Ridge augmentation with titanium mesh for implant rehabilitation using a stereolythographic model

Resumen

Adequate amount of alveolar bone is critical for achieving functional prosthetic rehabilitation with adequate  aesthetics and biomechanical support. Several techniques have been developed for osseous reconstruction in atrophic upper and lower jaws. Ridge augmentation is an accepted successful method used in dental practice to increase bone volume in sites chosen  for dental implant placement. Titanium mesh have been used  for reconstruction of small and large defects as a method of  containing graft particles.

Case report:  A case of a patient with severe bilateral resorption  in the posterior area of the mandible is presented. Based on the CT scan, a stereolithographic model was obtained; Ridge augmentation procedure was performed with placement of two pre-shaped titanium mesh and a combination of xenograft, allograft, autograft as well  factors rich in plasma. After 3 and a half months, both mesh were removed. An approximately 3 mm gain  in ridge width was obtained making it possible to place and rehabilitate implants.

Conclusion: The use of titanium mesh is an excellent alternative to increase bone width in atrophic jaws,  thus enabling the patient  to receive dental implant treatment.