Vertical and horizontal ridge augmentation in anterior maxilla using autograft, xenograft and titanium mesh with simultaneous placement of endosseous implants

Deshpande, Sudhendra; Deshmukh, Jeevanand; Deshpande, Sumeet; Khatri, Richa; Deshpande, Saurabh

doi:10.4103/0972-124x.142469

Cited by 25 publications

(13 citation statements)

References 17 publications

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“…Thus, to achieve a successful aesthetic outcome, a bone augmentation procedure with a flap approach is indicated in immediate or early implant placement cases. Generally, bone augmentation is needed to achieve adequate ridge width or height that was lost due to factors including extraction, trauma, periodontal disease, sinus pneumatization, or extended use of removable dentures (Deshmukh et al, 2014). Some studies have, however, suggested bone augmentation even in the absence of bone fenestration or dehiscence for better aesthetic results (Cha et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Alveolar bone plate measurements of maxillary anterior teeth: A retrospective Cone Beam Computed Tomography study, AlMadianh, Saudi Arabia

Sheerah

Othman

Jaafar

et al. 2019

The Saudi Dental Journal

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PurposeTo study bone profile (facial bone thickness and height of alveolar bone crest) of anterior maxillary teeth in the aesthetic area among Saudi dentulous adults.MethodsThis retrospective study was conducted at Taibah University College of Dentistry and Hospital, AlMadinah; Saudi Arabia. The analysis included 490 adult patients’ Cone Beam Computed Tomography (CBCT) retrieved from Kodak Carestream-R4 database. Alveolar bone thicknesses and crest bone-height for maxillary anterior teeth were measured directly on CBCT images using built-in digital caliper. Descriptive statistics and comparative analysis were performed.ResultsOf the 490 CBCTs 186 were found useable for the study purpose. The mean age of the patients was 34.65 ± 11.57and 109 (59%) were males. Statistically significant (P < 0.001) differences were found between the mean ± SD facial plate thickness of the central incisors, lateral incisors, and canines (1.12 ± 0.28 mm, 1.14 ± 0.31 mm, and 1.03 ± 0.24 mm, respectively). In addition, facial plate height increased statistically significantly positively with age for the central incisors, lateral incisors, and canines (r = 0.543, n = 186, p = 0.001; r = 0.515, n = 186, p = 0.001; r = 0.474, n = 186, p = 0.001, respectively). Genderwise, males had statistically significantly (P < 0.00) higher facial bone thickness e.g. in central incisor (males 1.20 ± 0.29 VS females 1.04 ± 0.25, p = 0.001) and increased bone height (Males 2.62 ± 0.77VS females 2.09 ± 0.66, p = 0.001) compared to females.ConclusionIn this study, the significant differences in bone thickness and crest height between anterior maxillary teeth in the aesthetic area was highlighted. Notably, increases in facial plate crest height was linked to age and male and female differed on both facial bone thickness and bone height.

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Section: Discussionmentioning

confidence: 99%

Alveolar bone plate measurements of maxillary anterior teeth: A retrospective Cone Beam Computed Tomography study, AlMadianh, Saudi Arabia

Sheerah

Othman

Jaafar

et al. 2019

The Saudi Dental Journal

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“…Titanium (Ti) and its alloys are widely used in the fields of dentistry and oral and maxillofacial surgery, such as bone fixation devices and dental implants, mainly due to their excellent mechanical properties, superior biocompatibility, stability, and osseointegration potential 1 2 3 . They have also been used for bone regeneration therapies such as the TIME technique, which is characterized by the use of micro-titanium augmentation mesh, in maxilla and mandibular bone reconstruction after tumor resection 4 5 6 . Although this therapy is generally successful, some failures still occur due to surgical site infection or deficient bone formation on the surface of Ti.…”

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confidence: 99%

Zinc-modified titanium surface enhances osteoblast differentiation of dental pulp stem cells in vitro

Yusa

Yamamoto

Takano

et al. 2016

Sci Rep

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Zinc is an essential trace element that plays an important role in differentiation of osteoblasts and bone modeling. This in vitro study aimed to evaluate the osteoblast differentiation of human dental pulp stem cells (DPSCs) on zinc-modified titanium (Zn-Ti) that releases zinc ions from its surface. Based on real-time PCR, alkaline phosphatase (ALP) activity and Western blot analysis data, we investigated osteoblast differentiation of DPSCs cultured on Zn-Ti and controls. DPSCs cultured on Zn-Ti exhibited significantly up-regulated gene expression levels of osteoblast-related genes of type I collagen (Col I), bone morphogenetic protein 2 (BMP2), ALP, runt-related transcription factor 2 (Runx2), osteopontin (OPN), and vascular endothelial growth factor A (VEGF A), as compared with controls. We also investigated extracellular matrix (ECM) mineralization by Alizarin Red S (ARS) staining and found that Zn-Ti significantly promoted ECM mineralization when compared with controls. These findings suggest that the combination of Zn-Ti and DPSCs provides a novel approach for bone regeneration therapy.

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“…To overcome this, membranes have been developed using stiff materials such as titanium membranes or metal reinforced expanded-polytetrafluoroethylene (ePTFE) [12] for the treatment of complex vertical periodontal defects [158]. In 1969, Boyne et al first used a titanium mesh for the reconstruction of large osseous defects in edentulous maxillary ridges [159].…”

Section: Barrier Membranes For Periodontal Guided Regeneration Applicmentioning

confidence: 99%

Natural graft tissues and synthetic biomaterials for periodontal and alveolar bone reconstructive applications: a review

et al. 2017

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Periodontal disease is categorized by the destruction of periodontal tissues. Over the years, there have been several clinical techniques and material options that been investigated for periodontal defect repair/regeneration. The development of improved biomaterials for periodontal tissue engineering has significantly improved the available treatment options and their clinical results. Bone replacement graft materials, barrier membranes, various growth factors and combination of these have been used. The available bone tissue replacement materials commonly used include autografts, allografts, xenografts and alloplasts. These graft materials mostly function as osteogenic, osteoinductive and/or osteoconductive scaffolds. Polymers (natural and synthetic) are more widely used as a barrier material in guided tissue regeneration (GTR) and guided bone regeneration (GBR) applications. They work on the principle of epithelial cell exclusion to allow periodontal ligament and alveolar bone cells to repopulate the defect before the normally faster epithelial cells. However, in an attempt to overcome complications related to the epithelial down-growth and/or collapse of the non-rigid barrier membrane and to maintain space, clinicians commonly use a combination of membranes with hard tissue grafts. This article aims to review various available natural tissues and biomaterial based bone replacement graft and membrane options used in periodontal regeneration applications.

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Vertical and horizontal ridge augmentation in anterior maxilla using autograft, xenograft and titanium mesh with simultaneous placement of endosseous implants

Cited by 25 publications

References 17 publications

Alveolar bone plate measurements of maxillary anterior teeth: A retrospective Cone Beam Computed Tomography study, AlMadianh, Saudi Arabia

Alveolar bone plate measurements of maxillary anterior teeth: A retrospective Cone Beam Computed Tomography study, AlMadianh, Saudi Arabia

Zinc-modified titanium surface enhances osteoblast differentiation of dental pulp stem cells in vitro

Natural graft tissues and synthetic biomaterials for periodontal and alveolar bone reconstructive applications: a review

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