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Edentulous atrophic fractures

Closed reduction

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 common.
Photograph shows a patient denture.