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Published on: August 4, 2020
Management of Mandibular Nonunion Fracture with Single-Piece Implant - A Case Report
Vivek Gaur1, Anita Gala Doshi2, Aroon K S Bengani3
1Department of Oromaxillofacial Surgery, Jaipur Dental College, Maharaj Vinayak Global University, Jaipur, India.
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.

