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Video Details
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, DMD, MSD Omid Moghaddas, DMD, MSD
Dr Omid Moghaddas, DDS,MSD
Board Certified Periodontist

  • Founder of Moghaddas Periodontics and dental implant center

  • F...
    [read more]






Online Videos / Surgery / Bone Grafting / Titanium Mesh and it's Role in Bone Augmentation; A Clinical Review




Questions & Comments
Omid Moghaddas - (11/8/2018 2:38 PM)

Dear Arwa, exposure in 2 weeks after Ti mesh augmentations can have many etiologies such as : tension in flap, not achieveing a connective tissue to connective tissue attachments at the border of the flaps, and sharpnedges of meshbadjacent to he marging of the flap. You can follow your patient and checknevery 2-: weeks. Ask the patient to rinse the area and keep it clean but some part of superficial graft material will resorb due to exposure. Regards

arwa Badahdah - (8/3/2017 5:47 PM)

Hi, Omid. I had titanium mesh exposure and here is a summary of the case case history: severe periodontal loss around the upper maxillary central incisors case management: extraction of #18 and #19 #18 has buccal wall defect extending to the apex after soft tissue healing (8 weeks), bone augmentation with titanium mesh was performed to max. anterior area. graft material: allograft Platelet rich fibrin was also applied to the area Complication: mesh exposure on the palatal side of the flap, no infection. how to manage the case? now it's 2-week follow-up

Omid Moghaddas - (8/5/2016 4:30 PM)

Hi Mohammad Thanks for the question I usually prescribe 0.12% CHX but also CHX /NaF Gels by TePe which patient can apply it exactly at the area of exposure

Omid Moghaddas - (12/5/2015 2:56 PM)

Thanks Howard. Omar ,there are many articles available ,these are two of them : Management of the exposure of e-PTFE membranes in guided bone regeneration. Verardi S, et al. Pract Proced Aesthet Dent. 2007 Management of d-PTFE membrane exposure for having final clinical success. Maridati PC, et al. J Oral Implantol. 2015

Howard Gluckman - (12/4/2015 4:53 PM)

Great Presentation Omid. Thank you

omar mohamed - (12/4/2015 4:17 AM)

Are there any articles or references explaining management of membrane exposure?

tahere pourseyediyan - (8/12/2015 3:19 AM)

Thanks for excellent presentation

mohammad jahri - (7/9/2014 11:13 AM)

HI omid, thanks for the nice presentation. my question is what kind of chlorhexidine oral rinse instruction do you give to your patient w/ timesh exposure (specifically on the area of the exposure)?

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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