Use of titanium mesh in implant site development for restorative-driven implant placement: case report. Part 1--Restorative protocol for single-tooth esthetic zone sites.
Predictably augmenting alveolar bone is a significant challenge in implant site development. A restorative-driven approach to implant placement aids in achieving esthetic harmony in the final restoration. This case report demonstrates techniques for treating patients with significant bony defects using a titanium mesh scaffold along with prosthetic steps in molding and conditioning soft tissues with the provisional restoration and the fabrication of a custom impression coping. This case is part of a larger consecutive case series of 77 titanium mesh units in 62 patients treated in a private periodontal practice setting and restored in private restorative practices, which will be published subsequently. In this titanium mesh case series, 14 other cases (a total of 15) were treated in a similar fashion as described in this case report in the category of "single implant placement in the maxillary anterior region." This case illustrates the primary advantages of the use of titanium mesh in such clinical situations.
Clinical Professor in Periodontology and Implantology, Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania; Private Practice, Pennsylvania Center for Dental Implants and Periodontics, Philadelphia, Pennsylvania; Diplomate, American Board of Periodontology; Fellow, International Team for Implantology, Basel, Switzerland.
Robert A
RA
Levine
Former Postgraduate Resident in Periodontology and Implantology, Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania; Private Practice, Toronto, Canada; Diplomate, American Board of Periodontology; Fellow, Royal College of Dentists of Canada.
Aleem
A
Manji
Professor, Department of Periodontology, Laval University, Quebec City, Canada; Former Postgraduate Resident in Periodontology and Implantology, Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania; Private Practice, Quebec, Canada; Diplomate, American Board of Periodontology; Fellow, Royal College of Dentists of Canada.
Joanie
J
Faucher
Clinical Associate Professor, Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania; Private Practice, North Wales, Pennsylvania; Fellow, International Team for Implantology, Basel, Switzerland.
Steven
S
Present
D015921:Dental Implants; D003793:Dental Restoration, Permanent; D004955:Esthetics, Dental; D006801:Humans; D008297:Male; D008875:Middle Aged; D013526:Surgical Mesh; D014025:Titanium
D015921:Dental Implants; D014025:Titanium