Alveolar ridge reconstruction with titanium meshes: A systematic review of the literature
Open Access
- 1 January 2014
- journal article
- review article
- Published by Medicina Oral, S.L. in Medicina Oral Patología Oral y Cirugia Bucal
- Vol. 19 (6), e639-e646
- https://doi.org/10.4317/medoral.19998
Abstract
Alveolar bone regeneration by means of titanium meshes is a widespread procedure, however to date, only few relevant studies were reported in literature concerning this technique. Consequently, the aim of the present systematic review was to analyze the reliability of the titanium mesh as a barrier, in conjunction with horizontal and vertical ridge reconstruction for implant placement purposes. A total of 17 articles complying with the inclusion and exclusion criteria were reviewed. Three outcome variables were defined: a) horizontal and vertical bone regeneration obtained, b) complication rate, defined as the percentage of membrane exposures and c) evaluation of implant survival, success and failure rate.In regards to the vertical regeneration the mean was 4.91 mm (range: 2.56 - 8.6), while a mean of 4.36 mm (range: 3.75 - 5.65) was calculated for horizontal reconstruction. Considering the exposure rate, a mean of 16.1% was found, nevertheless, implant placement were placed in almost all of the sites. A mean success rate of 89,9%, a mean survival rate of 100% and a failure rate of 0% emerged from the data evaluation. A meta-analysis could not be performed due to the heterogeneity of the data, however the final results were comparable with those reported in case of bone regeneration obtained through other types of non-resorbable membranes. An advantage in favour of the titanium mesh was found in terms of bone loss after exposure, as implant placement was not jeopardized in almost all of the cases. It could be deduced that titanium meshes represented a reliable solution for alveolar ridge reconstruction. The clinical studies currently available in literature have shown the predictability of this technique in both lateral and vertical bone regeneration.Keywords
This publication has 26 references indexed in Scilit:
- Success rate of dental implants inserted in horizontal and vertical guided bone regenerated areas: a systematic reviewInternational Journal of Oral & Maxillofacial Surgery, 2012
- Long‐term outcome of implants placed with guided bone regeneration (GBR) using resorbable and non‐resorbable membranes after 12–14 yearsClinical Oral Implants Research, 2012
- Titanium Mesh as an Alternative to a Membrane for Ridge AugmentationJournal of Oral and Maxillofacial Surgery, 2012
- Alveolar Ridge Augmentation With Titanium Mesh and a Combination of Autogenous Bone and Anorganic Bovine Bone: A 2‐Year Prospective StudyThe Journal of Periodontology, 2008
- Autogenous bone graft alone or associated with titanium mesh for vertical alveolar ridge augmentation: a controlled clinical trialClinical Oral Implants Research, 2007
- Creation of new bone by an osteopromotive membrane technique: An experimental study in ratsJournal of Oral and Maxillofacial Surgery, 1993
- Healing of Bone Defects by Guided Tissue RegenerationPlastic and Reconstructive Surgery, 1988
- Titanium mesh and particulate cancellous bone and marrow grafts to augment the maxillary alveolar ridgeInternational Journal of Oral & Maxillofacial Surgery, 1986
- Porous methyl methacrylate as an implant materialJournal of Biomedical Materials Research, 1972
- Some chemical and biological characteristics of a new collagen-polymer compound materialJournal of Biomedical Materials Research, 1969