title: A bar and ball attachment prosthesis over osseointegrated implants post mandibular resection.
abstract: Rehabilitation of mandibular resection poses functional, esthetic, and psychological challenges. The deviation and rotation of the mandible toward the resected side leaves the patient with almost no option of chewing. This is aggravated if the patient is edentulous. The case report discussed in this article was an edentulous patient taken up with the primary goal to limit deviation toward resected side and provide a stable and retentive prosthesis to the patient. Two implants were placed anteriorly, splinted with bar and clip supported superstructure. The splinted implants with bar and clip superstructure provided the mandibular prosthesis with retention and some support. A posterior implant was also placed in the region of mandibular first molar on the left side for added support. This provided with a tripod configuration and limited the prosthetic movement of the mandibular prosthesis. This case report highlights an alternate way toward the rehabilitation of edentulous mandible post mandibular resection when surgical reconstruction may not be feasible.
authors.affiliation: Department of Prosthodontics, Institute of Technology and Sciences, Centre for Dental Studies and Research, Ghaziabad, Uttar Pradesh, India.
authors.forename: Sharad
authors.initials: S
authors.lastname: Gupta
authors.affiliation: Department of Prosthodontics, SGT Dental College, Gurgaon, Haryana, India.
authors.forename: Akshay
authors.initials: A
authors.lastname: Bhargava
authors.affiliation: Department of Prosthodontics, Institute of Technology and Sciences, Centre for Dental Studies and Research, Ghaziabad, Uttar Pradesh, India.
authors.forename: Praful
authors.initials: P
authors.lastname: Mehra
keywords: Mandibular resection; osseointegrated implants; segmental hemimandibulectomy