Prosthodontic Rehabilitation of Hemimandibulectomy Patient with Twin Occlusion and Mandibular Cusil Denture: A Case Report

Segmental resection surgery of the mandible results in the deviation of mandible toward the defect side. The amount of deviation is determined by the quantity of hard and soft tissue resection, the type of surgical site closure, the degree of tongue function impairment, the number of remaining teeth present, and the extent of sensory and motor innervation damage. Mandibular deviation may be reduced with improved masticatory function with prosthodontic treatment combined with physical therapy. Cu-Sil denture is a easy approach which helps in conserving the few remaining natural teeth. It is a type of transitional denture that clasps the neck of the tooth and provides space for the remaining teeth to emerge into the oral cavity through the denture. Preserving the remaining teeth preserves the alveolar ridge and also maintains proprioception that provides psychological benefit for the patient. The present clinical report describes the usage of additional rows of semi-anatomic teeth on the unresected side. This gives a broader occlusal table with improved masticatory efficiency in an edentulous mandibulectomy patient and provides a simple chair-side clinical approach to construct Cu-Sil denture by preserving the few natural teeth.