PMC6343996_01
X-ray controls. The mandibular fracture remains separated without an evidence of bone callus formation, over the time. A) December 2008 B) August 2009 C) October 2010 D) October 2011 E) May 2012 F) March 2013 G) December 2015 H) August 2018.
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F1
In accordance with the patient, it was decided to insert 4 dental implants in each jaw to support two overdentures. In July 2008, the implant surgery was done (Nobel Speedy groovy  4.0 mm x 13.0 mm) under local anesthesia with Articaine 4%, 1:100.000 (Ultracain; Normon, Madrid, Spain) and antibiotic prophylaxis (Amoxicillin [GlaxoSmithKline, Madrid, Spain] 2 grams/ 1 hour before) (Figure 1-A). The clinical and radiological examination revealed a cutaneous fistula in the lower jaw and a mandibular fracture on the right side with 12 mm of distance between bone fragments (Figs. 1B, 2A, 3A). Although the implant near to the line of fracture was osseointegrated, it was decided not to use it and an inferior bar supported by the remaining implants and Locator abutments (Ancladen SL, Barcelona, Spain) on the superior ones were used for retaining two overdentures (Fig. 1C).
Extraoral fistula: A) August 2009 B) October 2011 C) August 2018.
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F2
The clinical and radiological examination revealed a cutaneous fistula in the lower jaw and a mandibular fracture on the right side with 12 mm of distance between bone fragments (Figs. 1B, 2A, 3A). Intraoral tissues and fistula on the fracture area were entirely healed at that time period (Figs. 2B, 2C, 3B).
Intraoral wound: A) August 2009 B) Intraoral wound healed October 2011.
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F3
The clinical and radiological examination revealed a cutaneous fistula in the lower jaw and a mandibular fracture on the right side with 12 mm of distance between bone fragments (Figs. 1B, 2A, 3A). Intraoral tissues and fistula on the fracture area were entirely healed at that time period (Figs. 2B, 2C, 3B).