Kierran Gill, James Douglas, Prof. Simon Holmes

With an increasingly aged population, fractures of edentulous mandibles are becoming more commonplace. As patients age, and become edentulous, alveolar ridges atrophy due to decreased stress on tooth bearing bone. Fractures of atropic mandibles therefore become complicated. Reasons for which are multifactorial; owing to poor vascularisation, reduced cross-sectional area, less osteogenic potential and co-morbidities associated with age. The objective of this review is to describe the change from early beliefs and methodology toward atrophic fracture management, to that of contemporary practice. Pioneers that challenged existing procedures are discussed, as well as the technological advancements and novel therapies that have allowed for this evolution.


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