Evaluation of Risk Parameters in Bone Regeneration Using a Customized Titanium Mesh: Results of a Clinical Study

Implant Dentistry
Amely HartmannPeer W Kämmerer

Abstract

The aim of the study was an evaluation of risk factors for an innovative bone regeneration technique using a customized titanium mesh that was tested in a clinical setting. This retrospective study included 65 patients with 70 grafting procedures of osseous defects of the jaws with a customized titanium mesh together with Advanced- and Injectable-Platelet-Rich Fibrin (A- and I-PRF), resorbable membranes, and bone grafting materials. Exposures of the meshes and grafting outcome were analyzed according to a novel classification as (a) punctual and (b) tooth width or complete exposure of the mesh (c). No exposure was stated as (d). In 37% of cases, exposures of the meshes occurred that were significantly associated with loss of grafted material (P < 0.001). Tobacco abuse (P = 0.032) and grafting procedures together with simultaneous sinus floor elevation techniques (P = 0.001) were found to be risk factors for success of the grafted material. Implant placement was not possible in 2 cases only. The results of this study verified the treatment of large defects with a customized titanium mesh as a useful protocol with a predictable outcome, even in cases of dehiscences.

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Citations

Jun 18, 2020·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Marta Revilla-LeónMutlu Özcan
Feb 6, 2020·BMC Oral Health·Amely Hartmann, Marcus Seiler
Oct 31, 2020·Journal of the Korean Association of Oral and Maxillofacial Surgeons·Young-Kyun Kim, Jeong-Kui Ku
Jan 1, 2021·International Journal of Oral Science·Yu XieXiaoxiao Cai
Feb 24, 2021·Clinical Implant Dentistry and Related Research·Amely HartmannMarcus Seiler

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