The guidance flange prosthesis helps in directing the deviating mandible to improve form and function. This case report describes a procedure. Mandibular Guide Flange Prosthesis Following Mandibular Resection: A Clinical Report. SHAILENDRA KUMAR SAHU*. MDS, Senior Lecturer, Dept. of. prosthesis.2 In a mandibular-based guidance prosthesis, the guide flange is attached to a mandibular removable partial denture (RPD) on the nonresected side.

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Dr Archana Dambal “Journal of clinical and diagnostic research is a welcome change in publishing practices.

It aims to reach out to the grass-root level researchers who gide not lack in experience, clinical material and ideas, but lack in their knowledge in English language and statistics. The journal achieves it’s aim by supporting in these exact domains. It also gives due credit to all research designs like descriptive and qualitative studies while many journals ignore these important study designs.

The rigorous review process does not allow any compromise in quality It is indexed in many indexing agencies and the articles are available under creative commons licence free of cost The frequency of publication supports many aspiring authors from India and other countries.

It’s wide scope welcomes articles across various specialities in medicine. In an era when there is an unscientific insistence on speciality specific research by regulatory bodies in medical education, JCDR supports collaborative research across specialities.

I wish the publisher all the best in his future endeavors. It has contributed a huge number mandibulsr peer reviewed articles, across a spectrum of medical disciplines, to the medical literature.

Guide flange prosthesis for early management of reconstructed hemimandibulectomy: a case report

Its wide based indexing and open access publications attracts many authors as well as readers For authors, the manuscripts can be uploaded online through an easily navigable portal, on other hand, reviewers appreciate the systematic handling of all manuscripts. I would like to compliment you and your entire staff for your promptness, courtesy, and willingness to be customer friendly, which is quite unusual. I was given your reference by a colleague in pathology,and was able to directly phone your editorial office for clarifications.

I would particularly like to thank the publication managers and the Assistant Editor who were following up my article. I would also like to thank you for adjusting the money I paid initially into payment for my modified article,and refunding peosthesis balance. Somashekhar Nimbalkar “Over the last few years, we have published guude research regularly in Journal of Clinical and Diagnostic Research.

Having published in more than 20 high impact journals over the last five years including several high impact ones and reviewing articles for even more journals across my fields of interest, we value our published work in JCDR for their high standards in publishing scientific articles. The ease of submission, the rapid reviews in under a month, the high quality of their reviewers and keen attention to the final process of proofs and publication, ensure that there are no mistakes in the final article.

We have been asked clarifications on several occasions and have been happy to provide them and it exemplifies the commitment to quality of the team at JCDR. On Sep Dr. Kalyani R “Journal of Clinical and Diagnostic Research is at present a well-known Indian originated scientific journal which started with a humble beginning.

I have been associated with this journal since mandibu,ar years. I appreciate the Editor, Dr. Hemant Jain, for his constant effort in bringing up this journal to the present status right from the scratch. The journal is multidisciplinary.

It encourages in publishing the scientific articles from postgraduates and also the beginners who start their career. At the same time the journal also caters for the high quality articles from specialty and super-specialty researchers. Hence it provides a platform for the scientist and researchers to publish. The other aspect of it is, the readers get the information regarding the most recent developments in science which can be used for teaching, research, treating patients and to some extent take flxnge measures against certain diseases.

The flxnge is contributing immensely to the society at national and international level. Saumya Navit “As a peer-reviewed journal, the Journal of Clinical and Diagnostic Research provides an opportunity to researchers, scientists and budding professionals to explore the developments in the field of medicine and dentistry and their varied specialities, thus extending our view on biological diversities of living species in relation to medicine. The multidisciplinary nature of the journal makes it a better platform to absorb all that is being researched and developed.


The publication process is systematic and professional. Online submission, publication and peer reviewing makes it a user-friendly journal.

As an experienced dentist and an academician, I proudly recommend this journal to the dental fraternity as manibular good quality open access platform for rapid communication of their cutting-edge research progress and discovery. Their systematic approach in publication of article in various categories is really praiseworthy. Their prompt and timely response to review’s query and the manner in which they have set the reviewing process helps in extracting the best possible scientific writings for publication.

It’s a honour and pride to be a part of the JCDR team. My very best wishes to JCDR and hope it will sparkle up above the sky as a high indexed journal in near future.

Ramesh Babu ” Journal of Clinical and Diagnostic Research JCDR is a multi-specialty medical and dental journal publishing high quality research articles in almost all branches of medicine. The quality of printing of figures and tables is excellent and comparable to any International journal. An added advantage is nominal publication charges and monthly issue of the journal and more chances of an article being accepted for publication. Moreover being a multi-specialty journal an article concerning a particular specialty has a wider reach of readers of other related specialties also.

As an author and reviewer for several years I find this Journal most suitable and highly recommend this Journal. On Aug Dr. S “Journal of Clinical and Diagnostic Research JCDR is a reputed peer reviewed journal and is constantly involved in publishing high quality research articles related to medicine. Its been a great pleasure to be associated with this esteemed journal as a reviewer and as an author for a couple of years.

The editorial board consists of many dedicated and reputed experts as its members and they are doing an appreciable work in guiding budding researchers.

The reviewers provide appropriate suggestions that improve the quality of articles. I mandibulsr recommend my fraternity to encourage JCDR by contributing their valuable research work in this widely accepted, user friendly journal. I hope my collaboration with JCDR will continue for a long time”. I thank JCDR for giving me an opportunity to improve my prosthesos skills as an author and a reviewer.

It ‘s a multispecialty journal, publishing high quality articles. It gives a platform to the authors to publish their research work which can be available for everyone across the globe to read. For those who have problem prosghesis writing manuscript or do statistical work, JCDR comes for their rescue. The journal has a monthly publication and the articles are published quite fast. In time compared to other journals.

The on-line first publication is also a flanfe advantage and facility to review one’s own articles before going to print. The response to any query and permission if required, is quite fast; this is quite commendable. I have a very good experience about seeking quick permission for quoting a photograph Fig.

I never thought it would be so easy. Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review.

It requires time and concentration, yet I enjoy doing it. The JCDR website especially for the reviewers is quite user friendly. My suggestions for improving the journal is, more strict review process, so that only high quality articles are published.

I find a a good number of articles in Obst. May be a bimonthly or quarterly publication to begin with. Only selected articles should find a flante in it. An yearly reward for the best article authored can also incentivize the authors. Though the process of finding the best article will be not be very easy. I do not know how reviewing process can be improved.

If an article is being reviewed by two reviewers, then opinion of guid can be communicated to the other or the final opinion of the editor can be communicated to the reviewer if requested for. My best wishes to Dr. Hemant Jain and all the editorial staff of JCDR for their untiring efforts to bring out this journal. I strongly recommend medical fraternity to publish their valuable research work in this esteemed journal, JCDR”.


Rajendra Kumar Ghritlaharey “I wish to thank Dr. Writing is the representation of language in a textual medium i e; into the words and sentences on paper. Quality medical manuscript writing in particular, demands not only a high-quality research, but also requires accurate and concise communication of findings and conclusions, with adherence to particular journal guidelines. Abstract Loss of the continuity of the mandible destroys the balance and the symmetry of mandibular function, leading to mmandibular mandibular movements and deviation of the residual fragment towards the surgical side.

Definitive guiding flange prosthesis: A definitive approach in segmental mandibulectomy defect

This clinical report gives a brief review of resection guidance prosthesis and describes the fabrication of an acrylic guidance flange prosthesis. Successful intercuspal position was accomplished through the use of the guidance appliance, combined with physiotherapy in a patient who underwent a hemisection of the mandible, subsequent to treatment for an ameloblastoma.

Journal of Clinical and Diagnostic Research [serial online] October [cited: Introduction Surgical treatment for neoplastic lesions of the oral cavity often requires resection involving the mandible, floor of the mouth, tongue and also the palate. In patients who have undergone mandibular resection, the remaining mandibular segment will retrude and deviate towards the surgical side, at the vertical dimension of rest. Upon opening the mouth, this deviation increases, leading to the opening and closing of the angular pathway.

Loss of the proprioceptive sense of occlusion leads to the uncoordinated, less precise movement of the mandible. The absence of the muscle of mastication on the surgical side results in a significant rotation of the mandible upon forceful closure. When viewed from the frontal plane, the teeth on the surgical side of the mandible move away from the maxillary teeth after the initial contact on the nonsurgical side has been established.

As the force of closure is increased, the remaining mandible rotates through the frontal plane.

The severity and permanence of mandibular deviation is highly variable and is dependent upon a number of complex factors such mandibbular the amount of soft and hard tissue resected, the ;rosthesis of closure and so forth. Patients who are closed with a myocutaneous or free flap soon attain an acceptable interocclusal relationship with adjunctive therapy, while some patients who are closed primarily, are never able to achieve an appropriate and a stable interocclusal relationship.

They further stated that fabrication of a provisional guide plane rposthesis the fabrication of proethesis definitive restoration. They claimed that the use of intermaxillary fixation during the first 6 postoperative weeks reduces the degree of deviation.

If some resistance is encountered in positioning the mandible, a guidance ramp of acrylic resin is suggested, as this material can be periodically adjusted as an improved relationship is obtained. They further stated that mandibular guidance therapy begins when the immediate post surgical sequelae have subsided, usually at about two weeks after surgery. Initially, the patient should be placed on an exercise program. Nasrin Sahin et al.

Joshi et al 10 described the fabrication of a mandibular guide flange prosthesis and suggested that a removable prosthesis is an effective alternative for most patients with mandibular defects, considering the poor prognosis, difficulty in decision making for the use of the implant mandibulr economic feasibility.

Prencipe MA et al 11 described a technique by which only 1 mandibular prosthesis can be used both for physiotherapy and eating, by simply inserting and removing the guide flange. Two precision attachments were inserted into buccal surface of the denture base with their mandibulwr and the corresponding matrixes were inserted into the transparent guide flange.