Next Article in Journal
New Beginnings
Previous Article in Journal
Recent Advances in Nasoalveolar Molding Therapy Using 3D Technology
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
CMTR
Volume 15
Issue 4
10.1177/19433875211046114
cmtr-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
Craniomaxillofacial Trauma & Reconstruction is published by MDPI from Volume 18 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Sage.
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Review

Titanium Mesh Exposure After Bone Grafting: Treatment Approaches—A Systematic Review

by
Giovanni Cunha
1,2,*,
Pedro Henrique de Azambuja Carvalho
1,
Lílian Caldas Quirino
1,
Luiz Henrique Soares Torres
1,
Valfrido Antônio Pereira Filho
1,
Mario Francisco Real Gabrielli
1 and
Marisa Aparecida Cabrini Gabrielli
1
1
Department of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery, School of Dentistry, São Paulo State University (Unesp), Araraquara, Brazil
2
Department of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, Switzerland
*
Author to whom correspondence should be addressed.
Craniomaxillofac. Trauma Reconstr. 2022, 15(4), 397-405; https://doi.org/10.1177/19433875211046114
Submission received: 1 November 2020 / Revised: 1 December 2020 / Accepted: 1 January 2021 / Published: 14 September 2021

Abstract

Study Design: A systematic review according to PRISMA statement has been designed to answer the preliminary question: “In titanium mesh exposures, is there a treatment alternative which leads to an increased graft maintenance?” and fill the PICO assessment out. Objective: To review studies published in the past 20 years (1999–2019) in which mesh exposure has occurred, detecting the suitable approaches to treat exposure allowing the graft maintenance. Methods: Initial search on PUBMED, SCOPUS, and COCHRANE databases resulted in 777 articles, and hand-searching identified 6 articles. After removing duplicates and unrelated articles, eligibility criteria were applied, and 31 studies were selected (randomized clinical trials, retrospective/prospective clinical trials, and case series). Results: A total of 677 surgical sites and 225 cases of mesh exposure were identified. Eleven treatments have been identified. Chlorhexidine was the primary approach in 46% of cases, followed by oral hygiene instructions and follow-up with 22.5% of occurrences. In 21% of clinical situations, titanium mesh removal was the treatment of choice, associated with other measures (i.e., antibiotic prescription). There seems to be a consensus in cases of infection. When this complication was associated with tissue dehiscence, the primary treatment was mesh removal. The same does not occur when the site needs to be cleaned for long-term periods. Conclusion: In 2 decades of use of titanium meshes, the available treatments do not seem to have evolved, and there is not enough data to establish a guideline.
Keywords: bone graft; chlorhexidine; dehiscence; exposure; titanium mesh bone graft; chlorhexidine; dehiscence; exposure; titanium mesh

Share and Cite

MDPI and ACS Style

Cunha, G.; Carvalho, P.H.d.A.; Quirino, L.C.; Torres, L.H.S.; Filho, V.A.P.; Gabrielli, M.F.R.; Gabrielli, M.A.C. Titanium Mesh Exposure After Bone Grafting: Treatment Approaches—A Systematic Review. Craniomaxillofac. Trauma Reconstr. 2022, 15, 397-405. https://doi.org/10.1177/19433875211046114

AMA Style

Cunha G, Carvalho PHdA, Quirino LC, Torres LHS, Filho VAP, Gabrielli MFR, Gabrielli MAC. Titanium Mesh Exposure After Bone Grafting: Treatment Approaches—A Systematic Review. Craniomaxillofacial Trauma & Reconstruction. 2022; 15(4):397-405. https://doi.org/10.1177/19433875211046114

Chicago/Turabian Style

Cunha, Giovanni, Pedro Henrique de Azambuja Carvalho, Lílian Caldas Quirino, Luiz Henrique Soares Torres, Valfrido Antônio Pereira Filho, Mario Francisco Real Gabrielli, and Marisa Aparecida Cabrini Gabrielli. 2022. "Titanium Mesh Exposure After Bone Grafting: Treatment Approaches—A Systematic Review" Craniomaxillofacial Trauma & Reconstruction 15, no. 4: 397-405. https://doi.org/10.1177/19433875211046114

APA Style

Cunha, G., Carvalho, P. H. d. A., Quirino, L. C., Torres, L. H. S., Filho, V. A. P., Gabrielli, M. F. R., & Gabrielli, M. A. C. (2022). Titanium Mesh Exposure After Bone Grafting: Treatment Approaches—A Systematic Review. Craniomaxillofacial Trauma & Reconstruction, 15(4), 397-405. https://doi.org/10.1177/19433875211046114

Article Metrics

Back to TopTop