title: Clinical radiographic, and histologic evaluation of maxillary bone reconstruction by using a titanium mesh and autogenous iliac graft: a case report.
abstract: The current clinical report describes the use of titanium mesh for maxillary alveolar ridge augmentation. Autogenous bone graft was harvested from the iliac crest and was loaded on a titanium mesh that was left in the patient's maxilla for 7 months before it was removed. Twelve months after the bone grafting procedure the patient received 10 implants on the maxilla, and a biopsy was taken from the augmented ridge. CT scan examination was performed before and after the maxillary ridge augmentation. Clinical evaluation revealed successful integration of the graft. The radiographic analysis demonstrated that a 10-mm vertical ridge augmentation had been achieved. Histologic evaluation revealed remnants of the autogenous bone graft still present, whereas the grafted area had a reduced remodeling activity. The clinical report demonstrated the potential of the titanium mesh to achieve extensive alveolar ridge augmentation, whereas the augmented ridge may possess an inferior capability forbone remodeling.
authors.affiliation: Graduate Program in Implant Dentistry, Loma Linda University, Loma Linda, CA 92350, USA.
authors.forename: Jaime
authors.initials: J
authors.lastname: Lozada
authors.forename: Periklis
authors.initials: P
authors.lastname: Proussaefs
mesh_terms: D000368:Aged; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D001706:Biopsy; D001857:Bone Matrix / Q000637:transplantation; D016723:Bone Remodeling; D018786:Bone Substitutes / Q000627:therapeutic use; D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation / Q000601:surgery; D008437:Maxilla / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008443:Maxillary Sinus / Q000601:surgery; D008859:Microscopy, Polarization; D008903:Minerals / Q000627:therapeutic use; D011862:Radiography, Panoramic; D013526:Surgical Mesh; D014025:Titanium; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous
chemical_list: C077540:Bio-Oss; D018786:Bone Substitutes; D015921:Dental Implants; D008903:Minerals; D014025:Titanium