Customized 3D-Printed Titanium Mesh Developed for an Aesthetic Zone to Regenerate a Complex Bone Defect Resulting after a Deficient Odontectomy: A Case Report

Gelețu, Gabriela Luminița; Burlacu, Alexandru; Murariu, Alice; Andrian, Sorin; Golovcencu, Loredana; Baciu, Elena Raluca; Maftei, George-Alexandru; Onica, Neculai

doi:10.3390/medicina58091192

Cited by 9 publications

(9 citation statements)

References 20 publications

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“…They noted that the ISQ stabilized between the fourth and sixth months. Therefore, biologically active bone was observed around the implants [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Guided Bone Regeneration with Occlusive Titanium Barrier: A Case Report and Clinical Considerations

Milillo¹,

Petruzzi

2023

Biomimetics

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The need to obtain adequate bone volumes for prosthetic rehabilitation supported by implants, using different techniques and materials, represents an urgent need in modern dentistry. We report a case regarding the management of implant-prosthetic rehabilitation of the first and second upper right molars, in which no less than 4 mm of crestal bone remained to insert two implants. Regeneration of the residual bone was previously performed using a customized titanium barrier and a filler of a blood clot with tricalcium beta phosphate. The bone gain (3 mm) was evaluated by comparing CBCT images, while the implant stability (mean 70) was assessed with the ISQ measurement. A regenerated bone sample was taken for histological analysis. Guided bone regeneration obtained with a titanium barrier and blood clot allowed for the insertion of stable implants in a mature bone without heterologous material.

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“…They noted that the ISQ stabilized between the fourth and sixth months. Therefore, biologically active bone was observed around the implants [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Guided Bone Regeneration with Occlusive Titanium Barrier: A Case Report and Clinical Considerations

Milillo¹,

Petruzzi

2023

Biomimetics

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“…In this experiment, the surgeon covered the AutoBT with Bio-Gide ® collagen membrane in order to provide osteogenic space; however, the resorbable collagen membrane could not be used, as it lacked rigid support in order to maintain a stable osteogenic space. A case report by Gelet , u GL [44] illustrates that pre-formed titanium mesh has some strength and rigidity to guide the regenerative bone contour and maintain a relatively stable space with good repair results.…”

Section: Discussionmentioning

confidence: 99%

Guided Bone Regeneration in a Periodontally Compromised Individual with Autogenous Tooth Bone Graft: A Radiomics Analysis

Jin

Wang

et al. 2023

JFB

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Background: Autogenous tooth bone graft material (AutoBT) has been advocated as a bone substitute when conducting alveolar ridge preservation. This study is aimed at using a radiomics approach in order to evaluate and testify whether AutoBT can stimulate bone growth during socket preservation in severe periodontal cases. Materials and Methods: For this study, 25 cases with severe periodontal diseases were selected. The patients’ AutoBTs were inserted into the extraction sockets and covered with Bio-Gide® collagen membranes. 3D CBCT scans and 2D X-rays were taken of the patients before surgery and after 6 months post-surgery. For the retrospective radiomics analysis, the maxillary and mandibular images were compared in different groups. Maxillary bone height was analyzed at the buccal, middle, and palatal crest sites, while the mandibular bone height was compared at the buccal, center, and lingual crest sites. Results: In the maxilla, the alveolar height was increased by −2.15 ± 2.90 mm at the buccal crest; −2.45 ± 2.36 mm at the center of the socket, and −1.62 ± 3.19 mm at the palatal crest, while the height of the buccal crest was increased by 0.19 ± 3.52 mm, and the height at the center of the socket was increased by −0.70 ± 2.71 mm in the mandible. The three-dimensional radiomics analysis demonstrated significant bone growth in the local alveolar height and high density. Conclusion: Based on clinical radiomics analysis, AutoBT could be used as an alternative bone material in socket preservation after tooth extraction in patients with severe periodontitis.

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“…A moderate risk of bias was observed in this review. Geletu et al, 2022 [56] hesis 2023, 5, FOR PEER REVIEW 5 Table S3 (Supplementary Materials) shows the studies excluded from this review and the reasons for exclusion [32][33][34][35][36][37][38][39][40][41][42].…”

Section: Risk Of Biasmentioning

confidence: 99%

“…The Cochrane Collaborati included in this review (Table S4 (Supplementary Materials). The studies were from four categories: controlled intervention studies [43,44], before-after (Pre-Post) studies with no control group [45], observational cohort studies [46][47][48][49][50][51], and case series/case report studies [52][53][54][55][56][57].…”

Section: Risk Of Biasmentioning

confidence: 99%

Full-Digital Customized Meshes in Guided Bone Regeneration Procedures: A Scoping Review

Scribante,

Ghizzoni,

Pellegrini

et al. 2023

Prosthesis

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Meshes, especially titanium ones, are being widely applied in oral surgery. In guided bone regeneration (GBR) procedures, their use is often paired with membranes, being resorbable or non-resorbable. However, they present some limitations, such as difficulty in the treatment of severe bone defects, alongside frequent mesh exposure. Customized meshes, produced by a full-digital process, have been recently introduced in GBR procedures. Therefore, the focus of the present review is to describe the main findings in recent years of clinical trials regarding patient-specific mesh produced by CAD/CAM and 3D printing workflow, made in titanium or even PEEK, applied to GBR surgeries. The purpose is to analyze their clinical management, advantages, and complications. This scoping review considered randomized clinical trials, observational studies, cohort studies, and case series/case reports studies. Studies that did not meet inclusion criteria were excluded. The preferred reporting items for scoping reviews (PRISMA-ScR) consensus was followed. A total of 15 studies were selected for this review. Based on the studies included, the literature suggests that meshes produced by a digital process are used to restore complex and severe bone defects. Moreover, they give satisfactory aesthetic results and fit the defects, counteracting grid exposure. However, more clinical trials should be conducted to evaluate long-term results, the rate of complications, and new materials for mesh manufacturing.

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Customized 3D-Printed Titanium Mesh Developed for an Aesthetic Zone to Regenerate a Complex Bone Defect Resulting after a Deficient Odontectomy: A Case Report

Cited by 9 publications

References 20 publications

Guided Bone Regeneration with Occlusive Titanium Barrier: A Case Report and Clinical Considerations

Guided Bone Regeneration with Occlusive Titanium Barrier: A Case Report and Clinical Considerations

Guided Bone Regeneration in a Periodontally Compromised Individual with Autogenous Tooth Bone Graft: A Radiomics Analysis

Full-Digital Customized Meshes in Guided Bone Regeneration Procedures: A Scoping Review

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