title: The efficacy of guiding flange appliance in correcting mandibular deviation in the hemi-mandibulectomy patient. A correlative study.
abstract: OBJECTIVE
  This report describes the efficacy of a guiding flange appliance in correcting mandibular deviation in the hemi-mandibulectomy patient and correlates the time elapsed between surgery and placement of the appliance and the extent of initial mandibular deviation to the success rate of a guiding flange appliance in correcting the deviation.
  
  
  METHODS
  A total of 15 hemi-mandibulectomy patients participated in the study. All had various degree of mandibular shift consequent to surgery. The patients were given a guiding flange prosthesis for about 4 months, and the efficacy of the guiding flange prosthesis was calculated in terms of percentage deviation corrected after 4 months.
  
  
  RESULTS
  Time elapsed between surgery and prosthetic rehabilitation was in inverse relation to the percentage correction in mandibular deviation at 4 months (B = -7.668; p = 0.002). The less the initial deviation postsurgery, the better the correction (B = 9.798; p = 0.008).
  
  
  CONCLUSIONS
  Percentage correction of mandibular deviation is dependent on the timing of prosthetic rehabilitation. The less the initial deviation, the better the correction.
authors: Dean, Postgraduate Studies and Research, Saraswati Dental College and Hospital, Lucknow, India.
authors: Arvind
authors: A
authors: Tripathi
authors: Ashutosh
authors: A
authors: Gupta
authors: Vivek
authors: V
authors: Gautam
authors: Mohd
authors: M
authors: Anwar
authors: Varun
authors: V
authors: Arora
mesh_terms: D003761:Dental Impression Technique; D017266:Dental Prosthesis; D006801:Humans; D016014:Linear Models; D008334:Mandible / Q000002:abnormalities* / Q000601:surgery*; D016896:Treatment Outcome
keywords: Hemi-mandibulectomy; mandibular deviation; mandibular guidance prosthesis