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Discussion : Clinical outcome of alveolar ridge augmentation with individualized CAD-CAM-produced titanium mesh [3]

Discussion : Clinical outcome of alveolar ridge augmentation with individualized CAD-CAM-produced titanium mesh [3]

author: K Sagheb, E Schiegnitz, M Moergel, C Walter, B Al-Nawas, W Wagner | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

The results showed that in all 21 augmented sites, a significant ridge augmentation was achieved, with a mean vertical augmentation of 6.5 ± 1.7 mm and a mean horizontal augmentation of 5.5 ± 1.9 mm. To our best knowledge, this is the first study investigating these parameters in individualized CAD-CAM-produced titanium meshes. For conventional titanium meshes, several studies were published. Torres et al. investigated the effectiveness of anorganic bovine bone in alveolar bone augmentation with the titanium mesh technique [32]. The average bone height gained was 3.3 ± 0.2 mm and the average bone width 3.9 ± 0.2 mm. Corinaldesi et al. indicated in 24 patients with 27 micromeshes a mean vertical bone augmentation of 5.4 ± 1.81 mm [23]. Pieri et al. examined the clinical and radiographic parameters of implants placed in augmented ridges using a 70:30 mixture of autogenous bone and bovine bone mineral in association with titanium meshes [21]. Radiographic assessment showed a mean vertical augmentation of 3.71 ± 1.24 mm and mean horizontal augmentation of 4.16 ± 0.59 mm. Proussaefs and Lozada applied a titanium mesh for localized alveolar ridge augmentation with an equal mixture of autogenous bone and bovine bone mineral [22]. Radiographic evaluation indicated a mean vertical ridge augmentation of 2.56 ± 1.32 mm and a mean horizontal ridge augmentation of 3.75 ± 1.33. In total, the mesh technique is a predictable procedure with sufficient horizontal and vertical bone gain.

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