Atrophic Anterior Mandible Treated With Sandwich Osteotomy Without Mini-Screws and Mini-Plates: A Case Report With 7 Years of Follow-Up.

Summary: Imagine losing your front teeth in an accident and not having enough jawbone left to fix it. This happened to a 19-year-old man. Usually, doctors cut the bone, add new bone, and hold it together with metal screws and plates. But in this case, doctors tried a simpler way. They carefully cut the jawbone, lifted it, and wedged a block of horse bone underneath—like the meat in a sandwich! They didn't use any metal screws at all. After four months, the bone grew back strong and up to 7 millimeters taller. Seven years later, his jaw and new teeth still look great. This shows that the "sandwich" bone fix can work perfectly without needing any metal hardware.