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6Choice of implant

Edentulous atrophic fractures

General considerations

Load-bearing osteosynthesis is indicated in treatment of the atrophic edentulous mandible fracture. We currently recommend the locking reconstruction plate 2.4. The plate must be of sufficient length to place screws in adequate bone which is generally found in the symphysis and angle regions. The body region of the mandible is a common area of fracture and generally has bone of poorer quality unsuitable for screw placement. When dealing with bilateral fractures, the plate must span from angle to angle, covering the entire lateral surface of the mandible. At least three screws on either side of the fracture are recommended. Often more screws are necessary due to the poor quality of the bone.

The locking reconstruction plate is generally left in place and not removed unless clinical symptoms require hardware removal.