Abstract
Rehabilitation through implant-supported prosthesis on atrophic jaws presents great deal of difficulty. Mandible fractures related to implants is not a common complication, however when it occurs, it represents serious damage. The aim of this paper was to report a clinical case of a 63-year-old patient with mandibular fracture after implant installation, treated through a buccal access and load-shearing plate system to stabilize the fractured bone and reduce the discomfort. The use of load shearing plate presented good results in this case, stabilizing the bone fracture, and helping with the repairing process, enabling subsequent rehabilitation of the patient, with a 3-year follow-up.
Highlights
Maxillary atrophy is considered a condition of extensive bone resorption related to edentulism
Most fractures in atrophic mandibles occur in the region of the mandibular body, especially when the residual bone is less than 10mm (Ellis & Price, 2008; Wittwer, et al, 2006)
The great difficulty in rehabilitating these patients is related to the residual atrophic ridge bone with insufficient minimal height required for implant installation
Summary
Maxillary atrophy is considered a condition of extensive bone resorption related to edentulism. The aim of this paper was to report a clinical case of a patient with mandibular fracture with load-shearing plate system and buccal access to stabilize the fractured bone and reduce the discomfort. Methodology This paper demostrated through descriptive and qualitative means a case report about a patient with atrofic maxillary fracture after implant placement and successfully treated with a load-shearing plate system that led to clinical stability of the fractured bone.
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