Surgical Treatment of Atrophic Mandible Fractures with the Use of Autogenic Platelet-Rich Plasma - Descriptions of Two Cases Chirurgiczne leczenie złamań atroficznej żuchwy z użyciem bogatopłytkowego osocza - opis dwóch przypadków

Atrophic mandible fracture treatment is associated with a high (20%) rate of complications such as nonunion. This is due to several factors: other vasculature, decreased bone mass, trabecular bone loss and changes in the process of osteogenesis. These processes progress with age and lead to a total change in the morphology and physiology of the atrophic mandible. Therefore, treatment of mandibular fractures in elderly patients is a bit different. A lack of clear standard procedures encourages surgeons to treat each patient individually. The authors, based on their own experience in the treatment of atrophic mandible fracture patients, describe how to treat these fractures and the possibility of using platelet-rich plasma (PRP). At the same time, they illustrate the above issue in a global literature review and two clinical cases. Platelet-rich plasma may be a valuable factor in stimulating healing in cases of complications of atrophic mandible fractures. Together with autogenous bone graft, it reduces the number of inflammatory complications and improves the quality of bone tissue continuity restoration. Production and application of platelet-rich plasma is easy and therefore should be used, especially among elderly patients (Dent. Med. Probl. 2015, 52, 1, 101–106).