Abstract
The Edentulous Atrophic Mandible Fracture: A Case Report Supporting Use of Large Bone Plating Systems and Discussion of the Value of Identifying Patient Treatment Goals
Highlights
Increasing longevity in the edentulous population who utilize a mandibular removable denture, and its adverse effect on the mandible with progressive resorption, will lead to continued or increased numbers of patients with atrophic mandible fractures despite a significant trend in preservation of existing dentition and use of dental implants
Management of the edentulous atrophic mandible is challenging given the volumetric bone loss and its effect on bone healing; loss of dentition which are used in treatment of mandible fractures for placement of maxillomandibular arch bars and fixation of variable duration; position of the inferior alveolar nerve rising to the surface of pseudo-alveolar ridge of the mandible; and to a lesser extent the marginal mandibular branch of the facial nerve with repairs using an external approach
Using two large bone plates with 2.4 mm screws greatly reduced the surgical wound size that would have been required for a full span ramus to ramus reconstruction plate
Summary
The Edentulous Atrophic Mandible Fracture: A Case Report Supporting Use of Large Bone Plating Systems and Discussion of the Value of Identifying Patient Treatment. Gary Nishioka1* and James Eyre2 1Willamette Ear Nose and Throat & Facial Plastic Surgery, Oregon, USA 2Willamette Valley Oral & Maxillofacial Surgery Inc, Oregon, USA *Corresponding author: Gary Nishioka, Willamette Ear Nose and Throat & Facial Plastic Surgery, Oregon, USA
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