Vol. 10, Issue 3, Part D (2024)

Hemimandibulectomy, involving the removal of half of the mandible, poses significant challenges in functional and aesthetic rehabilitation. This review delivers a thorough examination of prosthodontic strategies, with a focus on mandibular guiding flange prostheses. These prostheses are specifically designed to guide mandibular movement and enhance masticatory function, making them a crucial tool in prosthodontic care. The review highlights the effectiveness of these prostheses in managing mandibular deviations and restoring proper occlusion. Success in rehabilitation relies on precise prosthesis design, optimal occlusal guidance, and the integration of additional reconstructive techniques. Evidence indicates that mandibular guiding flange prostheses significantly improve masticatory efficiency, speech quality, and overall patient satisfaction. The review also explores how various factors such as the extent of mandibular resection, individual anatomical and physiological conditions, and supplementary reconstructive procedures affect the prosthesis's efficacy. Examination of design modifications and material choices offers opportunities to enhance function and comfort. Mandibular guiding flange prostheses play a pivotal role in managing hemimandibulectomy patients, providing substantial benefits in guiding mandibular movement and restoring functional and aesthetic parameters. Future research should focus on long-term outcomes and innovations in design to further optimize the effectiveness of these prostheses. This review provides a comprehensive analysis of the mandibular guiding flange prosthesis, covering its historical development, current use, and future potential in treating hemimandibulectomy cases.