Management and prevention of rare complication of mandibular fracture after inferior alveolar nerve transposition in edentulous atrophied mandible in implant dentistry: An unusual case report

Abstract

Edentulism can be a debilitating handicap. Nowadays, most dental surgeons believe that the most basic restoration for the edentulous mandible should be an implant retained overdenture with two implants placed in the anterior mandible. Treatment options for edentulous mandible range from complete denture to implant supported fixed restorations implant retained and tissue supported overdentures, implant retained and implant supported over dentures and hybrid fixed prostheses or bone anchored bridges. With proper selection and treatment planning, using dental implants to support restoration replacing missing teeth can provide long lasting functional and aesthetic restorations. However, in atrophic mandible many problems can arise. In this rare case report, we are highlighting some of the challenges involved in management of atrophic edentulous mandible in a diabetic old patient with implant retained tissue supported overdentures, (IRTOD) which later required inferior alveolar nerve (IAN) trans positioning due to severely atrophic mandible and resulted in accidental mandibular fracture. The key to prevent these types of failures is proper treatment planning. With this article we want to enlighten some useful keys for preventing these kinds of failures.