Management of mandibular nonunion fracture with single-piece implant - A case report

Abstract

Rationale: This paper presents the treatment of noninfected hypertrophic, horse hoof nonunion edentulous mandible accompanied with a Luhr class fracture. Patient Concerns: The patient reported with complaints of pain and an unstable lower denture at the right side of the lower jaw post mandibular fracture. Diagnosis: Upon inspection and post cone-beam computed tomography, it was determined that it was a case of a noninfected hypertrophic, horse hoof nonunion edentulous mandible with Luhr class 1 fracture. Treatment: The clinicians in this study treated the fracture with single-piece corticobasal jaw implants successfully with 10 BECES ® corticobasal single-piece jaw implants in the maxilla by engaging double pterygoids bilaterally and eight implants in the mandible. Outcomes: After two years, complete unification of the fracture line and callus adaptation was observed on a panoramic radiograph. Take-away Lessons: The authors propose a new treatment option for the correction of nonunion mandibular fracture.