Journal of Oral Implantology April 2013 - (Page 193)
CASE REPORT
Use of Titanium Mesh in Lieu of a Fixation Screw to
Stabilize an Autogenous Block Graft: A Case Report
Sudhindra Kulkarni, MDS1*
Srinath Thakur, MDS1
Sujatha Kamath, MDS2
Sampath Kumar, MDS2
Localized alveolar augmentation is carried out either before, during, or sometimes after implant placement. The
placement of autogenous graft as a block or a particulate alone or in combination with anorganic bone mineral
has been practiced with a great deal of success. The block graft is secured in place with a screw and protected
by a membrane. This case report describes the treatment of a female patient with a bucco-lingual bone
deficiency grafted with autogenous block and a titanium mesh. Five months later, implant was placed in the
grafted area. The definitive prosthesis was cemented 6 months later and followed up for 2 years.
Key Words: autogenous bone graft, titanium mesh, implant
INTRODUCTION
T
he treatment of complete and partial
edentulism with implant-retained restorations is now an accepted reality. The
root form dental implants and osseointegration are now a proven entity.1–3 The
availability of sufficient volumes of bone is one of
the prerequisites for successful osseointegration.
Conditions like trauma, periodontal disease, periapical cysts, and sometimes anatomic limitations
compromise the amount of bone available for
implant placement and also influence the final
restorative outcome.4 Such cases necessitate replacement of the missing teeth by other modes of
replacement or augmentation of the alveolar bone.
Localized ridge augmentation has become one
of the most common modes of replacement of the
lost bone, and it is carried out either before, during,
or sometimes after implant placement.5–11 Bone
augmentation is carried out not only to provide the
underlying base for implant placement but also to
1
Department of Periodontics and Implantology, SDM College of
Dental Sciences and Hospital, Dharwad, India.
2
Department of Prosthodontics and Implantology, SDM College
of Dental Sciences and Hospital, Dharwad, India.
* Corresponding author, e-mail: drsudhindrak@gmail.com
DOI: 10.1563/AAID-JOI-D-11-00006
create harmonious tissue contours in relation to the
adjacent teeth.
Studies have shown that the implant survival in
regenerated bone is predictable.7–13 Various types
of grafts, including autogenous bone as a corticocancellous block or in a particulate form,6,14–20
allografts,17,21,22 xenografts,23,24 and alloplastic17
materials or a combination of these materials have
been used by clinicians, and the overall perception
has been that the procedure has been successful,11
Autogenous blocks have been stabilized routinely using a fixation screw holding the block to
the recipient bed.5,6,16,17,25 Though the use of
collagen membrane or expanded polytetrafluoroethylene membrane over the graft is routinely
carried out, the problems of membrane collapse,
local infection after membrane exposure, and
incomplete bone formation in the space provided
by the membrane haunt practitioners.5,6,26–28
Titanium mesh provides a unique advantage in
that it is malleable, making it adaptable to the
underlying graft, which helps it achieve a firm shape
and secure the graft in situ. It also prevents the
collapse of the overlying tissue into the defect area.
The current report presents a case of a localized
alveolar defect treated with a corticocancellous
block graft stabilized with a titanium mesh.
Journal of Oral Implantology
193
Table of Contents for the Digital Edition of Journal of Oral Implantology April 2013
Evidence-Based Practice or Practice-Based Evidence?
Evaluation of Optimal Taper of Immediately Loaded Wide-Diameter Implants: A Finite Element Analysis
A Prospective, Randomized Controlled Preclinical Trial to Evaluate Different Formulations of Biphasic Calcium Phosphate in Combination With a Hydroxyapatite Collagen Membrane to Reconstruct Deficient Alveolar Ridges
Retention of Implant-Supported Overdenture With Bar/Clip and Stud Attachment Designs
The Clinical and Histologic Outcome of Dental Implant in Large Ridge Defect Regenerated With Alloplast: A Randomized Controlled Preclinical Trial
Fluoride-Treated Bio-Resorbable Synthetic Hydroxyapatite Promotes Proliferation and Differentiation of Human Osteoblastic MG-63 Cells
Resonance Frequency Analysis of 208 Straumann Dental Implants During the Healing Period
A Simplified Technique for Solving the Transfer Problem of Implant-Supported Fixed Partial Dentures for Patients With Microstomia
Esthetic Evaluation of Single-Tooth Morse Taper Connection Implants Placed in Fresh Extraction Sockets or Healed Sites
A Technique for Improving the Retention of Dentures Retained by Ramus Frame Implants
Treatment of Congenitally Missing Maxillary Lateral Incisors: An Interdisciplinary Approach
Use of Titanium Mesh in Lieu of a Fixation Screw to Stabilize an Autogenous Block Graft: A Case Report
A Novel Approach to Preserve the Buccal Wall in Immediate Implant Cases: A Clinical Report
Implant Failure Associated With Actinomycosis in a Medically Compromised Patient
Replacement of Mandibular Posterior Teeth With Implants in a Postmandibular Resection Case: A Case Report
Zygomatic Implants/Fixture: A Systematic Review
An Overview of Immediate Root Analogue Zirconia Implants
Letter to the Editor
Reviews of Current Literature
Journal of Oral Implantology April 2013
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