Management of Mandibular Nonunion Fracture with Single-Piece Implant - A Case Report

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.