Prosthodontic Rehabilitation of a Hemimandibulectomy Patient with Twin Occlusion Complete Denture


Authors : Dr. Nivedha S.; Dr. Sanjayagouda B. Patil; Dr. Swetha D.; Dr. Khaleel; Dr. A. H. Shoeab Khan; Dr. Chilakala Ravallika

Volume/Issue : Volume 10 - 2025, Issue 10 - October


Google Scholar : https://tinyurl.com/ycmcdrmz

Scribd : https://tinyurl.com/5ed5m2cf

DOI : https://doi.org/10.38124/ijisrt/25oct072

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Abstract : Hemimandibulectomy often results in significant functional and esthetic impairment due to loss of mandibular continuity, deviation of the residual segment, and compromised occlusal contacts. Prosthetic rehabilitation in completely edentulous patients presents a considerable challenge owing to the absence of proprioceptive feedback and altered mandibular dynamics. This case report describes the prosthodontic management of a 69-year-old completely edentulous female patient with a history of right-sided hemimandibulectomy. The patient was rehabilitated using a conventional mandibular complete denture and a maxillary complete denture incorporating twin occlusion on the non-resected side. This arrangement aided in guiding mandibular closure, restoring function, and improving facial esthetics. The twin occlusion setup in the maxillary prosthesis proved to be a functionally effective and economical approach for managing mandibular deviation in hemimandibulectomy patients. With appropriate training and neuromuscular adaptation, this technique significantly improved masticatory efficiency and overall quality of life.

Keywords : Hemimandibulectomy; Twin Occlusion; Mandibular Deviation; Complete Denture; Maxillary Denture; Oral Rehabilitation.

References :

  1. Cantor R, Curtis TA. Prosthetic management of edentulous mandibulectomy patients. Part I: Anatomic, physiologic, and psychologic considerations. J Prosthet Dent 1971;25(2):114–21.
  2. Cantor R, Curtis TA. Prosthetic management of edentulous mandibulectomy patients. Part II: Clinical procedures. J Prosthet Dent 1971;25(3):324–35.
  3. Aramany MA. Basic principles of obturator design for partially edentulous patients. J Prosthet Dent 1978;40(5):554–61.
  4. Curtis TA, Cantor R. The functional effects of mandibular resection. J Prosthet Dent 1974;32(3):299–308.
  5. Winkler S, Morris HF, Ochi S. Mandibular resection prostheses: outcomes of treatment provided by the dental implant clinical research group. J Prosthet Dent 2000;84(5):563–7.
  6. Marunick MT, Harrison R, Beumer J. Prosthodontic rehabilitation of edentulous mandibulectomy patients. J Prosthet Dent 1985;53(3):384–6.
  7. Robinson JE. Guide flange prosthesis for corrected occlusal plane in hemimandibulectomy patients. J Am Dent Assoc 1963;66:384–6.
  8. Shah S, Kothari S. Prosthetic rehabilitation using twin occlusion for hemimandibulectomy patient. IOSR J Dent Med Sci 2015;14(2):45–7.
  9. Prencipe MA, Giordano RA. Twin occlusion dentures for mandibular guidance. J Oral Rehabil 1995;22(8):595–7.
  10. Chaturvedi S, Singh S, Palaskar J, Kathariya M. Twin occlusion rehabilitation in hemimandibulectomy: a case report. J Contemp Dent 2012;2(1):43–6.
  11. Bansal S, Shetty S, Kiran R. Twin occlusion – guiding principle for hemimandibulectomy patients: a case report. J Indian Prosthodont Soc 2007;7(3):165–8.
  12. Rieger J, Wolfaardt J. Mandibular function post-mandibulectomy. J Head Neck Surg 1999;21(1):21–8.
  13. Desjardins RP, Tolman DE. Etiology and management of hypermobile mucosa overlying the residual alveolar ridge. J Prosthet Dent 1974;32(6):619–28.
  14. Virdi M, Wadhwa SS, Jaidka R, Mehta A. Prosthodontic rehabilitation of hemimandibulectomy defect using a guiding ramp. J Adv Med Dent Sci Res 2015;3(3):117–9.
  15. Singh G, Pradhan KL, Tripathi A. Guide flange prosthesis for mandibular guidance therapy: a clinical report. J Orofac Res 2014;4(2):132–5.
  16. Loney RW, Esposito SJ. Treatment planning for the edentulous mandibulectomy patient. J Prosthet Dent 1994;72(3):276–81.

Hemimandibulectomy often results in significant functional and esthetic impairment due to loss of mandibular continuity, deviation of the residual segment, and compromised occlusal contacts. Prosthetic rehabilitation in completely edentulous patients presents a considerable challenge owing to the absence of proprioceptive feedback and altered mandibular dynamics. This case report describes the prosthodontic management of a 69-year-old completely edentulous female patient with a history of right-sided hemimandibulectomy. The patient was rehabilitated using a conventional mandibular complete denture and a maxillary complete denture incorporating twin occlusion on the non-resected side. This arrangement aided in guiding mandibular closure, restoring function, and improving facial esthetics. The twin occlusion setup in the maxillary prosthesis proved to be a functionally effective and economical approach for managing mandibular deviation in hemimandibulectomy patients. With appropriate training and neuromuscular adaptation, this technique significantly improved masticatory efficiency and overall quality of life.

Keywords : Hemimandibulectomy; Twin Occlusion; Mandibular Deviation; Complete Denture; Maxillary Denture; Oral Rehabilitation.

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Paper Submission Last Date
31 - December - 2025

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