Fracture of the genial tubercles without an associated mandibular fracture is uncommon. It occurs mainly in patients wearing a complete mandibular denture when the mandible is atrophied and the genial tubercles are hypertrophied. Only 7 reports have been found in the English-language literature. An additional situation of a 70-year-old woman is presented along with a review of the literature. A conservative approach to treatment is advised with this type of fracture. The use of dental implants should be considered in patients with hypertrophied tubercles to prevent such fracture.