Management of the Edentulous/Atrophic Mandibular Fracture

Aziz, Shahid R.; Najjar, Talib A.

doi:10.1016/j.cxom.2008.10.004

Cited by 24 publications

(24 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, the concomitant disadvantages include salivary contamination, visualization difficulties, and risk of inadvertent injury to the mandibular neurovascular bundle/mental foramen which may indeed lie close to the crest of the alveolar ridge in severely atrophic fractures. 1 Conversely, the advantages of an extraoral approach include excellent visualization and manipulation of the fractured site, as well as ease of thicker and stronger hardware application which indeed would take up the masticatory load thus preventing the refracture and/or incidence of nonunion. However, the disadvantages include a facial scar which often in the elderly can be hidden in a well-placed incision in a facial rhytid and a risk for facial nerve injury as encountered in one case in our series.…”

Section: Discussionmentioning

confidence: 99%

“…Ultimately, the approach to access the fracture must be tailored to the patient's case and must allow the surgeon to adequately visualize the fracture easily and easy hardware application. 1 The controversy regarding the quality of blood supply to the atrophic mandible stems from a 1975 article by Bradley. Using angiography, he documented that the inferior alveolar artery provided inconsistent supply to the atrophic mandible.…”

Section: Discussionmentioning

confidence: 99%

“…The essence of this dispute focuses on the relevance of comorbid disease in the elderly patient resulting in an increased general anesthesia risk, as well as the compromised vascular supply of the atrophic jaw bone. 1,6 Although the evolution of treatment has led to the replacement of closed techniques by open techniques, 6 a controversy still persists regarding the type of osteosynthesis used for open reduction and fixation procedures. Currently, a better understanding of the biomechanics of the edentulous mandible and associated fractures support the application of a strong bone plate (with or without bone grafts) to achieve adequate stability and long-term favorable functional outcomes.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Concepts and Challenges in the Surgical Management of Edentulous Mandible Fractures: A Case Series

Anehosur

Thakker

Nagraj

et al. 2019

Craniomaxillofacial Trauma & Reconstruction Open

View full text Add to dashboard Cite

Functional rehabilitation of complex edentulous or atrophic mandibular fractures is surgically demanding. The high incidence of bone fractures in geriatric age group is secondary to the loss of bone mineral content with age. So far, there is no consensus regarding the best treatment for repair of fractures of the severely atrophic mandible. Thus, the choice of treatment for such fractures should be based on the degree of atrophy, considering its inverse relationship to the amount of rigid fixation required. Hence, open reduction and internal fixation (ORIF) is considered to be a reliable method for treating the edentulous mandible fractures. The authors present a case series of patients treated with ORIF with load bearing (LB; reconstruction plate) and load sharing (LS; miniplates) principles. No complications related to infection, plate exposure, fibrous union, nonunion, and trismus, were observed.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Concepts and Challenges in the Surgical Management of Edentulous Mandible Fractures: A Case Series

Anehosur

Thakker

Nagraj

et al. 2019

Craniomaxillofacial Trauma & Reconstruction Open

View full text Add to dashboard Cite

show abstract

“…There has been debate on the treatment modalities for atrophic/edentulous mandibular fractures (19). Most recent studies recommended surgical treatments such as open reduction and rigid internal fixation under proper management (20)(21)(22)(23), although conservative treatments such as maxillomandibular fixation are also a viable option (10). In the present case, several factors were taken into account to choose the treatment modality.…”

Section: Discussionmentioning

confidence: 99%

A mandibular body fracture related to mouth-opening training in a dialysis patient

Yamamoto

Matsusue

Horita

et al. 2011

Dental Traumatology

View full text Add to dashboard Cite

A mandibular body fracture related to mouth-opening training in a dialysis patient is reported. A 61-year-old male patient had noticed pain in the right mandibular body and difficulty in mouth opening a week previously. The patient had been performing mouth-opening training for a couple of weeks. The right lower face was slightly swollen with tenderness at the right lower border of the mandible. Hypoesthesia of the right lower lip was also observed. A bone step was palpable on the alveolar ridge of the right mandible, but mobility was not marked. The mandible was atrophic in the body region with only four anterior teeth left. Panoramic X-ray examination revealed a moderately displaced fracture in the right molar region of the mandible. The patient had no severe pain or difficulty in eating using a partial denture. The patient had received dialysis for 17 years and had also been treated by warfarin and aspirin. The patient was followed up under restricted mouth opening. Osteosynthesis with bone remodeling was confirmed after 6 months by X-ray examination. No complication requiring further treatment occurred during the follow-up period. In this patient, a medically compromised condition under long-term dialysis is considered a predisposing factor, which made the atrophic mandible more susceptible to the stress related to mouth-opening training.

show abstract

“…Usualmente estas fracturas ocurren en pacientes adultos mayores, con capacidad osteogénica reducida por una disminución de sus células osteoprogenitoras y morfológicamente por la presencia mayoritaria de hueso cortical, acompañado de insuficiente irrigación sanguínea, características asociadas a la atrofia ósea mandibular (Aziz & Najjar, 2009). Luhr desarrolló una clasificación basada en el grado de atrofia ósea, el cual es de utilidad para el tratamiento de este tipo de mandíbulas, determinando: Grado I (altura ósea de 16 -20 mm), Grado II (altura ósea de 11 -15 mm) y Grado III (altura ósea menor de 10 mm) (Wittwer et al, 2006).…”

Section: Introductionunclassified

Tratamiento de Fracturas en Mandíbulas Atróficas: Presentación de Dos Casos Clínicos

G²,

et al. 2011

Int. J. Odontostomat.

View full text Add to dashboard Cite

RESUMEN:El siguiente trabajo tiene por objetivo presentar la experiencia del equipo de Cirugía Maxilofacial del Hospital San José, para el manejo de las fracturas en mandíbulas atróficas, reportando el tratamiento médico-quirúrgico y evolución post operatoria de casos clínicos. Se presentan dos casos clínicos de pacientes de sexo femenino, con enfermedades sistémicas de base, edéntulas, con diagnóstico de fractura en mandíbula atrófica consecutivos a caídas de nivel. De los casos tratados, el equipo logró resultados satisfactorios, mediante un tratamiento integral para los pacientes con este tipo de fracturas, basado en protocolos actuales encontrados en la literatura. El tratamiento de elección para este tipo de fracturas corresponde a la reducción anatómica quirúrgica y fijación mediante placas y tornilos de osteosíntesis. Fundamentado por sus favorables resultados y a la rápida rehabilitación funcional del paciente. El manejo multidisciplinario es fundamental para tratar este tipo de pacientes, por la posible concomitancia de enfermedades de base que pudiesen poseer estos pacientes.PALABRAS CLAVE: fractura mandibular, fracturas en mandíbulas atróficas, tratamiento fractura mandibular atrófica.

show abstract

Management of the Edentulous/Atrophic Mandibular Fracture

Cited by 24 publications

References 8 publications

Concepts and Challenges in the Surgical Management of Edentulous Mandible Fractures: A Case Series

Concepts and Challenges in the Surgical Management of Edentulous Mandible Fractures: A Case Series

A mandibular body fracture related to mouth-opening training in a dialysis patient

Tratamiento de Fracturas en Mandíbulas Atróficas: Presentación de Dos Casos Clínicos

Contact Info

Product

Resources

About