Alveolar ridge reconstruction with titanium meshes: A systematic review of the literature
Identifieur interne : 000A51 ( Main/Exploration ); précédent : 000A50; suivant : 000A52Alveolar ridge reconstruction with titanium meshes: A systematic review of the literature
Auteurs : Marco Rasia Dal Polo [Italie] ; Pier P. Poli [Italie] ; Davide Rancitelli [Italie] ; Mario Beretta [Italie] ; Carlo Maiorana [Italie]Source :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2014.
Abstract
Alveolar bone regeneration by means of titanium meshes is a widespread procedure, however to date, only few relevant studies were reported in literature concerning this technique. Consequently, the aim of the present systematic review was to analyze the reliability of the titanium mesh as a barrier, in conjunction with horizontal and vertical ridge reconstruction for implant placement purposes. A total of 17 articles complying with the inclusion and exclusion criteria were reviewed. Three outcome variables were defined: a) horizontal and vertical bone regeneration obtained, b) complication rate, defined as the percentage of membrane exposures and c) evaluation of implant survival, success and failure rate.In regards to the vertical regeneration the mean was 4.91 mm (range: 2.56 - 8.6), while a mean of 4.36 mm (range: 3.75 - 5.65) was calculated for horizontal reconstruction. Considering the exposure rate, a mean of 16.1% was found, nevertheless, implant placement were placed in almost all of the sites. A mean success rate of 89,9%, a mean survival rate of 100% and a failure rate of 0% emerged from the data evaluation. A meta-analysis could not be performed due to the heterogeneity of the data, however the final results were comparable with those reported in case of bone regeneration obtained through other types of non-resorbable membranes. An advantage in favour of the titanium mesh was found in terms of bone loss after exposure, as implant placement was not jeopardized in almost all of the cases. It could be deduced that titanium meshes represented a reliable solution for alveolar ridge reconstruction. The clinical studies currently available in literature have shown the predictability of this technique in both lateral and vertical bone regeneration.
Url:
DOI: 10.4317/medoral.19998
PubMed: 25350597
PubMed Central: 4259384
Affiliations:
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A systematic review of the literature</title><author><name sortKey="Rasia Dal Polo, Marco" sort="Rasia Dal Polo, Marco" uniqKey="Rasia Dal Polo M" first="Marco" last="Rasia Dal Polo">Marco Rasia Dal Polo</name><affiliation wicri:level="3"><nlm:aff id="A1">Marco Rasia dal Polo 1, Pier-Paolo Poli 2, Davide Rancitelli 3, DDS. Clinical assistant professor, Department of Dental Implants. U.O.C. Maxillofacial Surgery and Odontostomatology. Fondazione Cà Granda IRCCS. University of Milan, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Marco Rasia dal Polo 1, Pier-Paolo Poli 2, Davide Rancitelli 3, DDS. Clinical assistant professor, Department of Dental Implants. U.O.C. Maxillofacial Surgery and Odontostomatology. Fondazione Cà Granda IRCCS. University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Poli, Pier P" sort="Poli, Pier P" uniqKey="Poli P" first="Pier P." last="Poli">Pier P. Poli</name><affiliation wicri:level="3"><nlm:aff id="A2">DDS. Resident, Department of Dental Implants. U.O.C. Maxillofacial Surgery and Odontostomatology. Fondazione Cà Granda IRCCS. University of Milan, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>DDS. Resident, Department of Dental Implants. U.O.C. Maxillofacial Surgery and Odontostomatology. Fondazione Cà Granda IRCCS. University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Rancitelli, Davide" sort="Rancitelli, Davide" uniqKey="Rancitelli D" first="Davide" last="Rancitelli">Davide Rancitelli</name><affiliation wicri:level="3"><nlm:aff id="A3">DDS, PhD Fellow. Department of Dental Implants. U.O.C. Maxillofacial Surgery and Odontostomatology. Fondazione Cà Granda IRCCS. University of Milan, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>DDS, PhD Fellow. Department of Dental Implants. U.O.C. Maxillofacial Surgery and Odontostomatology. Fondazione Cà Granda IRCCS. University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Beretta, Mario" sort="Beretta, Mario" uniqKey="Beretta M" first="Mario" last="Beretta">Mario Beretta</name><affiliation wicri:level="3"><nlm:aff id="A4">DDS, PhD. Clinical assistant professor, Department of Dental Implants. U.O.C. Maxillofacial Surgery and Odontostomatology. Fondazione Cà Granda IRCCS. University of Milan, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>DDS, PhD. Clinical assistant professor, Department of Dental Implants. U.O.C. Maxillofacial Surgery and Odontostomatology. Fondazione Cà Granda IRCCS. University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Maiorana, Carlo" sort="Maiorana, Carlo" uniqKey="Maiorana C" first="Carlo" last="Maiorana">Carlo Maiorana</name><affiliation wicri:level="3"><nlm:aff id="A5">MD, DDS. Professor and Chairman, Department of Oral Surgery and Dental Implants. U.O.C. Maxillofacial Surgery and Odontostomatology. Fondazione Cà Granda IRCCS. University of Milan, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>MD, DDS. Professor and Chairman, Department of Oral Surgery and Dental Implants. U.O.C. Maxillofacial Surgery and Odontostomatology. Fondazione Cà Granda IRCCS. University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author></analytic><series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title><idno type="ISSN">1698-4447</idno><idno type="eISSN">1698-6946</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Alveolar bone regeneration by means of titanium meshes is a widespread procedure, however to date, only few relevant studies were reported in literature concerning this technique. Consequently, the aim of the present systematic review was to analyze the reliability of the titanium mesh as a barrier, in conjunction with horizontal and vertical ridge reconstruction for implant placement purposes. A total of 17 articles complying with the inclusion and exclusion criteria were reviewed. Three outcome variables were defined: a) horizontal and vertical bone regeneration obtained, b) complication rate, defined as the percentage of membrane exposures and c) evaluation of implant survival, success and failure rate.In regards to the vertical regeneration the mean was 4.91 mm (range: 2.56 - 8.6), while a mean of 4.36 mm (range: 3.75 - 5.65) was calculated for horizontal reconstruction. Considering the exposure rate, a mean of 16.1% was found, nevertheless, implant placement were placed in almost all of the sites. A mean success rate of 89,9%, a mean survival rate of 100% and a failure rate of 0% emerged from the data evaluation. A meta-analysis could not be performed due to the heterogeneity of the data, however the final results were comparable with those reported in case of bone regeneration obtained through other types of non-resorbable membranes. An advantage in favour of the titanium mesh was found in terms of bone loss after exposure, as implant placement was not jeopardized in almost all of the cases. It could be deduced that titanium meshes represented a reliable solution for alveolar ridge reconstruction. The clinical studies currently available in literature have shown the predictability of this technique in both lateral and vertical bone regeneration.
</p><p><bold> Key words:</bold>Alveolar ridge reconstruction, bone atrophy, bone regeneration, dental implants, titanium mesh.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jung, Re" uniqKey="Jung R">RE Jung</name></author><author><name sortKey="Fenner, N" uniqKey="Fenner N">N Fenner</name></author><author><name sortKey="Hammerle, Ch" uniqKey="Hammerle C">CH Hammerle</name></author><author><name sortKey="Zitzmann, Nu" uniqKey="Zitzmann N">NU Zitzmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dahlin, C" uniqKey="Dahlin C">C Dahlin</name></author><author><name sortKey="Linde, A" uniqKey="Linde A">A Linde</name></author><author><name sortKey="Gottlow, J" uniqKey="Gottlow J">J Gottlow</name></author><author><name sortKey="Nyman, S" uniqKey="Nyman S">S Nyman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Linde, A" uniqKey="Linde A">A 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Cordaro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Clementini, M" uniqKey="Clementini M">M Clementini</name></author><author><name sortKey="Morlupi, A" uniqKey="Morlupi A">A Morlupi</name></author><author><name sortKey="Canullo, L" uniqKey="Canullo L">L Canullo</name></author><author><name sortKey="Agrestini, C" uniqKey="Agrestini C">C Agrestini</name></author><author><name sortKey="Barlattani, A" uniqKey="Barlattani A">A Barlattani</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li></country><region><li>Lombardie</li></region><settlement><li>Milan</li></settlement></list><tree><country name="Italie"><region name="Lombardie"><name sortKey="Rasia Dal Polo, Marco" sort="Rasia Dal Polo, Marco" uniqKey="Rasia Dal Polo M" first="Marco" last="Rasia Dal Polo">Marco Rasia Dal Polo</name></region><name sortKey="Beretta, Mario" sort="Beretta, Mario" uniqKey="Beretta M" first="Mario" last="Beretta">Mario Beretta</name><name sortKey="Maiorana, Carlo" sort="Maiorana, Carlo" uniqKey="Maiorana C" first="Carlo" last="Maiorana">Carlo Maiorana</name><name sortKey="Poli, Pier P" sort="Poli, Pier P" uniqKey="Poli P" first="Pier P." last="Poli">Pier P. Poli</name><name sortKey="Rancitelli, Davide" sort="Rancitelli, Davide" uniqKey="Rancitelli D" first="Davide" last="Rancitelli">Davide Rancitelli</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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