Bone graft with titanium mesh in the treatment of the fractured atrophic edentulous mandible: Report of a case

This report describes a 78-year-old Japanese woman whose atrophic edentuous mandible had been fractured bilaterally by a bruise in violent fall in June, 1986.Despite the attempt at surgery with Champy and A-O miniplates by intraoral approach, a non-union of the right mandibular body resulted.On November 18 of the same year, the second surgical operation was performed. After the proximal and distal fragment of the right mandible were exposed and freshened, a bone graft and particulate cancellous bone were taken from the iliac crest of the patient's right hip. Simultaneously, a titanium mesh prosthesis was fitted to the mandible in conjunction with transosseous wires.The postoperative course was essentially uncomplicated.

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