Alveolar Ridge Augmentation with Titanium Mesh. A Retrospective Clinical Study
Identifieur interne : 000490 ( Pmc/Checkpoint ); précédent : 000489; suivant : 000491Alveolar Ridge Augmentation with Titanium Mesh. A Retrospective Clinical Study
Auteurs : Pier P. Poli [Italie] ; Mario Beretta [Italie] ; Marco Cicciù [Italie] ; Carlo Maiorana [Italie]Source :
- The Open Dentistry Journal [ 1874-2106 ] ; 2014.
Abstract
An adequate amount of bone all around the implant surface is essential in order to obtain long-term success of implant restoration. Several techniques have been described to augment alveolar bone volume in critical clinical situations, including guided bone regeneration, based on the use of barrier membranes to prevent ingrowth of the epithelial and gingival connective tissue cells. To achieve this goal, the use of barriers made of titanium micromesh has been advocated.
A total of 13 patients were selected for alveolar ridge reconstruction treatment prior to implant placement. Each patient underwent a tridimensional bone augmentation by means of a Ti-mesh filled with intraoral autogenous bone mixed with deproteinized anorganic bovine bone in a 1:1 ratio. Implants were placed after a healing period of 6 months. Panoramic x-rays were performed after each surgical procedure and during the follow-up recalls. Software was used to measure the mesial and the distal peri-implant bone loss around each implant. The mean peri-implant bone loss was 1.743 mm on the mesial side and 1.913 mm on the distal side, from the top of the implant head to the first visible bone-implant contact, at a mean follow-up of 88 months.
The use of Ti-mesh allows the regeneration of sufficient bone volume for ideal implant placement. The clinical advantages related to this technique include the possibility of correcting severe vertical atrophies associated with considerable reductions in width and the lack of major complications if soft-tissue dehiscence and mesh exposures do occur.
Url:
DOI: 10.2174/1874210601408010148
PubMed: 25317209
PubMed Central: 4192861
Affiliations:
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A Retrospective Clinical Study</title><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="aff1">Department of Oral Surgery and Implantology, University of Milan, School of Dentistry, IRCSS Cà Granda, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral Surgery and Implantology, University of Milan, School of Dentistry, IRCSS Cà Granda, 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="aff2">Department of Dental Implants. Maxillo-Facial and Odontostomatology Unit, Fondazione Cà Granda IRCCS Ospedale, Maggiore Policlinico. University of Milan, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Dental Implants. Maxillo-Facial and Odontostomatology Unit, Fondazione Cà Granda IRCCS Ospedale, Maggiore Policlinico. University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Cicciu, Marco" sort="Cicciu, Marco" uniqKey="Cicciu M" first="Marco" last="Cicciù">Marco Cicciù</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Human Pathology, School of Dentistry. University of Messina, Policlinico G. Martino, Messina, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Human Pathology, School of Dentistry. University of Messina, Policlinico G. Martino, Messina</wicri:regionArea><wicri:noRegion>Messina</wicri:noRegion></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="aff2">Department of Dental Implants. Maxillo-Facial and Odontostomatology Unit, Fondazione Cà Granda IRCCS Ospedale, Maggiore Policlinico. University of Milan, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Dental Implants. Maxillo-Facial and Odontostomatology Unit, Fondazione Cà Granda IRCCS Ospedale, Maggiore Policlinico. 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">The Open Dentistry Journal</title><idno type="eISSN">1874-2106</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>An adequate amount of bone all around the implant surface is essential in order to obtain long-term success of implant restoration. Several techniques have been described to augment alveolar bone volume in critical clinical situations, including guided bone regeneration, based on the use of barrier membranes to prevent ingrowth of the epithelial and gingival connective tissue cells. To achieve this goal, the use of barriers made of titanium micromesh has been advocated.</p><p>A total of 13 patients were selected for alveolar ridge reconstruction treatment prior to implant placement. Each patient underwent a tridimensional bone augmentation by means of a Ti-mesh filled with intraoral autogenous bone mixed with deproteinized anorganic bovine bone in a 1:1 ratio. Implants were placed after a healing period of 6 months. Panoramic x-rays were performed after each surgical procedure and during the follow-up recalls. Software was used to measure the mesial and the distal peri-implant bone loss around each implant. The mean peri-implant bone loss was 1.743 mm on the mesial side and 1.913 mm on the distal side, from the top of the implant head to the first visible bone-implant contact, at a mean follow-up of 88 months.</p><p>The use of Ti-mesh allows the regeneration of sufficient bone volume for ideal implant placement. The clinical advantages related to this technique include the possibility of correcting severe vertical atrophies associated with considerable reductions in width and the lack of major complications if soft-tissue dehiscence and mesh exposures do occur.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Simion, M" uniqKey="Simion M">M Simion</name></author><author><name sortKey="Trisi, P" uniqKey="Trisi P">P Trisi</name></author><author><name sortKey="Piattelli, A" uniqKey="Piattelli A">A Piattelli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mish, Ce" uniqKey="Mish C">CE Mish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Engelke, Wg" uniqKey="Engelke W">WG Engelke</name></author><author><name sortKey=" Diederichs, Cg" uniqKey=" Diederichs C">CG Diederichs</name></author><author><name sortKey=" Jacobs, Hg" uniqKey=" Jacobs H">HG 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Open Dent J</journal-id><journal-id journal-id-type="iso-abbrev">Open Dent J</journal-id><journal-id journal-id-type="publisher-id">TODENTJ</journal-id><journal-title-group><journal-title>The Open Dentistry Journal</journal-title></journal-title-group><issn pub-type="epub">1874-2106</issn><publisher><publisher-name>Bentham Open</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25317209</article-id><article-id pub-id-type="pmc">4192861</article-id><article-id pub-id-type="publisher-id">TODENTJ-8-148</article-id><article-id pub-id-type="doi">10.2174/1874210601408010148</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Alveolar Ridge Augmentation with Titanium Mesh. A Retrospective Clinical Study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Poli</surname><given-names>Pier P</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Beretta</surname><given-names>Mario</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Cicciù</surname><given-names>Marco</given-names></name><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Maiorana</surname><given-names>Carlo</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib></contrib-group><aff id="aff1"><label>1</label>Department of Oral Surgery and Implantology, University of Milan, School of Dentistry, IRCSS Cà Granda, Milan, Italy</aff><aff id="aff2"><label>2</label>Department of Dental Implants. Maxillo-Facial and Odontostomatology Unit, Fondazione Cà Granda IRCCS Ospedale, Maggiore Policlinico. University of Milan, Milan, Italy</aff><aff id="aff3"><label>3</label>Department of Human Pathology, School of Dentistry. University of Messina, Policlinico G. Martino, Messina, Italy</aff><author-notes><corresp id="cor1"><label>*</label>Address correspondence to this author at the Department of Human Pathology, School of Dentistry. University of Messina, Policlinico G. Martino, Via Consolare Valeria, 98100 Me, Italy; Tel: +390902216911;
E-mail: <email xlink:href="acromarco@yahoo.it">acromarco@yahoo.it</email></corresp></author-notes><pub-date pub-type="epub"><day>29
</day><month>9</month><year>2014</year></pub-date><pub-date pub-type="collection"><year>2014</year></pub-date><volume>8</volume><fpage>148</fpage><lpage>158</lpage><history><date date-type="received"><day>6</day><month>6</month><year>2014</year></date><date date-type="rev-recd"><day>24</day><month>6</month><year>2014</year></date><date date-type="accepted"><day>10</day><month>7</month><year>2014</year></date></history><permissions><copyright-statement>© Poli <italic>et al.</italic>; Licensee <italic>Bentham Open.</italic></copyright-statement><copyright-year>2014</copyright-year><copyright-holder>Poli</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (<uri xlink:type="simple" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</uri>) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.</license-p></license></permissions><abstract><p>An adequate amount of bone all around the implant surface is essential in order to obtain long-term success of implant restoration. Several techniques have been described to augment alveolar bone volume in critical clinical situations, including guided bone regeneration, based on the use of barrier membranes to prevent ingrowth of the epithelial and gingival connective tissue cells. To achieve this goal, the use of barriers made of titanium micromesh has been advocated.</p><p>A total of 13 patients were selected for alveolar ridge reconstruction treatment prior to implant placement. Each patient underwent a tridimensional bone augmentation by means of a Ti-mesh filled with intraoral autogenous bone mixed with deproteinized anorganic bovine bone in a 1:1 ratio. Implants were placed after a healing period of 6 months. Panoramic x-rays were performed after each surgical procedure and during the follow-up recalls. Software was used to measure the mesial and the distal peri-implant bone loss around each implant. The mean peri-implant bone loss was 1.743 mm on the mesial side and 1.913 mm on the distal side, from the top of the implant head to the first visible bone-implant contact, at a mean follow-up of 88 months.</p><p>The use of Ti-mesh allows the regeneration of sufficient bone volume for ideal implant placement. The clinical advantages related to this technique include the possibility of correcting severe vertical atrophies associated with considerable reductions in width and the lack of major complications if soft-tissue dehiscence and mesh exposures do occur.</p></abstract><kwd-group><title>Keywords</title><kwd>Autogenous bone</kwd><kwd>bone augmentation</kwd><kwd>bone resorption</kwd><kwd>dental implants</kwd><kwd>guided bone regeneration</kwd><kwd>titanium me.</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" position="float"><label>Fig. (1)</label><caption><p>Pre-operative orthopantomograph.
</p></caption><graphic xlink:href="TODENTJ-8-148_F1"></graphic></fig><fig id="F2" position="float"><label>Fig. (2)</label><caption><p>Clinical situation before surgical procedures.
</p></caption><graphic xlink:href="TODENTJ-8-148_F2"></graphic></fig><fig id="F3" position="float"><label>Fig. (3)</label><caption><p>Alveolar ridge pre-surgical anatomy after the reflection of a mucoperiosteal flap.
</p></caption><graphic xlink:href="TODENTJ-8-148_F3"></graphic></fig><fig id="F4" position="float"><label>Fig. (4)</label><caption><p>Titanium mesh in situ, filled with a mixture of particulated autogenous bone and DBBM in a 1:1 ratio.
</p></caption><graphic xlink:href="TODENTJ-8-148_F4"></graphic></fig><fig id="F5" position="float"><label>Fig. (5)</label><caption><p>Post-operative orthopantomograph.
</p></caption><graphic xlink:href="TODENTJ-8-148_F5"></graphic></fig><fig id="F6" position="float"><label>Fig. (6)</label><caption><p>Orthopantomograph after titanium mesh removal.
</p></caption><graphic xlink:href="TODENTJ-8-148_F6"></graphic></fig><fig id="F7" position="float"><label>Fig. (7)</label><caption><p>Morphology of the newly formed bone in the right maxilla after a healing period of 6 months.
</p></caption><graphic xlink:href="TODENTJ-8-148_F7"></graphic></fig><fig id="F8" position="float"><label>Fig. (8)</label><caption><p>Implants inserted in the right maxilla thanks to the amount of the regenerated bone.
</p></caption><graphic xlink:href="TODENTJ-8-148_F8"></graphic></fig><fig id="F9" position="float"><label>Fig. (9)</label><caption><p>Healing abutments connection.
</p></caption><graphic xlink:href="TODENTJ-8-148_F9"></graphic></fig><fig id="F10" position="float"><label>Fig. (10)</label><caption><p>Buccal view of the final prosthesis in situ.
</p></caption><graphic xlink:href="TODENTJ-8-148_F10"></graphic></fig><fig id="F11" position="float"><label>Fig. (11)</label><caption><p>Occlusal view of the final prosthesis in situ.
</p></caption><graphic xlink:href="TODENTJ-8-148_F11"></graphic></fig><fig id="F12" position="float"><label>Fig. (12)</label><caption><p>Follow-up orthopantomograph.
</p></caption><graphic xlink:href="TODENTJ-8-148_F12"></graphic></fig><table-wrap id="T1" position="float"><label>Table 1.</label><caption><p>Retrospective evaluations. The mesial bone resorption (MBR) and the distal bone resorption (DBR) measured for each patient is showed, in addition to the site, the dimensions of the fixtures and the relative donor site.</p></caption><table frame="border" rules="all" width="100%"><thead><tr><th align="center" rowspan="1" colspan="1"><bold>#</bold></th><th align="center" rowspan="1" colspan="1"><bold>Gender</bold></th><th align="center" rowspan="1" colspan="1"><bold>Donor Site</bold></th><th align="center" rowspan="1" colspan="1"><bold>Implant Dimensions (Width x Height in mm)*</bold></th><th align="center" rowspan="1" colspan="1"><bold>Implant Site</bold></th><th align="center" rowspan="1" colspan="1"><bold>MBR (mm)</bold></th><th align="center" rowspan="1" colspan="1"><bold>DBR (mm)</bold></th></tr></thead><tbody><tr><td rowspan="2" colspan="1">1</td><td rowspan="2" align="center" colspan="1">M</td><td rowspan="2" colspan="1">Left tuber
maxillae</td><td align="center" rowspan="1" colspan="1">4.0 x 11</td><td align="center" rowspan="1" colspan="1">2.1</td><td align="center" rowspan="1" colspan="1">1.301</td><td align="center" rowspan="1" colspan="1">0.918</td></tr><tr><td align="center" rowspan="1" colspan="1">4.0 x 11</td><td align="center" rowspan="1" colspan="1">2.2</td><td align="center" rowspan="1" colspan="1">0.842</td><td align="center" rowspan="1" colspan="1">1.214</td></tr><tr><td align="center" rowspan="1" colspan="1">2</td><td align="center" rowspan="1" colspan="1">M</td><td align="center" rowspan="1" colspan="1">Symphysis</td><td align="center" rowspan="1" colspan="1">4.0 x 11</td><td align="center" rowspan="1" colspan="1">2.3</td><td align="center" rowspan="1" colspan="1">0.983</td><td align="center" rowspan="1" colspan="1">1.704</td></tr><tr><td align="center" rowspan="1" colspan="1">3</td><td align="center" rowspan="1" colspan="1">M</td><td align="center" rowspan="1" colspan="1">Left tuber
maxillae</td><td align="center" rowspan="1" colspan="1">4.0 x 11</td><td align="center" rowspan="1" colspan="1">2.1</td><td align="center" rowspan="1" colspan="1">1.357</td><td align="center" rowspan="1" colspan="1">1.422</td></tr><tr><td align="center" rowspan="1" colspan="1">4</td><td align="center" rowspan="1" colspan="1">F</td><td align="center" rowspan="1" colspan="1">Right retromolar trigone</td><td align="center" rowspan="1" colspan="1">4.0 x 11</td><td align="center" rowspan="1" colspan="1">2.1</td><td align="center" rowspan="1" colspan="1">1.814</td><td align="center" rowspan="1" colspan="1">1.771</td></tr><tr><td rowspan="2" colspan="1">5</td><td rowspan="2" align="center" colspan="1">F</td><td rowspan="2" colspan="1">Left tuber
maxillae</td><td align="center" rowspan="1" colspan="1">4.0 x 11</td><td align="center" rowspan="1" colspan="1">3.1</td><td align="center" rowspan="1" colspan="1">2.614</td><td align="center" rowspan="1" colspan="1">2.755</td></tr><tr><td align="center" rowspan="1" colspan="1">4.0 x 11</td><td align="center" rowspan="1" colspan="1">4.1</td><td align="center" rowspan="1" colspan="1">2.020</td><td align="center" rowspan="1" colspan="1">1.714</td></tr><tr><td align="center" rowspan="1" colspan="1">6</td><td align="center" rowspan="1" colspan="1">M</td><td align="center" rowspan="1" colspan="1">Left tuber maxillae</td><td align="center" rowspan="1" colspan="1">4.0 x 11</td><td align="center" rowspan="1" colspan="1">2.1</td><td align="center" rowspan="1" colspan="1">1.700</td><td align="center" rowspan="1" colspan="1">1.208</td></tr><tr><td align="center" rowspan="1" colspan="1">7</td><td align="center" rowspan="1" colspan="1">F</td><td align="center" rowspan="1" colspan="1">Symphysis</td><td align="center" rowspan="1" colspan="1">3.5 x 14</td><td align="center" rowspan="1" colspan="1">1.3</td><td align="center" rowspan="1" colspan="1">1.796</td><td align="center" rowspan="1" colspan="1">1.533</td></tr><tr><td rowspan="2" colspan="1">8</td><td rowspan="2" align="center" colspan="1">F</td><td rowspan="2" colspan="1">Left tuber
maxillae</td><td align="center" rowspan="1" colspan="1">3.5 x 11</td><td align="center" rowspan="1" colspan="1">2.2</td><td align="center" rowspan="1" colspan="1">1.518</td><td align="center" rowspan="1" colspan="1">2.854</td></tr><tr><td align="center" rowspan="1" colspan="1">3.5 x 11</td><td align="center" rowspan="1" colspan="1">2.3</td><td align="center" rowspan="1" colspan="1">2.155</td><td align="center" rowspan="1" colspan="1">3.560</td></tr><tr><td rowspan="2" colspan="1">9</td><td rowspan="2" align="center" colspan="1">F</td><td rowspan="2" colspan="1">Right mandibular ramus</td><td align="center" rowspan="1" colspan="1">4.25 x 10</td><td align="center" rowspan="1" colspan="1">4.6</td><td align="center" rowspan="1" colspan="1">1.254</td><td align="center" rowspan="1" colspan="1">1.145</td></tr><tr><td align="center" rowspan="1" colspan="1">4.25 x 10</td><td align="center" rowspan="1" colspan="1">4.7</td><td align="center" rowspan="1" colspan="1">1.187</td><td align="center" rowspan="1" colspan="1">1.267</td></tr><tr><td align="center" rowspan="1" colspan="1">10</td><td align="center" rowspan="1" colspan="1">M</td><td align="center" rowspan="1" colspan="1">Right tuber maxillae</td><td align="center" rowspan="1" colspan="1">4.0 x 11</td><td align="center" rowspan="1" colspan="1">1.4</td><td align="center" rowspan="1" colspan="1">1.324</td><td align="center" rowspan="1" colspan="1">1.580</td></tr><tr><td rowspan="2" colspan="1">11</td><td rowspan="2" align="center" colspan="1">M</td><td rowspan="2" colspan="1">Left mandibular ramus</td><td align="center" rowspan="1" colspan="1">4.25 x 11.5</td><td align="center" rowspan="1" colspan="1">2.1</td><td align="center" rowspan="1" colspan="1">1.629</td><td align="center" rowspan="1" colspan="1">2.024</td></tr><tr><td align="center" rowspan="1" colspan="1">4.25 x 11.5</td><td align="center" rowspan="1" colspan="1">1.1</td><td align="center" rowspan="1" colspan="1">1.726</td><td align="center" rowspan="1" colspan="1">2.441</td></tr><tr><td rowspan="2" colspan="1">12</td><td rowspan="2" align="center" colspan="1">M</td><td rowspan="2" colspan="1">Right tuber maxillae</td><td align="center" rowspan="1" colspan="1">3.5 x 11</td><td align="center" rowspan="1" colspan="1">2.1</td><td align="center" rowspan="1" colspan="1">2.557</td><td align="center" rowspan="1" colspan="1">2.017</td></tr><tr><td align="center" rowspan="1" colspan="1">3.5 x 11</td><td align="center" rowspan="1" colspan="1">1.1</td><td align="center" rowspan="1" colspan="1">3.100</td><td align="center" rowspan="1" colspan="1">2.954</td></tr><tr><td rowspan="2" colspan="1">13</td><td rowspan="2" align="center" colspan="1">M</td><td rowspan="2" colspan="1">Right tuber maxillae</td><td align="center" rowspan="1" colspan="1">4.25 x 11.5</td><td align="center" rowspan="1" colspan="1">2.1</td><td align="center" rowspan="1" colspan="1">2.374</td><td align="center" rowspan="1" colspan="1">1.488</td></tr><tr><td align="center" rowspan="1" colspan="1">4.25 x 11.5</td><td align="center" rowspan="1" colspan="1">2.2</td><td align="center" rowspan="1" colspan="1">1.628</td><td align="center" rowspan="1" colspan="1">2.707</td></tr><tr><td colspan="4" rowspan="1">Mean</td><td align="center" style="background-color: silver" rowspan="1" colspan="1">1.743</td><td align="center" style="background-color: silver" rowspan="1" colspan="1">1.913</td><td align="center" style="background-color: silver" rowspan="1" colspan="1"> </td></tr><tr><td colspan="4" rowspan="1">S.D.</td><td align="center" rowspan="1" colspan="1">0.567</td><td align="center" rowspan="1" colspan="1">0.710</td><td align="center" rowspan="1" colspan="1"> </td></tr></tbody></table></table-wrap></floats-group></pmc><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="Poli, Pier P" sort="Poli, Pier P" uniqKey="Poli P" first="Pier P" last="Poli">Pier P. Poli</name></region><name sortKey="Beretta, Mario" sort="Beretta, Mario" uniqKey="Beretta M" first="Mario" last="Beretta">Mario Beretta</name><name sortKey="Cicciu, Marco" sort="Cicciu, Marco" uniqKey="Cicciu M" first="Marco" last="Cicciù">Marco Cicciù</name><name sortKey="Maiorana, Carlo" sort="Maiorana, Carlo" uniqKey="Maiorana C" first="Carlo" last="Maiorana">Carlo Maiorana</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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