Alveolar Ridge Reconstruction with Titanium Mesh and Autogenous Particulate Bone Graft: Computed Tomography‐Based Evaluations of Augmented Bone Quality and Quantity

Abstract

Autogenous bone grafting with titanium mesh allows adequate vertical and horizontal alveolar bone reconstruction both quantitatively and qualitatively for implant placement. However, the clinical outcome of augmentation depends on the type of preoperative bone defect.

Assessment of three dimensional bone augmentation of severely atrophied maxillary alveolar ridges using prebent titanium mesh vs customized poly‐ether‐ether‐ketone (PEEK) mesh: A randomized clinical trial

“…Ti‐mesh have been shown to be very predictable in increasing the bone volume in large alveolar ridge deficiencies prior to or during implant surgery owing to its excellent mechanical properties for the stabilization of bone grafts Several studies have shown that the ti‐mesh can maintain space with a high degree of predictably, even in extensive ridge defects. Ikuya et al showed that autogenous bone grafting with titanium mesh allows adequate vertical and horizontal alveolar bone reconstruction both quantitatively and qualitatively for implant placement. However, the clinical outcome of the augmentation is dependent on the type of the defect.…”

Long‐term structural changes and outcomes of implants in particulate cellular bone and marrow reconstructed jawbone

“…Recent research on metabolic bone diseases demonstrated that both BMD and bone quality are the main factors contributing to bone strength, and the National Institutes of Health consensus meeting stated that it is affected by BMD in 70%, and by bone quality in 30% of cases . In addition, bone quality is affected by many factors, such as bone microstructure, collagen composition, and microdamage, and micro‐CT is widely used as a gold standard to evaluate bone microstructure …”

“…In general, when measuring bone structures, cortical and cancellous bones are independently evaluated, because their structure and turnover rates are completely different . However, all these methods for implants do not separate the cortical and cancellous bone, because it has first reported before the modern histomorophological evaluations in the research field of bone metabolism has established . Recently, several studies attempted to analyze BMD and bone microstructure using micro CT in clinical jaw bone specimens .…”

Acceleration of Alveolar Ridge Augmentation Using a Low Dose of Recombinant Human Bone Morphogenetic Protein-2 Loaded on a Resorbable Bioactive Ceramic

“…The titanium mesh completely exposed in 25 % of the treated defects 1-2 months postoperatively, and then it was removed. Miyamoto et al (9) performed a study on forty-one patients treated with autogenous particulate intraoral bone or iliac cancellous bone marrow grafts and micro-titanium meshes. The complications included mesh exposure in 36% of the cases, early removal of mesh because of infection and total bone resorption in 8%, and partial bone resorption with minor infection in 10% of cases.…”

“…(3,4) Several studies have successfully used bone filling materials in combination with a titanium mesh for ridge augmentation, but these techniques have many limitations (5)(6)(7)(8)(9) including the exposure of the titanium mesh after surgery, a high rate (up to 52%) of soft tissue dehiscence (5,7) and bone loss due to infection. The complications associated with the titanium mesh appeared to occur regardless of the kind of bone filling material used in combination.…”