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CATEGORY: CASE REPORT
Year : 2020  |  Volume : 20  |  Issue : 5  |  Page : 32

Role of PEEK in management of hemimandibulectomy patient to correct the scissor bite: A case report


VSPM Dental College, Nagpur, India

Date of Web Publication8-Jan-2021

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4052.306400

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How to cite this article:
Rathi A. Role of PEEK in management of hemimandibulectomy patient to correct the scissor bite: A case report. J Indian Prosthodont Soc 2020;20, Suppl S1:32

How to cite this URL:
Rathi A. Role of PEEK in management of hemimandibulectomy patient to correct the scissor bite: A case report. J Indian Prosthodont Soc [serial online] 2020 [cited 2021 Jan 17];20, Suppl S1:32. Available from: https://www.j-ips.org/text.asp?2020/20/5/32/306400



Introduction: A loss of mandibular continuation can lead to deviation of mandible on surgical side which can lead to asymmetry and masticatory problem because of the loss of tissue involved in the surgical resection. The success of any hemimandlectomy patients depends upon the size and range of defects, proper treatment, prosthetic phase and patient acceptance. Previously mandibular guide flange was the first line of treatments but due to its low acceptance from patient and slow pace of treatment lead to the advance treatments plan i.e bone grafting will give more successful result in the patient's definitive occlusal relationship with fibula grafting and implant placement at the time of surgery. A peek is a newer material in the dentistry with many advantages that can be used as a framework for implant splinting instead of Cobal Chromium Framework to reduce the weight and dampening effect to absorb all the masticatory forces.

Methodology: This paper describes the role of peek to correct the scissor bite in Hemimandlectomy patient. A 20 year old male patient was suffering swelling and mobility of teeth on lower left side of the region. A confirmative diagnosis of amaleblastoma was found. A fibula graft and implant placement was planned at the time of hemimandlectomy. Two implant was placed at the time of fibula grafting. After 6 month of osseointegration and complete healing of fibula graft, in prosthetic phase, a CAD CAM peek framework with composite layering was planned to correct the cross bite to reduce the weight of the prosthesis and also to direct the forces to implants.

Conclusion: The adaptation of PEEK with CAD CAM was accurate to treat 21 cases as it fulfill all the esthetic and mechanical principles to bear the load.






 

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