Purpose:The aim of this study was the evaluation of using pre-adapted titanium mesh on 3D-model with bovine bone graft and platelet rich fibrin for augmentation of posterior atrophic mandibular ridge.Patients and methods: Prospective study was conducted on eight (8) patients with posterior atrophic ridge using the Pre-adapted Titanium mesh with bovine bone graft and platelet rich fibrin, then implant installation simultaneously after removing Ti-mesh followed by the insertion of Final restoration. Then, by CBCT evaluated the volume of bone gain in height and width also, Implants were evaluated clinically and radiographically.Results: Six months post-augmentation, CBCT evaluation revealed a mean horizontal bone gain of 4.828 mm (± 0.378), and the mean vertical bone gain of 3.822 mm (± 0.828). The most frequent complications were mild postoperative edema and discomfort after surgery; these complications were resolved within one week. Titanium mesh exposure occurred in one (1) patient (1/8: 12.5%): this suffered partial loss of the graft. An implant survival rate of 100 % (implant-based) and a periimplant marginal bone loss of 0.521 mm (±0.15) were recorded after 1 year.
Conclusion:This study suggested that using pre-adapted Ti-mesh and bovine bone graft was considered as optimal treatment modality for augmentation atrophic mandibular ridge.