Implant placement and simultaneous peri-implant bone grafting using a micro titanium mesh for graft stabilization.
This article reports the surgical technique and outcome of simultaneous bone grafting and implant placement. A new treatment philosophy different than the principle of guided bone regeneration is presented. The technique is characterized by grafting autogenous bone into a peri-implant bone defect rather than by regenerating bone in a secluded space. Stabilization of the autogenous bone graft is achieved with a micro titanium mesh. The study sample comprised 10 implant sites in six patients. All sites were successfully treated, and postoperative healing was uneventful. The autogenous bone grafts demonstrated perfect integration upon reevaluation when the implants were recovered. The micro titanium mesh proved to be highly biocompatible, exhibited excellent mechanical properties, and avoided graft displacement and contour collapse.
von Arx
T
T
Department of Oral and Maxillofacial Surgery, State Hospital, Luzern, Switzerland.
Kurt
B
B
D000328:Adult; D000540:Alveolar Ridge Augmentation / Q000295:instrumentation / Q000379:methods*; D016025:Bone Transplantation / Q000295:instrumentation / Q000379:methods*; D003758:Dental Implantation, Endosseous / Q000379:methods*; D019250:Dental Implants, Single-Tooth; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000601:surgery; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D010347:Patient Care Planning; D013526:Surgical Mesh; D014025:Titanium
D014025:Titanium