The Ti-Mesh Technique: Guided Bone Regeneration for Three-Dimensional Augmentations. Clinical Aspects: A Case Series.

This article presents the surgical aspects of, and evaluates bone dimensional changes following, the application of the guided bone regeneration (GBR) technique using individualized titanium mesh on atrophied alveolar ridges to achieve an optimal crest volume for implant placement. Six patients were...

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Publicado en:International Journal of Periodontics & Restorative Dentistry Vol. 42; no. 2; pp. 145 - 154
Autor principal: Majewski, Piotr
Formato: case study diagnostic images pictorial tables/charts Journal Article
Publicado: Quintessence Publishing Company Inc. Mar/Apr2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar/Apr2022
      vid: 42
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      pub: Quintessence Publishing Company Inc.
      place: Batavia, Illinois
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        10.11607/prd.5692
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        atl: The Ti-Mesh Technique: Guided Bone Regeneration for Three-Dimensional Augmentations. Clinical Aspects: A Case Series.
      aug:
        au: Majewski, Piotr
        affil: Prosthetic Department, Implant Dentistry Department, Dental Institute Medical Faculty, Jagiellonian University Medical College, Kraków, Poland
      sug:
        subj:
          Bone Regeneration
          Dental Implants
          Dental Implantation
          Titanium
          Surgical Mesh
          Human
          Bone Resorption
          Xenografts
          Tomography, X-Ray Computed
          Imaging, Three-Dimensional
          Radiography, Panoramic
      ab: This article presents the surgical aspects of, and evaluates bone dimensional changes following, the application of the guided bone regeneration (GBR) technique using individualized titanium mesh on atrophied alveolar ridges to achieve an optimal crest volume for implant placement. Six patients were included and evaluated clinically and radiologically for at least 3 years. Every patient presented bone resorption affecting implant placement in a proper prosthetic position. During the regenerative procedure, customized titanium mesh was used to secure the contour of the augmented site and the stability of xenograft particles deposited on the atrophied crest. After 6 months of healing, the mesh was removed, and implants were placed in planned, prosthetic positions. CBCT scans were taken before the regenerative procedures and after 6 months, before the second-stage surgeries. This allowed for assessment of the postaugmentation vertical and horizontal bone tissue gain. The average volumetric gain of the augmented sites was 5.2 mm horizontally and 2.75 mm vertically. In 50% of cases, minor soft tissue perforation was observed after a few weeks. This complication did not influence the implant placement procedure and was treated during the second-stage procedure with the GBR technique, using a resorbable membrane and xenograft particles to compensate the localized bone defect. No implant failed during the control period. Panoramic radiographs were taken 1 to 3 years after completion of definitive prosthetic treatment to assess potential bone resorption around implants. No crestal bone resorption was observed within this period. It can be concluded that the use of customized titanium mesh is a predictable technique for bone regeneration in advanced, three-dimensional defects.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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