Evaluation of bone gain and implant survival after vertical and horizontal ridge augmentation using titanium mesh with simultaneous implant placement in deficient maxillary and mandibular ridge: A prospective clinical study

Abstract

The present clinical study was conducted with a one-stage approach for alveolar ridge augmentation using titanium mesh with simultaneous implant placement in the compromised ridges. This prospective study included a total no. of 26 partially edentulous sites which were treated with implants and simultaneous guided bone regeneration with titanium mesh. We found a significant increase in the bucco-lingual width at implant site when comparison was made at different time intervals. We found a significant decrease in the mean bone density on the mesial side (1934.62 ± 598.26 gray units), while no significant decrease in the mean bone density was found on the distal side ( 1873 ± 576.12 gray units) when compared at immediate post-operative and 6-months post-operative time interval. Despite the use of micropore titanium mesh, we have noticed membrane exposure in 10 patients (71.42%) among 14 patients which resulted in detrimental influence on the amount of bone augmentation. The bucco-lingual width of the alveolar crest has been significantly increased, but we couldn’t achieve any optimal gain in alveolar crest height.