RT Journal Article
T1 Mandibular Fractures in Edentulous Patients with Bone Atrophy and Osseointegrated Dental Implants: Therapeutic Management in a Case Series
A1 Benito Anguita, Marta
A1 Khayat, Saad
A1 Arenas de Frutos, Gema
A1 Antúnez-Conde Hidalgo, Raúl
A1 Gómez Larren, Estela
A1 Navarro Cuéllar, Carlos
A1 Navarro Cuéllar, Ignacio
AB Background and Objectives: This research describes the management of mandibular fractures in edentulous patients with atrophic mandibles and implant-retained overdentures, exploring etiologies and treatment options. Materials and Methods: 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. Results: 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. Conclusions: 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.
PB MDPI
SN 1648-9144
YR 2024
FD 2024-11-08
LK https://hdl.handle.net/20.500.14352/112128
UL https://hdl.handle.net/20.500.14352/112128
LA eng
NO Benito Anguita, M.; del Castillo Pardo de Vera, J.L.; Khayat, S.; López López, A.M.; González Martín Moro, J.; Arenas de Frutos, G.; Antúnez-Conde Hidalgo, R.; Pampín Martínez, M.; Gómez Larren, E.; Navarro Cuéllar, C.; et al. Mandibular Fractures in Edentulous Patients with Bone Atrophy and Osseointegrated Dental Implants: Therapeutic Management in a Case Series. Medicina 2024, 60, 1835. https:// doi.org/10.3390/medicina60111835
DS Docta Complutense
RD 10 abr 2025