Journal
INTERNATIONAL JOURNAL OF PERIODONTICS & RESTORATIVE DENTISTRY
Volume 42, Issue 1, Pages 43-51Publisher
QUINTESSENCE PUBLISHING CO INC
DOI: 10.11607/prd.5530
Keywords
-
Categories
Ask authors/readers for more resources
This retrospective case series investigates implant site development in the maxilla using titanium mesh (Ti-mesh). The study shows that Ti-mesh procedures result in significant bone regeneration in narrow alveolar ridges, but middle-aged and older adults have a higher risk of mesh exposure, requiring additional contour augmentation.
This article presents a retrospective case series of implant site development using titanium mesh (Ti-mesh) in the maxilla. A total of 58 mesh procedures in combination with several different bone grafts (allograft, cellular allograft, and bovine xenograft) and biologics (including recombinant human platelet-derived growth factor, autogenous platelet-rich growth factor, and recombinant human bone morphogenetic protein-2) were performed in 48 patients. Ti-mesh guided bone regeneration procedures were performed 2 to 3 months after extraction of nonrestorable/hopeless teeth, and the implants were placed 6 to 8 months postaugmentation. The mean initial ridge width was 2.0 +/- 1.0 mm, and the mean horizontal gain after Ti-mesh procedures was 4.7 +/- 1.6 mm. The ridge width was first measured on the cross-sectional presurgical CBCT image and then confirmed clinically during surgical procedures. No statistical difference in the horizontal gain was found among different combinations of bone grafts and biomaterials. Ti-mesh exposure occurred 22% of the time. The middle-aged adults (odds ratio [OR] = 8.59; P = .046) and older adults (OR = 16.66; P = .02) had significantly higher chances of mesh exposure compared to young adults. While all implants were successfully placed, about 56% of the implants had < 2 mm of bone to the facial aspect of the osteotomy and received additional contour augmentation when placed in a prosthetically appropriate position for a screw retained restoration. This study demonstrates that although Ti-mesh procedures result in significant bone regeneration in narrow alveolar ridges to predictably allow implant placement, the age-related mesh exposure rate and frequency of need for additional contour grafting should be discussed with patients. Int J Periodontics Restorative Dent 2022;42:43-51. doi: 10.11607/prd.5530
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available