PMC9527847_01
Intraoral panorama demonstrating the fracture stabilisation using circumferential wiring
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A 55-year-old completely edentulous male patient, admitted in the Department of Oromaxillofacial Surgery, reported with a fracture of the right side body of the mandible due to trauma [Figure 1].
Preoperative panorama with right lower nonunion fracture
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On panorama, a nonunion of the fracture on the right side of the body of the mandible was observed [Figure 2].
Intraoral view demonstrating the placement of the maxillary single-piece implants
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Following manufacturer instructions, 10 BECES  (SIMPLADENT, GmbH, Switzerland) corticobasal single-piece jaw implants were placed without raising a flap in the maxilla with 1:1 reduction Kavo  straight handpiece with external irrigation using 0.9% w/v normal saline, engaging double pterygoids bilaterally, six implants in anterior with nasal cortical anchorage and one at nasal spine [Figure 3] following strategic principles.
Intraoral view demonstrating the placement of the mandibular single-piece implants
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For lower jaw, eight BECES  (SIMPLADENT GmbH, Switzerland) corticobasal single-piece jaw implants were placed without raising a flap with a 1:1 reduction Kavo  contra-angle handpiece having external irrigation using 0.9% w/v normal saline [Figure 4], two implants were placed on right side distal to fracture line engaging lingual cortical plate, two implants at left side engaging lingual cortical plate, and rest four implants were placed between inter-mental foramen.28 A postoperative panorama was taken to check the implant placement [Figure 5].
Postoperative immediate panorama showing the placement of the maxillary and mandibular single-piece implants and hyperplastic callus
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For lower jaw, eight BECES  (SIMPLADENT GmbH, Switzerland) corticobasal single-piece jaw implants were placed without raising a flap with a 1:1 reduction Kavo  contra-angle handpiece having external irrigation using 0.9% w/v normal saline [Figure 4], two implants were placed on right side distal to fracture line engaging lingual cortical plate, two implants at left side engaging lingual cortical plate, and rest four implants were placed between inter-mental foramen.28 A postoperative panorama was taken to check the implant placement [Figure 5].
Intraoral view showing the hybrid fixed metal to acrylic prosthesis
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The prosthesis of both jaws was fabricated sanitary at intaglio surface posteriorly and anteriorly modified ridge lap [Figure 6].
Panorama representing the 2-year follow-up of the placement of the maxillary and mandibular single-piece implants
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After two years, a panorama was taken, and complete unification of the fracture line and callus adaptation was observed [Figure 7].
Facial view demonstrating an increased mouth opening as compared to the preoperative
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Increased mouth opening without any pain was observed [Figure 8].