List of Articles by Author
- Mierzwińska–Nastalska E, Rolski D, Rusiniak-Kubik K, Kostrzewa-Janicka J. Treatment Considerations for Mandibulectomy Patients with Temporomandibular Dysfunction. Acta Stomatol Croat. 2006;40(3):295-301.
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| Title in English: |
Treatment Considerations for Mandibulectomy Patients with Temporomandibular Dysfunction |
| Title in Croatian: |
Mogućnosti liječenja mandibulektomiranih pacijenata s temporomandibularnim poremećajima |
| Type of Article: |
case report |
| MeSH: |
TEMPOROMANDIBULAR JOINT PROSTHODONTICS SURGERY, ORAL NEOPLASMS |
| Abstract: |
This study discusses rehabilitation of masticatory system deformities and temporomandibular dysfunctions (TMD’s) following surgery for malignant tumors of the mandible and radiation therapy of the head and neck region. Successful prosthodontic rehabilitation results and acceptable fi nal maxillomandibular relationships were achieved with the help of myofunctional training therapy, repositioning splints, temporary mouth-guard appliances, and occlusal adjustments or modifi cations of denture design. Prosthodontic treatment of patients with postoperative mandibular defects (following hemi-mandibulectomy) is described, and the role of supporting physiotherapy and myotherapy in regaining functional effi ciency of the masticatory system was emphasised. |
- Rolski D, Rusiniak-Kubik K, Mierzwinska-Nastalska E, Kostrzewa-Janicka J. Treatment Considerations for Mandibulectomy Patients. Acta Stomatol Croat. 2002;36(3):318.
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Full Text
| Title in English: |
Treatment Considerations for Mandibulectomy Patients |
| Title in Croatian: |
nema |
| Type of Article: |
congress abstract |
| MeSH: |
SURGERY, ORAL + methods |
| Abstract: |
Prosthetic rehabilitation of patients after resection of the mandible due to operation of malignant tumors usually poses a great problem. Loss of tissues and damage caused by radiotherapy cause various functional deficiencies and dysfunction in the stomatognathic system. The study concerned treatment of a group of mandibulectomy patients with problems related mainly to restoration of jaw relationship, lack of occlusion and dysfunctions. In the escamined cases immediate or delayed reconstructive surgery had been completed before prosthetics to treat mandibular discontinuity defects. Unfortunately, many of the patients exibit lack of occlusion, mandibular deviations and torque due to incorrect muscle activity.Prosthetic management was part of a multidisciplinary approach to the problem. Treatment included myotherapy, gradual occlusal rearrangement with the use of therapeutic and corrective splints, special appliances and prostheses with leading inclined planes and guiding surfaces. The degree of success was related to the location and extent of the mandibular resection, the shape of the bonetransplants and presence or absence of natural teeth. The aims of treatment realised were the restoration of acceptable occlusion and improved functional efficiency of the masticatory system. |
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