺损,无论是先天性的还是后天的,都会影响患者的形态、功能、审美和心理社会健康。在节段性下颌骨缺损中,下颌骨的下缘是完整的。这类患者牙体缺损、牙槽骨缺损、前庭闭塞、活动粘膜残留,严重影响假体的固位、稳定性和支撑力,康复难度很大。本病例报告描述了采用半精密附着体和中性区技术对下颌节段切除术患者进行康复治疗,以达到假体的充分固位和稳定性以及高水平的客户满意度
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