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- DOI 10.18231/j.ijmi.45453.1759224737
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CrossMark
Twin occlusion table prosthesis as a functional solution for hemimandibulectomy rehabilitation: A case report
- Author Details:
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Varun Kumar *
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Divij Ahuja
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Geeta Arya
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Nikhil Kumar
Varun Kumar *
Divij Ahuja
Geeta Arya
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.
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