Biomaterial-based bone regeneration and soft tissue management of the individualized 3D-titanium mesh: An alternative concept to autologous transplantation and flap mobilization

Ghanaati, Shahram; Al‐Maawi, Sarah; Conrad, Torsten; Lorenz, Julia; Rößler, Ralf; Sader, Robert

doi:10.1016/j.jcms.2019.07.020

Cited by 24 publications

(30 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Biomechanical and animal researches have confirmed previously that 3D‐PITM can provide excellent biocompatibility, adaptability, space‐making capacity, adequate mechanical, and physical properties 14,15 . More importantly, in contrast to the traditional PFTM, the application of 3D‐PITM showed lower mesh exposure rate (0%‐33%), shorter operation time and lesser pain after GBR management 16‐18 . Up to now, the existing literatures have revealed that the application of 3D‐PITM for GBR can achieve satisfactory clinical efficacy and long‐term stability with high GBR success rate and implant survival rate 16,18,19 …”

Section: Introductionmentioning

confidence: 68%

“… Higher resolution of CBCT scanning is helpful to obtain accurate data of alveolar bone, which means a lot for the virtual design of 3D‐PITM. During the modeling of virtual bone defect, CT threshold is the critical variable for the final look of 3D models' contour. Auxiliary template for preparation of screws fixture is recommend. It could be designed and manufactured by means of CAD‐CAM, and might help the correct installation of 3D‐PITM. Appropriate number and sites of fixture screws is critical for better stability of 3D‐PITM sitting on the alveolar crest and over the bone grafting material. Experience surgical skill and proper handling of complications are needed to prevent the negative influence of bone augmentation 17 …”

Section: Discussionmentioning

confidence: 99%

“…In the last decade, PRF matrix has been widely used to cover Ti mesh, and has been proven to accelerate the healing process of soft tissues and prevent complications of Ti‐mesh 30,36,39 . In the study of Ghanaati et al, a new avenue using solid PRF matrix to cover the gap between the approximated flap margins in terms of open healing was presented, and it showed satisfactory clinical and histological outcomes 17 . In our study, we also suggested this method in following situations: severe bone defects; defects with more than three teeth loss or surgeons who are lack of surgical experience with regard to achieve a tension‐free closure.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Research on the dimensional accuracy of customized bone augmentation combined with 3D‐printing individualized titanium mesh: A retrospective case series study

Wang

et al. 2020

Clin Implant Dent Rel Res

View full text Add to dashboard Cite

Background Few studies have focused on the dimensional accuracy of customized bone grafting by means of guided bone regeneration (GBR) with 3D‐Printed Individual Titanium Mesh (3D‐PITM). Purpose Digital technologies were applied to evaluate the dimensional accuracy of customized bone augmentation with 3D‐PITM with a two‐stage technique. Materials and methods Sixteen patients were included in this study. The CBCT data of post‐GBR (immediate post‐GBR) and post‐implantation (immediate post‐implant placement) were 3D reconstructed and compared with the pre‐surgical planned bone augmentation. The dimensional differences were evaluated by superimposition using the Materialize 3‐matic software. Results The superimposition analysis showed that the maximum deviations of contour between were 3.4 mm, and the average differences of the augmentation contour were 0.5 ± 0.4 and 0.6 ± 0.5 mm respectively. The planned volume of bone regeneration was approximately equal to the amount of regenerated bone present 6 to 9 months after the surgical procedure. On average, the vertical gain in bone height was about 0.5 mm less than planned. And, the horizontal bone gain on the straight buccal of the dental implants and 2 to 4 mm apical of the platform fell also about a 0.5 mm short on average. Statistically significant differences were observed between the augmented volume of virtual and post‐GBR, and the horizontal bone gain of post‐implantation on the level of 4 mm apical to the implant platform (P < .05). Conclusions The dimensional accuracy of customized bone augmentation with the 3D‐PITM approach needs further improvement and compared to other surgical approaches of bone augmentation.

show abstract

Section: Introductionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Research on the dimensional accuracy of customized bone augmentation combined with 3D‐printing individualized titanium mesh: A retrospective case series study

Wang

et al. 2020

Clin Implant Dent Rel Res

View full text Add to dashboard Cite

show abstract

“…Finally, desired bone augmentation effects and soft tissue esthetic results were obtained. 72 Fixation options of titanium mesh In vitro study has found that the migration factor released by blood that in contact with the surface of titanium mesh plays a vital role in early cell recruitment. The interaction between blood and titanium mesh may regulate the early osteogenic microenvironment of bone healing and remodeling.…”

Section: Covering Materialsmentioning

confidence: 99%

Titanium mesh for bone augmentation in oral implantology: current application and progress

et al. 2020

View full text Add to dashboard Cite

Guided bone regeneration (GBR) is an effective and simple method for bone augmentation, which is often used to reconstruct the alveolar ridge when the bone defect occurs in the implant area. Titanium mesh has expanded the indications of GBR technology due to its excellent mechanical properties and biocompatibility, so that the GBR technology can be used to repair alveolar ridges with larger bone defects, and can obtain excellent and stable bone augmentation results. Currently, GBR with titanium mesh has various clinical applications, including different clinical procedures. Bone graft materials, titanium mesh covering methods, and titanium mesh fixing methods are also optional. Moreover, the research of GBR with titanium mesh has led to multifarious progresses in digitalization and material modification. This article reviews the properties of titanium mesh and the difference of titanium mesh with other barrier membranes; the current clinical application of titanium mesh in bone augmentation; common complications and management and prevention methods in the application of titanium mesh; and research progress of titanium mesh in digitization and material modification. Hoping to provide a reference for further improvement of titanium mesh in clinical application and related research of titanium mesh.

show abstract

“…At present, many scholars focused their attention on 3D‐printed titanium mesh and CAD/CAM printed bone block materials. These digital technologies could assist in achieving a more controllable bone augmentation program 30‐37 . However, the plasticity of 3D‐printed titanium mesh was poor, and the complication of titanium mesh exposure was a difficult problem to fix.…”

Section: Discussionmentioning

confidence: 99%

A novel digital and visualized guided bone regeneration procedure and digital precise bone augmentation: A case series

Zhou

Zhang

et al. 2020

Clin Implant Dent Rel Res

View full text Add to dashboard Cite

Background Although the traditional bone augmentation technology can basically meet the clinical needs at present, the effect of bone augmentation in most cases is related to the experience of the operator. Propose This study commits to providing a digital solution for precise bone augmentation in the field of oral implantology. Materials and methods After collecting the data of patients' intraoral scanning and DICOM (digital imaging and communications in medicine), the implant position is digitally designed, and the alveolar bone is digitally augmented around the ideal implant position. On the premise of ensuring that the thickness of labial bone is 2 mm, and there is sufficient alveolar bone 3 to 4 mm apically from the ideal gingival margin for implant placing, we carry out excessive augmentation of 0.5 and 1 mm on the labial bone and alveolar crest, respectively, to compensate for possible bone resorption after 6 months. After 3D printing the reconstructed alveolar bone model, the titanium mesh is trimmed and preformed on the alveolar bone model. Outcomes are reported in terms of mean values (5%‐95% percentile values). Results Thirty implant sites have accepted this novel virtually designed alveolar bone augmentation. Before the second‐stage surgery, the average vertical bone gain was 2.48 mm (0.29‐6.32), the average horizontal bone gain was 4.11 mm (1.19‐8.74), the average height of the residual alveolar bone above the implant platform was 1.44 mm (0.59‐2.92), the average thickness of the labial bone width at the implant platform was 2.00 mm (0.93‐3.64), the average thickness of the labial bone width at 2 mm apically from the implant platform was 2.74 mm (1.40‐5.46). The virtual augmentation of each tooth position was 349.41 mm3 (165.70‐482.70), while the actual augmentation of each tooth position was 352.94 mm3 (159.24‐501.78), the accuracy of the final actual augmentation reached 95.82% (range from 88.53% to 99.15%). Conclusion This case series suggests that a virtually digital guided bone regeneration (GBR) workflow is precise and controllable. The practicality, safety and effectiveness of this procedure needs to be compared to other bone augmentation procedures in randomized controlled trials.

show abstract

Biomaterial-based bone regeneration and soft tissue management of the individualized 3D-titanium mesh: An alternative concept to autologous transplantation and flap mobilization

Cited by 24 publications

References 37 publications

Research on the dimensional accuracy of customized bone augmentation combined with 3D‐printing individualized titanium mesh: A retrospective case series study

Research on the dimensional accuracy of customized bone augmentation combined with 3D‐printing individualized titanium mesh: A retrospective case series study

Titanium mesh for bone augmentation in oral implantology: current application and progress

A novel digital and visualized guided bone regeneration procedure and digital precise bone augmentation: A case series

Contact Info

Product

Resources

About