PMC4012104_01
Obliterated anterior sulci (a), orthopantomograph showing marginal mandibular resection (b)
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F1
Other post-resection findings were attachment of lingual frenum and lower lip at the level of the alveolar ridge, restricted tongue movement and reduced depth of labial and lingual vestibules in mandibular anterior region, thus, limiting the space available for the extension of the prosthesis [Figure 1a]. Periodontal condition of remaining teeth was fair [Figure 1b].
Joining of two sectional trays for diagnostic impression (a), diagnostic cast (b)
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F2
Delhi, India) [Figure 2a]. Diagnostic cast was obtained in type II gypsum (Kaldent; Kalabhai Karson Private Limited, Mumbai, India) [Figure 2b] and was later on used for the fabrication of a training denture base reinforced with wrought wire in the anterior midline region.
Metal crowns with patrix parts of attachments (a), try-in of metal framework (b)
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F3
Full metal crowns were cemented using glass ionomer luting cement (Aquacem, Dentsply Limited, Addlestone, UK) [Figure 3a]. The try-in of framework was carried out to verify its fit [Figure 3b].
Intraoral view of final mandibular Prosthesis (a), post-treatment intra-oral frontal view (b)
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F4
Addlestone, UK), finished, polished and delivered to the patient [Figure 4a and b]. After the final insertion, routine hygiene instructions for the oral cavity and dentures were given.