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