Peculiaridades no tratamento de fraturas de mandíbula atrófica em pacientes idosos – relato de dois casos

Abstract

Mandibular atrophy is most commonly found in elderly patients who have had early tooth loss, resulting in an increased vulnerability of the mandibular bone to fractures due to decreased height and bone density, as well as a reduction in the blood supply to bone tissue.The treatment through open surgical technique is done with the use of reconstruction plates. Conservative treatment includes use of dental prostheses, steel wires for fixing bone segments (cerclage), Gunning gutters and external fixation devices. The clinical cases described in this paper refers to the treatment of a male patient, 65 years, in which the open surgical technique was used, and a female patient, 80 years, in which the closed surgical technique was chosen, due to her general health status. The purpose of this paper is to report two clinical cases in which closed treatment was used in one patient and open treatment in the other, based on the peculiarities of each, obtaining satisfactory results in both techniques.