PMC4672843_01
Pre-treatment view: Asymmetry of the face.
JIOH-7-77-g001.jpg
PMC4672843_01_JIOH-7-77-g001.jpg
F1
On extraoral examination asymmetry of the face, hearing loss, deviation of the mouth, drooling of saliva and positive Bell's sign were noticed (Figure 1).
Pre-treatment view: Shift of mandibular jaw toward right side while opening.
JIOH-7-77-g002.jpg
PMC4672843_01_JIOH-7-77-g002.jpg
F2
A conspicuous mandibular shift toward the right side (Figure 2) was observed along with significant difficulty in pronunciation of bilabial (p,b), labiodental and fricatives (f,v), and had a slurred speech.
PMC4672843_02
Facebow transfer.
JIOH-7-77-g003.jpg
PMC4672843_02_JIOH-7-77-g003.jpg
F3
The orientation jaw relation was recorded using face bow (Figure 3) and the maxillary casts were secured on the semi-adjustable articulator (Hanau  Wide-Vue Arcon Articulator, Whipmix Corporation).
Indentation marks on flat occlusal table of mandibular denture.
JIOH-7-77-g004.jpg
PMC4672843_02_JIOH-7-77-g004.jpg
F4
Mumbai). Maxillary palatal cusp markings were obtained on the mandibular occlusal table before complete curing of the resin, ensuring even contacts of all the palatal cusps (Figures 4 and 5).
Maxillary palatal cusps contacting the occlusal table.
JIOH-7-77-g005.jpg
PMC4672843_02_JIOH-7-77-g005.jpg
F5
Mumbai). Maxillary palatal cusp markings were obtained on the mandibular occlusal table before complete curing of the resin, ensuring even contacts of all the palatal cusps (Figures 4 and 5).
Post-treatment view: Insertion of definitive complete dentures.
JIOH-7-77-g007.jpg
PMC4672843_02_JIOH-7-77-g007.jpg
F6
Mandibular posterior artificial teeth were arranged and the definitive denture was processed and inserted (Figure 6).