Abstract
Purpose
The aim of this study is to retrospectively evaluate the success rate of staged localized alveolar ridge augmentation using titanium micromesh. In addition, the factors that influenced the success were analyzed.
Methods
Twenty-three alveolar ridges (posterior mandible 12, anterior maxilla 7, anterior and posterior maxilla 3, and posterior maxilla 1) were augmented using titanium micromesh and were retrospectively assessed.
Results
Thirty sites were judged as successful with a success rate of 56.6 % (posterior mandible 58.3 %, anterior maxilla 57.1 %, anterior and posterior maxilla 33.3 %, and posterior maxilla 100 %). The span of the augmentation site was significantly correlated with the success rate (goodness test of fit for chi-square, p < 0.05). The success rate was low if infection of the grafted material was observed, while the exposure of titanium mesh had no negative impact.
Conclusions
This limited study suggested that the predictability of augmented bone volume in staged alveolar ridge augmentation using titanium micromesh was not sufficient to expect an ideal and planned implant placement. The success was influenced by the distance of the augmentation site and the infection of the graft material, which were associated with moderate to severe vertical ridge resorption and/or mechanical and functional loading on the surgical site.
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References
Engelke WG, Diederichs CG, Jacobs HG, Deckwer I (1997) Alveolar reconstruction with splitting osteotomy and microfixation of implants. Int J Oral Maxillofac Implants 12:310–316
Jensen OT, Cockrell R, Kuhike L, Reed C (2002) Anterior maxillary alveolar distraction osteogenesis: a prospective 5-year clinical study. Int J Oral Maxillofac Implants 17:52–68
Uckan S, Dolanmaz D, Kalayci A, Cilasun U (2002) Distraction osteogenesis of basal mandibular bone for reconstruction of the alveolar ridge. Br J Oral Maxillofac Surg 40:393–399
Schwartz-Arad D, Levin L (2005) Intraoral autogenous block onlay bone grafting for extensive reconstruction of atrophic maxillary alveolar ridges. J Periodontol 76:636–641
Brunel G, Brocard D, Duffort JF, Jacquet E, Justumus P, Simonet T, Benqué E (2001) Bioabsorbable materials for guided bone regeneration prior to implant placement and 7-year follow-up: report of 14 cases. J Periodontol 72:257–264
Simion M, Jovanovic SA, Tinti C, Benfenati SP (2001) Long-term evaluation of osseointegrated implants inserted at the time or after vertical ridge augmentation. A retrospective study on 123 implants with 1–5 year follow-up. Clin Oral Implants Res 12:35–45
von Arx T, Wallkamm B, Hardt N (1998) Localized ridge augmentation using a micro titanium mesh: a report on 27 implants followed from 1 to 3 years after functional loading. Clin Oral Implants Res 9:123–130
Roccuzzo M, Ramieri G, Spada MC, Bianchi SD, Berrone S (2004) Vertical alveolar ridge augmentation by means of a titanium mesh and autogenous bone grafts. Clin Oral Implants Res 15:73–81
Roccuzzo M, Ramieri G, Bunino M, Berrone S (2007) Autogenous bone graft alone or associated with titanium mesh for vertical alveolar ridge augmentation: a controlled clinical trial. Clin Oral Implants Res 18:286–294
Pieri F, Corinaldesi G, Fini M, Aldeni NN, Giardino R, Marchetti G (2008) Alveolar ridge augmentation with titanium mesh and a combination of autogenous bone and anorganic bovine bone: a 2-year prospective study. J Periodontol 79:2093–2103
Corinaldesi G, Pieri F, Sapighi L, Marchetti C (2009) Evaluation of survival and success rates of dental implants placed at the time of or after alveolar ridge augmentation with an autogenous mandibular bone graft and titanium mesh: a 3- to 8-year retrospective study. Int J Oral Maxillofac Implants 24:1119–1128
Jensen SS, Terheyden H (2009) Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with different bone grafts and bone-substitute materials. Int J Oral Maxillofac Implants 24 supplement: 218–236
Misch CE (1990) Divisions of available bone in implant dentistry. Int J Oral Implantol 7:9–17
von Arx T, Hardt N, Wallkamm B (1996) The TIME technique: a new method for localized alveolar ridge augmentation prior to placement of dental implants. Int J Oral Maxillofac Implants 11:387–394
Lozada JL, Proussaefs P (2002) Clinical radiographic, and histologic evaluation of maxillary bone reconstruction by using a titanium mesh and autogenous iliac graft: a case report. J Oral Implantol 28:9–14
Artzi Z, Dayan D, Alpern Y, Nemcovsky CE (2003) Vertical ridge augmentation using xenogenic material supported by a configured titanium mesh: clinicohistopathologic and histochemical study. Int J Oral Maxillofac Implants 18:440–446
Proussaefs P, Lozada J (2006) Use of titanium mesh for staged localized alveolar ridge augmentation: clinical and histologic-histomorphometric evaluation. J Oral Implantol 17:237–247
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This study was approved by the institutional ethics committee.
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Uehara, S., Kurita, H., Shimane, T. et al. Predictability of staged localized alveolar ridge augmentation using a micro titanium mesh. Oral Maxillofac Surg 19, 411–416 (2015). https://doi.org/10.1007/s10006-015-0513-6
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DOI: https://doi.org/10.1007/s10006-015-0513-6