Clinical and radiographic evaluation of simultaneous alveolar ridge augmentation by means of preformed titanium meshes at dehiscence-type peri-implant defects: A prospective pilot study

Carlo Maiorana, Mattia Manfredini, Mario Beretta, Fabrizio Signorino, Andrea Bovio, Pier Paolo Poli

Research output: Contribution to journalArticle

Abstract

Background: bone augmentation by means of manually shaped titanium mesh is an established procedure to regenerate atrophic alveolar ridges and recreate a proper contour of the peri-implant bone anatomy. Conversely, current literature on the use of preformed titanium meshes instead of traditional grids remains lacking. Therefore, the aim of the present prospective study was to evaluate the use of preformed titanium mesh to support bone regeneration simultaneously to implant placement at dehiscence-type defects from clinical, radiological, and patient-related outcomes. Methods: 8 implants showing buccal dehiscence defects were treated with preformed titanium mesh directly fixed to flat abutments screwed to the implant. Intrasurgical clinical measurements and radiographic evaluations by means of cone-beam computed tomography scans were performed to assess the horizontal bone gain after 8 months from the augmentation surgery. Biological and patient-centered outcomes were also evaluated.; Results: clinically, a mean horizontal bone gain of 4.95 ± 0.96 mm, and a mean horizontal thickness of the buccal plate of 3.25 ± 0.46 mm were found. A mean horizontal bone gain of 5.06 ± 0.88 mm associated with a mean horizontal thickness of the buccal plate of 3.45 ± 0.68 mm were observed radiographically. From a macroscopic aspect, the remodeled graft appeared well integrated with the host bone. Well vascularized newly formed bone-like tissue was observed in intimate contact with the implants. Conclusions: preformed titanium mesh may be effective in supporting simultaneous horizontal bone regeneration at dehiscence-type peri-implant defects. Titanium mesh exposure still remain an issue in this type of surgery.

Original languageEnglish
Article number2389
JournalMaterials
Volume13
Issue number10
DOIs
Publication statusPublished - May 1 2020

Keywords

  • Buccal bone resorption
  • Dental implants
  • Guided bone regeneration
  • Horizontal bone regeneration
  • Preformed titanium mesh

ASJC Scopus subject areas

  • Materials Science(all)

Fingerprint Dive into the research topics of 'Clinical and radiographic evaluation of simultaneous alveolar ridge augmentation by means of preformed titanium meshes at dehiscence-type peri-implant defects: A prospective pilot study'. Together they form a unique fingerprint.

  • Cite this