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Trends in treatment modalities for Hemimandibulectomy patient: A systematic review

Author: 
Dr. Riddhi V. Kulkarni, Dr. Dilip M. Kakade, Dr. Nayana S. Anasane and Dr. Onkar J. Jabade
Subject Area: 
Health Sciences
Abstract: 

Aim: To compare the changing trends between implant supported prosthesis and cast partial dentures for patients with hemimandibulectomy Study design & methods: MEDLINE-PubMed, Cochrane, EbscoHost and Google Scholar were searched from January 1985 to December 2015. Appropriate case reports, case series or clinical reports which indicated the cause for resection were included. The data was compared only between implant supported prosthesis and removable cast partial denture. Masticatory efficiency, esthetics and functional ability were selected as outcome variables. Results: Independent screening of the titles and abstracts of 73 MEDLINE-PubMed articles and 34 articles from Google Scholar resulted in 37 publications that met the eligibility criteria. From the year 1985 to 1995 (first decade), implant supported prosthesis was used widely. In the second decade of the study (1996 to 2005), implant supported prosthesis proved to be useful in such patients. In the third decade (2006 to 2015), the trends changed. Removable cast partial denture was considered to be favourable. Conclusion: Cast partial dentures were introduced earlier to prosthodontics than implant supported prosthesis. Inspite of this, implant supported prosthesis has been used since decades to treat patients with hemi mandibulectomy. However, many drawbacks were observed with this treatment and later cast partial denture was chosen as a better treatment modality which proved advantageous to their dental health.

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