Highly Predictable Augmentation of the Alveolar Ridge: Using a Titanium Mesh in Two-Stage Implant Surgery at the Mandible. Report of Clinical Cases and Surgical Technique

Purpose. The aim of this prospective surgical note was to evaluate the highly predictable horizontal bone gain of the alveolar ridge augmentation in two-stage implant surgery at the mandible with titanium mesh. Material and Methods. Five patients treated with 10 implants and simultaneous guided bone regeneration with titanium meshes (i–Gen®, MegaGen, Seoul, Republic of Korea) were selected for inclusion in the present surgical note. Primary outcomes were highly predictable horizontal bone gain of the alveolar ridge augmentation, secondary outcomes were biological and prosthetic complications. Results. After the removal of titanium meshes, the cone beam computed tomography (CBCT) showed a mean horizontal bone gain of 2 mm. The most frequent complications were mild postoperative edema (40% of patients) and discomfort after surgery (60% of patients); these complications were resolved within one week. Titanium mesh exposure occurred in 0 patients. And implant survival rate of 100% (implant-based). Conclusions. The horizontal ridge reconstruction with titanium meshes placed simultaneously with dental implants achieved predictable satisfactory results.

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Platelet-rich plasma may prevent titanium-mesh exposure in alveolar ridge augmentation with anorganic bovine bone

Journal Of Clinical Periodontology ◽

10.1111/j.1600-051x.2010.01615.x ◽

2010 ◽

Vol 37 (10) ◽

pp. 943-951 ◽

Cited By ~ 55

Author(s):

Jesús Torres ◽

Faleh Tamimi ◽

Mohammad Hamdan Alkhraisat ◽

Ángel Manchón ◽

Rafael Linares ◽

...

Keyword(s):

Platelet Rich Plasma ◽

Mesh Exposure ◽

Bovine Bone ◽

Alveolar Ridge ◽

Titanium Mesh ◽

Alveolar Ridge Augmentation ◽

Ridge Augmentation

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Comparison of Calcium Sulfate and Bovine Collagen Barriers for Alveolar Ridge Augmentation

Journal of Contemporary Dentistry ◽

10.5005/jp-journals-10031-1083 ◽

2014 ◽

Vol 4 (3) ◽

pp. 129-138

Author(s):

Robert Spears ◽

Ibtisam Al-Hashimi ◽

Eric S Solomon ◽

David G Kerns ◽

William W Hallmon ◽

...

Keyword(s):

Bone Graft ◽

Calcium Sulfate ◽

Autogenous Bone ◽

Collagen Membrane ◽

Alveolar Ridge ◽

Bone Augmentation ◽

Alveolar Ridge Augmentation ◽

Ridge Augmentation ◽

Bovine Collagen ◽

Bone Gain

ABSTRACT Calcium sulfate is a biologically compatible osteoconductive graft material that binds underlying bone graft and provide space maintenance. The purpose of this study was to evaluate calcium sulfate as a barrier compared to a collagen membrane for augmentation of a standardized surgically created ridge defect. For this purpose, bilateral extraction of mandibular premolars was performed on six foxhounds (Canis familiaris). Eight weeks later, a standardized osseous ridge defects (24 total) were created using a 6 mm trephine. The study was approved by the Institutional Animal Care and Use Committee (IACUC) at Baylor College of Dentistry. The osseous defects were allocated into three groups (8 defects each): group 1 received autogenous bone graft covered with collagen membrane (CM); group 2 received autogenous bone graft covered with calcium sulfate barrier (CS), and group 3 was used as control and did not receive bone augmentation and was used as control. The animals were sacrificed after 12 weeks following bone augmentation and sites were evaluated histologically for total ridge width, percentage of bone gain and cortical bone thickness. Results All sites exhibited bony fill within the defect. Analysis of variance did not reveal statistically significant difference in the mean total bone gain among CM, CS, and control groups (12.2,11.6, and 11.9) mm2, respectively, p = 0.875. Conclusion Calcium sulfate does not appear to improve bone regeneration in an osseous defect. How to cite this article Heaton ML, Kerns DG, Hallmon WW, Kessler HP, Spears R, Solomon ES, Al-Hashimi I. Comparison of Calcium Sulfate and Bovine Collagen Barriers for Alveolar Ridge Augmentation. J Contemp Dent 2014;4(3):129-138.

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Alveolar ridge augmentation and mandibular reconstruction by titanium mesh tray and iliac particulate cancellous bone and marrow graft

Japanese Journal of Oral & Maxillofacial Surgery ◽

10.5794/jjoms.55.268 ◽

2009 ◽

Vol 55 (6) ◽

pp. 268-275

Author(s):

Mitsuyoshi IINO

Keyword(s):

Cancellous Bone ◽

Mandibular Reconstruction ◽

Alveolar Ridge ◽

Titanium Mesh ◽

Alveolar Ridge Augmentation ◽

Marrow Graft ◽

Ridge Augmentation

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Clinical and Radiographic Evaluation of Simultaneous Alveolar Ridge Augmentation by Means of Preformed Titanium Meshes at Dehiscence-Type Peri-Implant Defects: A Prospective Pilot Study

Materials ◽

10.3390/ma13102389 ◽

2020 ◽

Vol 13 (10) ◽

pp. 2389 ◽

Cited By ~ 1

Author(s):

Carlo Maiorana ◽

Mattia Manfredini ◽

Mario Beretta ◽

Fabrizio Signorino ◽

Andrea Bovio ◽

...

Keyword(s):

Bone Regeneration ◽

Radiographic Evaluation ◽

Mesh Exposure ◽

Titanium Mesh ◽

Patient Centered ◽

Intimate Contact ◽

Ridge Augmentation ◽

Implant Placement ◽

Clinical Measurements ◽

Bone Gain

Background: bone augmentation by means of manually shaped titanium mesh is an established procedure to regenerate atrophic alveolar ridges and recreate a proper contour of the peri-implant bone anatomy. Conversely, current literature on the use of preformed titanium meshes instead of traditional grids remains lacking. Therefore, the aim of the present prospective study was to evaluate the use of preformed titanium mesh to support bone regeneration simultaneously to implant placement at dehiscence-type defects from clinical, radiological, and patient-related outcomes. Methods: 8 implants showing buccal dehiscence defects were treated with preformed titanium mesh directly fixed to flat abutments screwed to the implant. Intrasurgical clinical measurements and radiographic evaluations by means of cone-beam computed tomography scans were performed to assess the horizontal bone gain after 8 months from the augmentation surgery. Biological and patient-centered outcomes were also evaluated.; Results: clinically, a mean horizontal bone gain of 4.95 ± 0.96 mm, and a mean horizontal thickness of the buccal plate of 3.25 ± 0.46 mm were found. A mean horizontal bone gain of 5.06 ± 0.88 mm associated with a mean horizontal thickness of the buccal plate of 3.45 ± 0.68 mm were observed radiographically. From a macroscopic aspect, the remodeled graft appeared well integrated with the host bone. Well vascularized newly formed bone-like tissue was observed in intimate contact with the implants. Conclusions: preformed titanium mesh may be effective in supporting simultaneous horizontal bone regeneration at dehiscence-type peri-implant defects. Titanium mesh exposure still remain an issue in this type of surgery.

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