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[Mandibular fracture. An unusual implantation complication]
T Schug1, J Dumbach, H Rodemer
1Klinik für Mund-, Kiefer- und Gesichtschirurgie und Plastische Operationen, Saarbrücker Winterbergkliniken.
Mund-, Kiefer- Und Gesichtschirurgie : MKG
|January 22, 2000
Summary
Mandibular fractures are a rare but serious complication of dental implants, particularly in older patients with atrophic jaws. Careful surgical planning and post-operative monitoring are crucial to prevent this risk.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Biomaterials Science
Background:
- Increasing dental implantations necessitate understanding potential complications.
- Mandibular fracture is a rare but severe consequence of implantological procedures.
Observation:
- Fractures predominantly affect older patients with atrophic mandibles.
- Risk factors include bicortical anchorage, explantation, osteomyelitis, and compromised immune systems.
Findings:
- Endosseous implants in severely atrophic mandibles require protective measures like cortical protection or alveolar augmentation.
- Peri-implantitis and bone infections significantly elevate the risk of mandibular fracture.
Implications:
- Surgical techniques should prioritize mandibular integrity in atrophic jaws.
- Regular clinical and radiological follow-ups are essential for early detection of infections and prevention of fractures.