Rationale: This paper presents the treatment of noninfected hypertrophic, horse hoof nonunion edentulous mandible accompanied with a Luhr class fracture. Patient Concerns: The patient reported with complaints of pain and an unstable lower denture at the right side of the lower jaw post mandibular fracture. Diagnosis: Upon inspection and post cone-beam computed tomography, it was determined that it was a case of a noninfected hypertrophic, horse hoof nonunion edentulous mandible with Luhr class 1 fracture. Treatment: The clinicians in this study treated the fracture with single-piece corticobasal jaw implants successfully with 10 BECES ® corticobasal single-piece jaw implants in the maxilla by engaging double pterygoids bilaterally and eight implants in the mandible. Outcomes: After two years, complete unification of the fracture line and callus adaptation was observed on a panoramic radiograph. Take-away Lessons: The authors propose a new treatment option for the correction of nonunion mandibular fracture.

Single piece zygomatic implant, or a remote anchorage implant, is an effective tool for the rehabilitation of the atrophic/resected jaws with least postoperative complications such as screw loosening, screw fractures, bone loss, mucositis, and peri implantitis. The aim of this paper was to summarize a technique for the use of a zygomatic approach for single piece implants. We used the key-words 'single piece implants” and the search revealed 700 papers in the PubMed database. After screening through the abstracts, we selected 50 articles that we finally reviewed. Zygomatic fixtures avoid the grafting procedures and cantilever situation, restoration of atrophic or postablative jaws are completed with immediate loading. It is advisable placement of zygomatic implant flapless with surgical guide, but the author believes more on the tactile perception and when the splint is at mucosal or bone level, a small change in orientation will lead the dramatic error in desired angulation leading to unwanted complication.