Historically, atrophic edentulous fractures were treated closed by wiring in
the patients dentures or fabricating Gunning style splints with postoperative
mandibulomaxillary fixation (MMF).
Standard treatment with closed reduction often resulted in prolonged periods of
MMF which was difficult for these patients. Additionally, the fractures were
often poorly aligned. Postoperative malunions and nonunions were very
Photograph shows a patient denture.