Surgical treatment of bilateral fracture of atrophic mandibula: Case report
Keywords:Rigid internal fixation; Atrophic mandible; Load-bearing system.
Mandibular atrophy occurs due to several factors such as periodontitis, periapical lesions, early tooth loss, use of poorly adapted prostheses that promote bone resorption over time. This condition provides fragility to the remaining bone structure and susceptibility to fractures. Atrophic mandible fractures represent a challenge to the Oral and Maxillofacial Surgeon due to several peculiarities in the management of treatment and oral rehabilitation. The treatment of choice for patients with atrophic mandible fracture is surgery, which aims to reduce and immobilize the fracture segments, in order to restore aesthetics and function. In this way, an individualized assessment must be carried out in search of the best biomechanics of the osteosynthesis material to be used, as adequate stability can be achieved through several fixation methods. The objective of this work is to report a clinical case of a male patient, victim of an accident with a large animal evolving with bilateral fracture of the atrophic mandible body. We opted for surgical treatment of the fracture with simplification of the fracture bone stumps using miniplates and subsequent installation of the load-bearing system plate, evolving in the postoperative period without complications.
Al-Osaimi A., et. al. (2014) An unusual case of atrophic mandible fracture in a patient with osteogenesis imperfecta and on oral bisphosphonate therapy: Case report. Saudi Dent J. 26(2)68-73
Almasri, M., El-Hakim, M. (2012). Fracture of the anterior segment of the atrophic mandible related to dental implants. Int J Oral Maxillofac Surg. 41(5), 646-649.
Ao, E., Ao, F., Prein, J., Ehrenfeld, M., Manson, P. N. (2012). Principles of Internal Fixation of the Craniomaxillofacial Skeleton – Trauma and Orthognathic Surgery. Ao Publishing, Davos.
Aziz, S. R., Najjar, T. (2009). Management of the edentulous/atrophic mandibular fracture. Atlas Oral Maxillofac Surg Clin North Am. 17(1)75-79.
Brucoli, M., et al. (2020). Surgical management of unilateral body fractures of the edentulous atrophic mandible. Oral Maxillofac Surg. 24(1)65-71.
Brucoli, M., et al. (2019). The epidemiology of edentulous atrophic mandibular fractures in Europe. J Craniomaxillofac Surg .47(12)1929-1934.
Castro-Núñez, J., Cunningham, L. L., Van Sickels, J. E. (2017). Atrophic Mandible Fractures: Are Bone Grafts Necessary? An Update. J Oral Maxillofac Surg. 75(11)2391-2398.
De Feudis, F. et al. (2014). Decision-making algorithm in treatment of the atrophic mandible fractures, G Chir. 314(3/4) 94-100.
Ellis, E. 3rd, Price C. (2008). Treatment protocol for fractures of the atrophic mandible. J Oral Maxillofac Surg. 66(3)421-435.
Flores-Hidalgo, A. et al. (2015). Managemente of fractures of the atrophic mandible: A case series. Oral Surgery, Oral Medicine, Oral Pathologyand Oral Radiology. 10.1016/j.oooo.2015.01.016.
Gerbino, G., et. al. (2018). Management of Atrophic Mandibular Fractures: Na Italian Multicentric Retrospective Study. Journal of Cranio-Maxillo-Facial Surgery. https://doi.org/10.1016/j.jcms.2018.09.020.
Giacomin M., Conto F. D., Siqueira S. P., Signori P.H., Eidt J.M.S., Sawazaki R. (2017). Trauma facial em idosos: uma análise retrospectiva de 10 anos. Rev. bras. geriatr. gerontol. 20(5), 618-623.
Gomes-Ferreira, P. H. S., et.al. (2015). Atrophic jaw fracture treated by Load-Bearing system. Arch Health Invest. 4(5)36-40.
Luhr, H.; Reidick, T.; Merten, H. (1996). Results of Treatment of Fractures of the Atrophic Edentulous Mandible by Compression Plating: A Retrospective Evalution of 84 Consecutive Cases. Journal of Oral Maxillo facial Surgery. 54, 250-254.
Kim, T. G., Chung, K. J., Lee, J. H., Kim, Y. H., Lee, J. H. (2018). Clinical Outcomes Between Atrophic and Nonatrophic Mandibular Fracture in Elderly Patients. J Craniofac Surg. 29(8)815- 818.
Madsen M. J., Haug R. H., Christensen B. S., Aldridge E. (2009). Management of atrophic mandible fractures. Oral Maxillofac Surg Clin North Am. 21(2)175-18., 2009.
McCarthy, I. (2006). The physiology of bone blood flow: a review. J Bone Joint Surg Am., 88(3)4-9.
Melo, A. R. et. al. (2011). Fracture of the Atrophic Mandible: Case Series and Critical Review. Journal of Oral Maxillo facial Surgery, 67, 1430-1435.
Pereira, R. S., Bonardi, J. P., Silva, J. R., Mourão, C. F. A. B., Barbosa Junior, P. R., Magacho, L. F. (2017). Tratamento cirúrgico da fratura de mandibula atrófica pela técnica AO: relato de caso. Arch Health Invest. 6(3), 145-149.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., Shitsuka, R. (2018). Metodologia em pesquisa científica. UFSM - Santa Maria, RS. 1
Pietrokovski, J., et. al. (2007). Morphologic Characteristics of Bony Edentulous Jaws. Journal of Prosthodontics, 16(2)141-147.
Tiwana, P. S., Abraham, M. S., Kushner, G. M., Alpert, B. (2009). Management of atrophic edentulous mandibular fractures: the case for primary reconstruction with immediate bone grafting. J Oral Maxillofac Surg. 67(4)882-887.
How to Cite
Copyright (c) 2021 Mirlany Mendes Maciel Oliveira; Arthur Caetano de Almeida; Gustavo Amaral Lauand; Daniela Meneses Santos ; Cláudia Jordão Silva; Felipe Gomes Gonçalves Peres Lima
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.