Cope M R
Br J Oral Surg. 1982 Mar;20(1):22-30. doi: 10.1016/0007-117x(82)90003-8.
The positive clinical decision to treat a spontaneously fractured edentulous mandible passively depends on a careful evaluation of local and general factors pertaining. These include: (1) Preferably simple fractures with minimal displacement and an intact periosteal sheath. (2) Elderly and infirm patients and others in whom surgery is contra-indicated. (3) Case in which discomfort and inconvenience with fixation is likely to be worse than without, bearing in mind that fixation does not guarantee firm bony union and that many patients wear dentures and masticate successfully in the presence of complete failure of fragments to unite. It must be stressed that it is not suggested that this line of treatment be followed routinely, but that is is valid in certain selected cases.
对于自发性骨折的无牙下颌骨采取积极的临床治疗决策，需被动地依赖于对相关局部和全身因素的仔细评估。这些因素包括：（1）最好是移位最小且骨膜鞘完整的简单骨折。（2）老年体弱患者以及其他手术禁忌的患者。（3）考虑到固定可能带来的不适和不便可能比不固定更严重的情况，同时要记住固定并不能保证骨的牢固愈合，而且许多患者在骨折碎片完全不愈合的情况下仍能佩戴假牙并成功咀嚼。必须强调的是，并非建议常规采用这种治疗方法，而是在某些特定病例中它是有效的。
