Rehabilitation of atrophic mandible with implants. Strategy and case report of fracture complication

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.8588

Keywords:

Dental Implantation; Prostheses andd Implants; Fracture; Bone.

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.

Author Biographies

Luara Teixiera Colombo, São Paulo State University (UNESP)

Department of Diagnosis and Surgery

Laís Kawamata de Jesus, São Paulo State University (UNESP)

Department of Diagnosis and Surgery

Ana Flávia Piquera Santos, São Paulo State University (UNESP)

Department of Diagnosis and Surgery

Paulo Sérgio Perri de Carvalho, São Paulo State University (UNESP)

Department of Diagnosis and Surgery

Francisley Ávila Souza, São Paulo State University (UNESP)

Department of Diagnosis and Surgery 

Ana Paula Farnezi Bassi, São Paulo State University (UNESP)

Department of Diagnosis and Surgery

References

Adell, R., Lekholm, U., Rockler, B., & Brånemark, P. I. (1981). A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. International journal of oral surgery, 10(6), 387–416.

Awad, M. A., Lund, J. P., Shapiro, S. H., Locker, D., Klemetti, E., Chehade, A., & Feine, J. S. (2003). Oral health status and treatment satisfaction with mandibular implant overdentures and conventional dentures: a randomized clinical trial in a senior population. International Journal of Prosthodontics, 16(4).

Bruce, R. A., & Ellis III, E. (1993). The second Chalmers J. Lyons Academy study of fractures of the edentulous mandible. Journal of oral and maxillofacial surgery, 51(8), 904-911.

Ellis III, E., & Price, C. (2008). Treatment protocol for fractures of the atrophic mandible. Journal of oral and maxillofacial surgery, 66(3), 421-435.

Frost, D., Tucker, M., & White, R. (1991). Small plate fixation for fixation of mandibular fractures. In Rigid fixation in maxillofacial surgery (pp. 104-121). Lippincott, Philadelphia, PA.

Hachleitner, J., Enzinger, S., Brandtner, C., & Gaggl, A. (2014). The role of the titanium functionally dynamic bridging plate for the treatment of the atrophic mandible fractures. Journal of Cranio-Maxillofacial Surgery, 42(5), 438-442.

Meijer, H. J., Raghoebar, G. M., Van't Hof, M. A., & Visser, A. (2004). A controlled clinical trial of implant‐retained mandibular overdentures: 10 years' results of clinical aspects and aftercare of IMZ implants and Brånemark implants. Clinical oral implants research, 15(4), 421-427.

Naert, I., Alsaadi, G., van Steenberghe, D., & Quirynen, M. (2004). A 10-year randomized clinical trial on the influence of splinted and unsplinted oral implants retaining mandibular overdentures: peri-implant outcome. International Journal of Oral & Maxillofacial Implants, 19(5).

Nasser, M., Fedorowicz, Z., & Ebadifar, A. (2008). A Cochrane systematic review finds no reliable evidence for different management options for the fractured edentulous atrophic mandible. General dentistry, 56(4), 356-362.

Nisand, D., Picard, N., & Rocchietta, I. (2015). Short implants compared to implants in vertically augmented bone: a systematic review. Clinical Oral Implants Research, 26, 170-179.

Petrie, C. S., & Williams, J. L. (2005). Comparative evaluation of implant designs: influence of diameter, length, and taper on strains in the alveolar crest. A three-dimensional finite-element analysis. Clinical oral implants research, 16(4), 486–494.

Polo, W. C., Cury, P. R., Sendyk, W. R., & Gromatzky, A. (2005). Posterior mandibular alveolar distraction osteogenesis utilizing an extraosseous distractor: a prospective study. Journal of periodontology, 76(9), 1463–1468.

Raghoebar, G. M., Stellingsma, K., Batenburg, R. H., & Vissink, A. (2000). Etiology and management of mandibular fractures associated with endosteal implants in the atrophic mandible. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 89(5), 553–559.

Romeo, E., Ghisolfi, M., Rozza, R., Chiapasco, M., & Lops, D. (2006). Short (8-mm) dental implants in the rehabilitation of partial and complete edentulism: a 3- to 14-year longitudinal study. The International journal of prosthodontics, 19(6), 586–592.

Stellingsma, C., Vissink, A., Meijer, H. J., Kuiper, C., & Raghoebar, G. M. (2004). Implantology and the severely resorbed edentulous mandible. Critical reviews in oral biology and medicine : an official publication of the American Association of Oral Biologists, 15(4), 240–248.

Toma, V. S., Mathog, R. H., Toma, R. S., & Meleca, R. J. (2003). Transoral versus extraoral reduction of mandible fractures: a comparison of complication rates and other factors. Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery, 128(2), 215–219.

Wittwer, G., Adeyemo, W. L., Turhani, D., & Ploder, O. (2006). Treatment of atrophic mandibular fractures based on the degree of atrophy--experience with different plating systems: a retrospective study. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 64(2), 230–234.

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Published

26/09/2020

How to Cite

HADAD, H.; COLOMBO, L. T. .; JESUS, L. K. de .; SANTOS, A. F. P. .; CARVALHO, P. S. P. de .; SOUZA, F. Ávila .; BASSI, A. P. F. . Rehabilitation of atrophic mandible with implants. Strategy and case report of fracture complication. Research, Society and Development, [S. l.], v. 9, n. 10, p. e2899108588, 2020. DOI: 10.33448/rsd-v9i10.8588. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/8588. Acesso em: 8 aug. 2022.

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Section

Health Sciences