The Role of Lingual Bone Grafting in the Treatment of Displaced Edentulous Mandibular Fracture with Severe Atrophy

Document Type: Case Report

Authors

1 Oral & Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction:
Treatment of edentulous atrophic mandible with severe atrophy is a challenge based on local conditions and systemic diseases confronted by the age group affected. If bone grafting is indicated, it is often used in lateral or inferior aspects of the mandible.
 Case Report:
A 70-year-old male with a unilateral fracture of the atrophied left mandibular body was managed by lingual bone grafting and inferior border miniplate fixation to prevent two common problems after fracture healing; the need for plate removal before denture fabrication and facial asymmetry in the unilateral body fracture.
 Conclusion:
If bone grafting is indicated in the management of displaced edentulous mandibular fracture with severe atrophy, a combination of plating at the inferior border of the mandible and lingual corticocancellous bone grafting should be considered in treatment planning.

Keywords

Main Subjects


1. Ellis E, Price C. Treatment protocol for fractures of the atrophic mandible. J Oral Maxillofacial Surg. 2008;66(3):421–35.

2. Mugino H, Takagi S, Oya R, Nakamura S, Ikemura K. Miniplate osteosynthesis of fractures of the edentulous mandible. Clinical Oral Invest. 2005; 9(4):266–70.

3. Luhr HG, Reidick T, Merten HA. Results of treatment of fractures of the atrophic edentulous mandible by compression plating: a retrospective evaluation of 84 consecutive cases. J Oral Maxillofacial Surg. 1996;54(3):250–4.

4. Eyrich GK, Gratz KW, Sailer HF. Surgical treatment of fractures of the edentulous mandible. J Oral Maxillofacial Surg. 1997; 55(10): 1081–7.

5. De Feudis F, De Benedittis M, Antonicelli V, Pittore P, Cortelazzi R. Decision-making algorithm in treatment of the atrophic mandible fractures. Il Giornale di chirurgia. 2014;35(3-4):94–100.

6. Oliveira H, Pereira-Filho VA, Hochuli-Vieira E, Gabrielli MA, Gabrielli MF. Treatment of atrophic mandibular fractures with the pencilboneplate: report of 2 cases. J Oral Maxillofacial Surg. 2015; 14 (Suppl 1):226–30.

7. Sikes Jr JW, Smith BR, Mukherjee DP. An in vitro study of the effect of bony buttressing on fixation strength of a fractured atrophic edentulous mandible model. J Oral Maxillofacial Surg. 2000; 58(1):56–61.

8. Bruce RA, Ellis E. The second Chalmers J. Lyons Academy study of fractures of the edentulous mandible. J Oral Maxillofacial Surg. 1993; 51 (8):904–11.

9. Aziz SR, Najjar T. Management of the edentulous/atrophic mandibular fracture. Atlas of the Oral and Maxillofacial Surgery Clinics of North America. 2009;17 (1):75–9.

10. Miloro M, Quinn PD. Prevention of recurrent pathologic fracture of the atrophic mandible using inferior border grafting: report of two cases. J Oral Maxillofacial Surg. 1994;52 (4):414–20.