Mustafa, Ammar A. and Abdul Majeed, Kais Raad and Mustafa, Nazih Shaban
(2015)
Effect of proper oral rehabilitation on general health of
mandibulectomy patients.
Clinical Case Reports, 3 (11).
pp. 907-911.
ISSN 2050-0904
Abstract
Introduction
Reduced oral aperture and mandibular opening are relatively
common problems, which have a wide variety of
causes [1]. Limited access to the oral cavity can be problematic
for patients and dental professionals [2]. According
to Glossary of Prosthodontics terms GPT [3], reduced oral
aperture is defined as microstomia, which is a term used to
describe any congenital or acquired reduction in the size of
the oral opening that is severe enough to compromise
esthetic, deglutition, nutrition, and quality of life [4].
The mandible is the key bone involved in face esthetic,
mastication, and speech. Surgical resection of the mandible
(known as a mandibulectomy) is often performed for
tumors of the head and neck area, which should be followed
by oral rehabilitation (i.e., occlusal adjustments
and replacement of missing teeth and/or soft tissues, if
involved) [5]. The treatment of oral tumors such as squamous
cell carcinomas may require mandibular resection
to secure adequate margins [6]. Segmental resection of
the mandible leads to significant patient illness if not
properly managed. Mandibulectomy can lead to loss of
mandibular support to the teeth, inadequate mastication,
impaired speech and disfigurement of the face [7].
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