Abstract :
This case report highlights the prosthetic rehabilitation of a 45-year-old male patient who underwent a segmental mandibulectomy following squamous cell carcinoma of the left buccal mucosa. Post-surgical challenges included loss of alveolar ridge, obliteration of buccal and lingual sulci, extensive scar formation, and mandibular deviation, all of which compromised prosthetic retention and stability. Considering the patient’s reluctance for further surgical intervention and financial limitations, a conventional complete denture was planned as a practical solution. Impressions were meticulously recorded using sectional border molding and the neutral zone technique to capture functional muscle dynamics and optimize denture stability.Balanced occlusion was selectively established, with teeth arrangement limited to premolars on the resected side to minimise destabilising forces, while promoting efficient mastication on the intact side. Post-insertion follow-ups demonstrated improved comfort, esthetics, phonetics, and masticatory efficiency, with the patient adapting well to the prosthesis over regular recall visits. This case emphasizes the importance of careful impression techniques, proper border extension, and harmonious occlusion in managing mandibular resection patients, while also highlighting that conventional complete dentures remain a reliable, cost-effective, and predictable treatment option when reconstructive or implant-supported approaches are not feasible.
Keyword :
Segmental mandibulectomy, Marginal resection of mandible, Mandibular resection prosthesis, complete denture, Neutral zone technique, Prosthetic rehabilitation.