4.2 Article

A tooth-supported titanium mesh bending and positioning module for alveolar bone augmentation and improving accuracy

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WILEY
DOI: 10.1111/jerd.13012

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bone augmentation; dental implant; digital workflow; guided bone regeneration; titanium mesh

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This study presents a tooth-supported titanium mesh bending and positioning module aiming to improve the precision of bone augmentation.
ObjectiveGuided bone regeneration with titanium mesh is a commonly used bone augmentation technique. However, deformation and sliding may occur during the installation of titanium mesh, which may lead to poor accuracy of bone augmentation. This article presented three cases, which describe a tooth-supported titanium mesh bending and positioning module aiming to improve the precision of bone augmentation. Clinical ConsiderationsAfter designing the ideal bone increment volume digitally, print out the difference bone module between the ideal and existing bone mass and one or two wings. The wings are supported by the adjacent teeth to show the ideal bone mass in the patients' mouth. Finally, the titanium mesh is bent and installed in the ideal position by the module. ConclusionsA favorable outcome has been preliminarily confirmed in these cases, the average vertical bone gain was 4.16 mm and the average horizontal gain was 7.48 mm after 6 months. Using the module in the treatment of patients with bone augmentation can effectively improve the accuracy, the maximum deviation was 1.5 mm and the mean was 0.6 mm. Clinical SignificanceThis study improves the bone augmentation technology with titanium mesh. The titanium mesh is fixed in the ideal position, which facilitates subsequent implantation and denture repair.

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