Abstract :
Hemimandibulectomy produces extensive anatomical and functional disturbances such as mandibular deviation, impaired mastication, defective phonation, and altered esthetics. Rehabilitation of such cases remains a prosthodontic challenge due to compromised anatomy and entrenched neuromuscular imbalance. Conventional treatment modalities such as guide flange prostheses and palatal ramps have been employed to counteract mandibular deviation; however, their long-term success is limited due to reduced patient adaptability and interference with tongue function. The twin occlusion table prosthesis (TOT) represents a novel design in which a secondary palatal occlusal platform is constructed to harmonise with the altered mandibular trajectory, thus re-establishing bilateral occlusal contacts without demanding correction. This case report details the clinical rehabilitation of a completely edentulous hemimandibulectomy patient using a TOT, focusing on clinical findings, impression procedures, prosthesis design, and post-treatment functional outcomes.
Keyword :
Hemimandibulectomy, Mandibular deviation, Prosthodontic rehabilitation, Twin occlusion table prosthesis, Mandibular resection prosthesis.