Mandibular Fractures in Edentulous Patients with Bone Atrophy and Osseointegrated Dental Implants: Therapeutic Management in a Case Series
<i>Background and Objectives:</i> This research describes the management of mandibular fractures in edentulous patients with atrophic mandibles and implant-retained overdentures, exploring etiologies and treatment options. <i>Materials and Methods</i>: A retrospective study (...
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2024-11-01
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| author | Marta Benito Anguita Jose Luis del Castillo Pardo de Vera Saad Khayat Ana María López López Javier González Martín Moro Gema Arenas de Frutos Raúl Antúnez-Conde Hidalgo Marta Pampín Martínez Estela Gómez Larren Carlos Navarro Cuéllar Jose Luis Cebrián Carretero Ignacio Navarro Cuéllar |
| author_facet | Marta Benito Anguita Jose Luis del Castillo Pardo de Vera Saad Khayat Ana María López López Javier González Martín Moro Gema Arenas de Frutos Raúl Antúnez-Conde Hidalgo Marta Pampín Martínez Estela Gómez Larren Carlos Navarro Cuéllar Jose Luis Cebrián Carretero Ignacio Navarro Cuéllar |
| author_sort | Marta Benito Anguita |
| collection | DOAJ |
| description | <i>Background and Objectives:</i> This research describes the management of mandibular fractures in edentulous patients with atrophic mandibles and implant-retained overdentures, exploring etiologies and treatment options. <i>Materials and Methods</i>: A retrospective study (January 2010–December 2023) was conducted on six patients from two hospitals (Hospital Gregorio Marañón y Hospital La Paz, Madrid). The data collected included fracture etiology, treatment type, and complications. <i>Results</i>: All six patients were women, with a mean age of 76.33 years. The most common cause of fracture was peri-implantitis (50%). Surgical treatment (open reduction and internal fixation) was performed in five patients, with different surgical approaches and fixation methods. One patient, due to multiple comorbidities, received conservative treatment. Complications occurred in 50% of cases, including delayed healing and hypoesthesia. The average hospital stay was four days, with a mean follow-up of 34 months. <i>Conclusions</i>: Mandibular fractures in these patients are rare. Surgical treatment using rigid fixation plates is recommended. The rational use of bone grafting should be taken into account. Treatment depends on fracture type, patient condition, and surgeon experience. |
| format | Article |
| id | doaj-art-9d2e1c2830024e379c6a439046dac557 |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj-art-9d2e1c2830024e379c6a439046dac5572024-11-26T18:12:36ZengMDPI AGMedicina1010-660X1648-91442024-11-016011183510.3390/medicina60111835Mandibular Fractures in Edentulous Patients with Bone Atrophy and Osseointegrated Dental Implants: Therapeutic Management in a Case SeriesMarta Benito Anguita0Jose Luis del Castillo Pardo de Vera1Saad Khayat2Ana María López López3Javier González Martín Moro4Gema Arenas de Frutos5Raúl Antúnez-Conde Hidalgo6Marta Pampín Martínez7Estela Gómez Larren8Carlos Navarro Cuéllar9Jose Luis Cebrián Carretero10Ignacio Navarro Cuéllar11Department of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, Universidad Complutense de Madrid, 28007 Madrid, SpainDepartment of Oral and Maxillofacial Surgery, Hospital Universitario La Paz, 28046 Madrid, SpainDepartment of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, Universidad Complutense de Madrid, 28007 Madrid, SpainDepartment of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, Universidad Complutense de Madrid, 28007 Madrid, SpainDepartment of Oral and Maxillofacial Surgery, Hospital Universitario La Paz, 28046 Madrid, SpainDepartment of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, Universidad Complutense de Madrid, 28007 Madrid, SpainDepartment of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, Universidad Complutense de Madrid, 28007 Madrid, SpainDepartment of Oral and Maxillofacial Surgery, Hospital Universitario La Paz, 28046 Madrid, Spain3D Printing Unit, Hospital General Universitario Gregorio Marañón, 28007 Madrid, SpainDepartment of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, Universidad Complutense de Madrid, 28007 Madrid, SpainDepartment of Oral and Maxillofacial Surgery, Hospital Universitario La Paz, 28046 Madrid, SpainDepartment of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, Universidad Complutense de Madrid, 28007 Madrid, Spain<i>Background and Objectives:</i> This research describes the management of mandibular fractures in edentulous patients with atrophic mandibles and implant-retained overdentures, exploring etiologies and treatment options. <i>Materials and Methods</i>: A retrospective study (January 2010–December 2023) was conducted on six patients from two hospitals (Hospital Gregorio Marañón y Hospital La Paz, Madrid). The data collected included fracture etiology, treatment type, and complications. <i>Results</i>: All six patients were women, with a mean age of 76.33 years. The most common cause of fracture was peri-implantitis (50%). Surgical treatment (open reduction and internal fixation) was performed in five patients, with different surgical approaches and fixation methods. One patient, due to multiple comorbidities, received conservative treatment. Complications occurred in 50% of cases, including delayed healing and hypoesthesia. The average hospital stay was four days, with a mean follow-up of 34 months. <i>Conclusions</i>: Mandibular fractures in these patients are rare. Surgical treatment using rigid fixation plates is recommended. The rational use of bone grafting should be taken into account. Treatment depends on fracture type, patient condition, and surgeon experience.https://www.mdpi.com/1648-9144/60/11/1835mandible fractureatrophic mandibledental implantsrigid fixationbone graft |
| spellingShingle | Marta Benito Anguita Jose Luis del Castillo Pardo de Vera Saad Khayat Ana María López López Javier González Martín Moro Gema Arenas de Frutos Raúl Antúnez-Conde Hidalgo Marta Pampín Martínez Estela Gómez Larren Carlos Navarro Cuéllar Jose Luis Cebrián Carretero Ignacio Navarro Cuéllar Mandibular Fractures in Edentulous Patients with Bone Atrophy and Osseointegrated Dental Implants: Therapeutic Management in a Case Series Medicina mandible fracture atrophic mandible dental implants rigid fixation bone graft |
| title | Mandibular Fractures in Edentulous Patients with Bone Atrophy and Osseointegrated Dental Implants: Therapeutic Management in a Case Series |
| title_full | Mandibular Fractures in Edentulous Patients with Bone Atrophy and Osseointegrated Dental Implants: Therapeutic Management in a Case Series |
| title_fullStr | Mandibular Fractures in Edentulous Patients with Bone Atrophy and Osseointegrated Dental Implants: Therapeutic Management in a Case Series |
| title_full_unstemmed | Mandibular Fractures in Edentulous Patients with Bone Atrophy and Osseointegrated Dental Implants: Therapeutic Management in a Case Series |
| title_short | Mandibular Fractures in Edentulous Patients with Bone Atrophy and Osseointegrated Dental Implants: Therapeutic Management in a Case Series |
| title_sort | mandibular fractures in edentulous patients with bone atrophy and osseointegrated dental implants therapeutic management in a case series |
| topic | mandible fracture atrophic mandible dental implants rigid fixation bone graft |
| url | https://www.mdpi.com/1648-9144/60/11/1835 |
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