Fractures of atrophic mandibles are present on the day by day of buccomaxillofacial surgeons. Mandible atrophy occurs due to tooth loss, which over time induces bone resorption leading to a fragile and susceptible to fracture structure. This paper reports the case of a patient victim of face trauma resulting in atrophic mandible fracture with treatment failure through the use of shared load miniplate. Therefore, a new treatment was performed with miniplate of system 2.4 along with bone graft. After 6 months, the patient was rehabilitated with implant-supported prosthesis installation. It is concluded that for successful treatment of atrophic mandible fractures, the use of rigid plates is necessary, allowing an excellent rehabilitation of the stomatognathic system.
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http://dx.doi.org/10.1097/SCS.0000000000002640 | DOI Listing |
Medicina (Kaunas)
November 2024
Department of Anatomy, Faculty of Medicine, "Victor Babeş" University of Medicine and Pharmacy, 300041 Timişoara, Romania.
The lateral pterygoid muscle (LPM), a critical component of the masticatory muscles, typically comprises upper (SLPM) and lower (ILPM) heads. However, it is essential to note that the LPM's structure is not a constant feature, as the number of bundles and their topography can vary. Moreover, additional heads, such as medial and middle heads, and unique-headed configurations of the LPM have been reported.
View Article and Find Full Text PDFCase Rep Dent
December 2024
Department of Maxillofacial Surgery, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Bergamo, Italy.
The authors present two cases of mouth floor hemorrhage consequences of implant placement within the atrophic anterior mandible. In one patient, the implant placement was associated with the guided bone regeneration (GBR) technique. This serious complication has been widely described in the literature, especially in the anterior mandible area.
View Article and Find Full Text PDFJ Oral Implantol
December 2024
Department of Post-Graduation, Latin American Institute of Dental Research and Education (ILAPEO), Curitiba, Paraná, Brazil.
Full-arch implant rehabilitation in extremely atrophic edentulous mandibles is still challenging due to the high risk of fracture and the limited bone availability. The approach proposes using short implants with immediate loading for final prostheses as a treatment option, which offers shorter treatment times and fewer invasive procedures. A 66-year-old female patient with an edentulous mandible and severe alveolar bone resorption was treated with four short implants in the interforaminal area.
View Article and Find Full Text PDFGerodontology
November 2024
Department of Prosthetic Dentistry, University School of Dental Medicine, Martin-Luther-University, Halle-Wittenberg, Halle, Germany.
Objectives: The study compares three minimally invasive approaches for the retention of implant supported mandibular complete dentures, particularly focusing on patient satisfaction.
Background: The McGill Consensus Statement recommends restoration of the edentulous mandible with an overdenture retained on two implants. Alternatively, less invasive treatment concepts with shorter treatment times have been developed for critical cases.
Materials (Basel)
November 2024
Department of Dentistry, Kaohsiung Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Kaohsiung 833, Taiwan.
The geometry of implants plays a crucial role in the success of All-on-Four treatments for the lower jaw. This study builds upon prior research by evaluating the biomechanical performance of implant-supported prostheses in full-arch fixed dental restorations, specifically focusing on different implant lengths and connection types in cases of mild atrophic resorption of the mandible. Four groups were analyzed using finite element analysis (FEA): We utilized 13 or 18 mm posterior 17-degree tilting implants, each paired with two kinds of abutment connections.
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