Highly Predictable Augmentation of the Alveolar Ridge: Using a Titanium Mesh in Two-Stage Implant Surgery at the Mandible. Report of Clinical Cases and Surgical Technique

Oleg I. Mastakova, ... Ievgen I. Fesenkod more
a Oleg I. Mastakov

Maxillofacial Surgeon, Scientific Center of Dentistry and Ultrasound Surgery (SCIEDECE). Kyiv Regional Clinical Hospital, Center of Maxillofacial Surgery and Stomatology, Kyiv, Ukraine. Corresponding author. Sciedece, Scientific Center of Dentistry and Ultrasound Surgery (SCIEDECE), 6A, Bohatyrska Str., Kyiv 04209, Ukraine. Tel: +380633269922 Fax.: +380442908030 E-mail: imastakov@gmail.com Instagram: imastakov; sciedece

b Bohdan R. Kondratiuk

Oral Surgeon; Director, Scientific Center of Dentistry and Ultrasound Surgery (SCIEDECE), Kyiv, Ukraine.

c Anna Y. An

Oral Surgeon, Scientific Center of Dentistry and Ultrasound Surgery (SCIEDECE). Clinical Ordinator, Department of Oral and Maxillofacial Surgery, Bogomolets National Medical University, Kyiv, Ukraine.

d Ievgen I. Fesenko

Oral Surgeon, Scientific Center of Dentistry and Ultrasound Surgery (SCIEDECE). PhD, Assistant Professor, Department of Oral and Maxillofacial Surgery, PHEE “Kyiv Medical University,” Kyiv, Ukraine.

March 30, 2018

https://doi.org/10.23999/j.dtomp.2018.1.4

J Diagn Treat Oral Maxillofac Pathol 2018;2:43–50.

Under a Creative Commons license

HOW TO CITE THIS ARTICLE

Mastakov OI, Kondratiuk BR, An AY, Fesenko II. Highly predictable augmentation of the alveolar ridge: using a titanium mesh in two-stage implant surgery at the mandible. Report of clinical cases and surgical technique. J Diagn Treat Oral Maxillofac Pathol 2018;2(1):43−50.

Abstract

Purpose: The aim of this prospective surgical note was to evaluate the highly predictable horizontal bone gain of the alveolar ridge augmentation in two-stage implant surgery at the mandible with titanium mesh.
 

Material and Methods: Five patients treated with 10 implants and simultaneous guided bone regeneration with ribbed titanium meshes (i–Gen®, MegaGen, Seoul, Republic of Korea) were selected for inclusion in the present surgical note. Primary outcomes were highly predictable horizontal bone gain of the alveolar ridge augmentation, secondary outcomes were biological and prosthetic complications.
 

Results: After the removal of titanium meshes, the cone beam computed tomography (CBCT) showed a mean horizontal bone gain of 2 mm. The most frequent complications were mild postoperative edema (40% of patients) and discomfort after surgery (60% of patients); these complications were resolved within one week. Titanium mesh exposure occurred in 0 patients. And implant survival rate of 100% (implant-based).
 

Conclusions: The horizontal ridge reconstruction with titanium meshes placed simultaneously with dental implants achieved predictable satisfactory results.