Video Details
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Titanium Mesh and it's Role in Bone Augmentation; A Clinical Review
Description:
Different surgical procedures have been proposed in reconstruction of deficient alveolar ridges for placing dental implants in optimum prosthetic and esthetic position. In all procedures it is important to provide optimum stability for space maintenance three dimentionally and achieving adequate reconstruction of bone. Cell-occlusive membranes showed very good results obtaining great quantity of regenerated bone. However, they have inconveniences such as low stiffness for maintaining the contour of the regenerated sites, and a high risk of infection after wound dehiscence and barrier exposure especially in non-resorbables. Titanium mesh is one of the alternatives in this field which not only it stabilize the graft materials but also protects the area from mechanical loads. The improved stiffness using Ti-mesh compared with cell-occlusive membranes permits to obtain predictable results in both lateral and vertical bone augmentation. One of the inconveniences of titanium mesh which has been reported is the exposure of it but on the other hand the benefit in comparison to non resorbable membranes is that there is no need for removal and the risk of infection is very low. In this lecture different cases will be presented and clinical points to be considered in using titanium mesh will be highlighted.
Date Added:
10/12/2012
Author(s):
Omid Moghaddas, DDS, MSD
Dr. Omid Moghaddas completed his undergraduate studies at the Tehran Azad University,Dental Branch in 2006. Dr. Moghaddas received his DMD from the Azad University of T...
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Online Videos / Surgery / Bone Grafting / Titanium Mesh and it's Role in Bone Augmentation; A Clinical Review
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Questions & Comments
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omid moghaddas - (12/10/2012 1:09 PM)
Dear colin.my screw systems are from jeil company and biohorizon,most of the time i use macro meshes but in cases with thin biotypes or when i augment soft tissue simultaneously i prefer to use micro meshes.in the exposures i instruct my patient to rinse the area with chlorhexidine and i wont remove the mesh .in the cases which i use ti meshes, usually i do a little overfilling of the defect with bone grafts to prevent volume loss in the case of exposure.
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HAI NGUYEN - (11/11/2012 11:38 AM)
Hi Omid, It's the very nice presentation. The use of titanium mesh is a smart choice for treatment. I get a lot of knowledge from your lecture. Many thanks
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Colin Richman - (10/25/2012 10:47 PM)
Hi Omid
Very nice presentation. My questions are:
What brand of titanium mesh do you use and which screw system is your favorite?
Do you always use a macro geometry mesh?
How often do you actually remove the mesh when prematurely exposed.
Have you had any experience with the sonic weld system?
Best wishes,
Colin Richman DMD; Atlanta, Georgia.
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Darrell French - (10/24/2012 3:59 PM)
thank you
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omid moghaddas - (10/23/2012 5:55 AM)
dear friends,sonic weld is a good option,similar to non resorbables, flap management and tissue thickness is very important,in the cases of premature exosure(sooner than 4-5 weeks) titanium mesh works better ,and tissue compatibility and reaction is better in this situation for titanium meshes
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tooraj moravej - (10/20/2012 8:39 PM)
well done omid , excellent presentation , i agree with Danny ,sonic weld can make the procedures much easier and more predictable .
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omid moghaddas - (10/19/2012 5:42 AM)
thanks everyone for your comments,
Dear Laurent,the difficulty in romoving the mesh depends on its pore size most of the time,macromeshes are more difficult to remove comparing to micromeshes,because the soft tissue penetrates through the pores easily,you need to seperate it from the tissue with 15c blade.
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Laurent Rosemblaum - (10/19/2012 4:58 AM)
very nice presentation thank you.
how difficult is it to remove the ti mesh?
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ali momen - (10/18/2012 6:00 PM)
good presentation thanks a lot
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