Immediate Oral Rehabilitation of Atrophic Mandible

The oral rehabilitation using osseointegrated implants in atrophic mandibles (AM) with severe bone resorption remains a surgical and prosthetic challenge, due to the risk of mandible fracture during implant surgery or under functional loading, paresthesia and pain. A patient with severe atrophic mandible was treated using a 2.0 locking system reconstruction plate combined with dental implants, in immediate loading system. Surgery was performed through intraoral approach and preserving mental nerve bundle integrity. After 36 months of clinical and radiographic postoperative control, it was found that this alternative treatment was safe, effective and had minimal morbidity. This technique enabled the patient to quickly recover masticatory function, rehabilitating the patient in a predictable manner.