Management of mandibular rotation after a mandibulectomy: A clinical report Helena H. Y. Wong, BDS, MDS, a Edmond H. N. Pow, BDS, MDS, PhD, b and Winnie W. S. Choi, BDS, MDS c Faculty of Dentistry, The University of Hong Kong Oral rehabilitation after a mandibulectomy is a challenge for prosthodontists. This clinical report describes the management of a 54-year-old man, who, after a mandibulectomy, had rotation of the mandible, with a revascularized flap, followed by an implant-supported prosthesis and ceramic restorations. (J Prosthet Dent 2013;110:532-537) The loss of mandibular continuity after a mandibulectomy could cause the remaining segment to deviate toward the defect side and the mandibular occlusal plane to rotate toward the front. 1 This mandibular deviation and rotation may result in the loss of occlusal contact on the defect side and a shift in the posterior 1 Panoramic radiographs. A, Mucoepidermoid carcinoma associated with unerupted mandibular third molar. B, Frac- tured titanium plate 3 months after mandibulectomy. C, Fractured second titanium plate with further mandibular rotation after 24 months. a Postgraduate student, Oral Rehabilitation, Faculty of Dentistry. b Associate Professor, Oral Rehabilitation, Faculty of Dentistry. c Assistant Professor, Oral and Maxillofacial Surgery, Faculty of Dentistry. The Journal of Prosthetic Dentistry Wong et al