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Open AccessCase Report

A Preshaped Titanium Mesh for Guided Bone Regeneration with an Equine-Derived Bone Graft in a Posterior Mandibular Bone Defect: A Case Report

1
Dental School, Vita e Salute University and IRCCS San Raffaele, 20132 Milan, Italy
2
Private Practice, 20148 Milan, Italy
3
Private Practice, 20090 Trezzano sul Naviglio, Italy
*
Author to whom correspondence should be addressed.
Dent. J. 2019, 7(3), 77; https://doi.org/10.3390/dj7030077
Received: 31 May 2019 / Revised: 16 July 2019 / Accepted: 22 July 2019 / Published: 1 August 2019
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Abstract

One of the most often used bone augmentation techniques is the guided bone regeneration procedure. The authors report the case of a 75-year-old man with an atrophic right posterior mandible who underwent bone augmentation through guided bone regeneration with a preshaped titanium mesh adapted on a stereolithographic model of the patient’s jaw. The graft volume was simulated with a light-curing resin. The actual site was grafted with a mixture of autogenous and equine-derived bone. Five months later, the mesh was retrieved, three cylindrical implants were positioned, and a bone biopsy was collected for histomorphometric analysis. A provisional prosthesis was delivered three and a half months later. Definitive rehabilitation was accomplished after one additional month. The graft allowed for effective bone formation (newly formed bone, residual biomaterial, and medullar spaces were, respectively, 39%, 10%, and 51% of the core volume). The patient has functioned successfully throughout six and a half years of follow-up. Using the preshaped titanium mesh in association with the enzyme-treated equine bone substitute provided effective bone regeneration. View Full-Text
Keywords: case report; guided bone regeneration; titanium mesh; xenografts; bone collagen case report; guided bone regeneration; titanium mesh; xenografts; bone collagen
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Di Stefano, D.A.; Greco, G.; Gherlone, E. A Preshaped Titanium Mesh for Guided Bone Regeneration with an Equine-Derived Bone Graft in a Posterior Mandibular Bone Defect: A Case Report. Dent. J. 2019, 7, 77.

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