Achieving symmetry is no longer a mystery - Iris Postioning Device: A case report

The Journal of the Indian Prosthodontic Society Pub Date : 2020-12-01 DOI:10.4103/0972-4052.306385

Shefali Goel

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Abstract

The Journal of Indian Prosthodontic Society | Volume 20 | Supplement 1 | December 2020 S27 prosthetic methods like maxillomandibular fixation, implant supported prosthesis, removable mandibular guide flange prosthesis and palatal ramp restoration. In order to achieve normal maxilla-mandibular relationship a provisional appliance either mandibular guide flange or palatal ramp prosthesis can be fabricated. Once the patient is able to achieve the proper mediolateral position of the mandible for occlusion of the natural teeth but is unable to repeat this position consistently for mastication, guide-flange prosthesis can be considered. Methodology: Intially a palatal ramp appliance was fabricated for retraining of mandibular musculature in order to functionally reposition the residual mandibular segment and then treated with definite mandibular prostheses with a guide flange to restore the function and esthetics. Conclusion: Mandibular guide flange or palatal ramps are normally utilized as training device. However, in a longstanding case, definitive mandibular prosthesis with a guiding flange and acrylic teeth on the resected side to stabilize the occlusion and to restore the esthetics can be used successfully to correct the deviation and achieve acceptable occlusion for normal mandibular function. DOI: 10.4103/0972-4052.306384 Achieving symmetry is no longer a mystery Iris Postioning Device: A case report

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实现对称不再是一个谜——虹膜定位装置:一个案例报告

颌下颌骨固定、种植体支撑型假体、可移动下颌引导翼缘假体和腭坡道修复等修复方法。为了达到正常的上下颌关系，可以制作下颌导翼或腭斜假体作为临时矫治器。一旦患者能够达到适当的下颌中外侧位置来咬合天然牙，但无法始终重复该位置进行咀嚼，则可以考虑导翼假体。方法:首先制作腭坡道矫治器用于下颌肌肉组织的再训练，以便在功能上重新定位残余的下颌节段，然后使用带导翼的确定下颌假体进行治疗，以恢复功能和美观。结论:下颌导翼或腭坡道是常用的训练器械。然而，在一个长期的病例中，在切除的一侧使用带引导翼缘和丙烯酸牙的下颌假体来稳定咬合并恢复美观，可以成功地纠正偏差并获得正常下颌功能可接受的咬合。DOI: 10.4103/0972-4052.306384实现对称不再是一个神秘的虹膜定位装置:一个案例报告

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The Journal of the Indian Prosthodontic Society

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