Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

Alveolar Ridge Augmentation Using Titanium Reinforced Goretex (TRG) and Titanium Mesh in Severe Alveolar Bone Loss Area: Case Report

심하게 흡수된 치조제에 Titanium 강화 Gore-Tex (TRG) 및 Titanium Mesh로 수직적 골증대술을 실시한 증례보고

  • Kim, Won-Jik (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Yoon, Kyung-Sun (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Hong, Su-Ryun (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Choi, Jin-Kyung (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Lee, Yong-Uk (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Kim, Dong-Suk (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Hyun, Jong-Oh (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Cho, Hyo-Won (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Choi, Ji-Hye (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Jung, Tae-Woong (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Bae, Yoon-Ki (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Kwon, Sun-Kyu (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Choi, Hyun-Joon (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Lee, Hyun-Su (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital) ;
  • Yang, Su-Nam (Department of Oral and Maxillofacial Surgery, Cheongju Hankook Hospital)
  • 김원직 (청주한국병원 구강악안면외과) ;
  • 윤경성 (청주한국병원 구강악안면외과) ;
  • 홍수련 (청주한국병원 구강악안면외과) ;
  • 최진경 (청주한국병원 구강악안면외과) ;
  • 이용욱 (청주한국병원 구강악안면외과) ;
  • 김동석 (청주한국병원 구강악안면외과) ;
  • 현종오 (청주한국병원 구강악안면외과) ;
  • 조효원 (청주한국병원 구강악안면외과) ;
  • 최지혜 (청주한국병원 구강악안면외과) ;
  • 정태웅 (청주한국병원 구강악안면외과) ;
  • 배윤기 (청주한국병원 구강악안면외과) ;
  • 권선규 (청주한국병원 구강악안면외과) ;
  • 최현준 (청주한국병원 구강악안면외과) ;
  • 이현수 (청주한국병원 구강악안면외과) ;
  • 양수남 (청주한국병원 구강악안면외과)
  • Received : 2010.10.14
  • Accepted : 2010.10.27
  • Published : 2011.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

A severely vertical resorbed ridge is a significant challenge in implant dentistry. To solve this problem, several augmentation techniques, such as guided bone regeneration (GBR), onlay bone grafts, distraction osteogenesis, and ridge splitting techniques, have been proposed and used for several years. Among these methods, vertical ridge augmentation using guided bone regeneration aims to build space and guide osteoblasts to this space to promote osteogenesis. The aim of guided bone regeneration is to maintain and stabilize the space and block the proliferation of adjacent soft tissue. In our hospital, we encountered a case of a woman in her forties with an atrophied mandible, who underwent implant surgery in the right mandible. Titanium reinforced Gore-Tex (TRG) was used to augment the mandible and titanium mesh was used in the left mandible. Favorable results were obtained. This report compares the two methods and reviews the relevant literature.

Keywords

References

  1. Tinti C, Parma-Benfenati S, Polizzi G. Vertical ridge augmentation: what is the limit? Int J Periodontics Restorative 1996;16:220-9.
  2. Chiapasco M, Romeo E, Casentini P. Alveolar distraction osteogenesis vs. vertical guided bone regeneration for the correction of vertically deficient edentulous ridges: a 1-3-year prospective study on humans. Clin Oral Implants Res 2004; 15:82-95. https://doi.org/10.1111/j.1600-0501.2004.00999.x
  3. Simion M, Trisi P, Piattelli A. Vertical ridge augmentation using a membrane technique associated with osseointegrated implants. Int J Periodontics Restorative Dent 1994;14:496-511.
  4. Simion M, Jovanovic SA, Trisi P, Scarano A, Piattelli A. Vertical ridge augmentation around dental implants using a membrane technique and autogenous bone or allografts in humans. Int J Periodontics Restorative Dent 1998;18:8-23.
  5. Simion M, Jovanovic SA, Tinti C, Benfenati SP. Long-term evaluation of osseointegrated implants inserted at the time or after vertical ridge augmentation. A retrospective study on 123 implants with 1.5 year follow-up. Clin Oral Implants Res 2001;12:35-45. https://doi.org/10.1034/j.1600-0501.2001.012001035.x
  6. Rasmusson L, Meredith N, Kahnberg KE, Sennerby L. Effects of barrier membranes on bone resorption and implant stability in onlay bone grafts. An experimental study. Clin Oral Implants Res 1999;10:267-77. https://doi.org/10.1034/j.1600-0501.1999.100403.x
  7. Piattelli A, Scarano A, Paolantonio M. Bone formation inside the material interstices of e-PTFE membranes: a light microscopical and histochemical study in man. Biomaterials 1996; 17:1725-31. https://doi.org/10.1016/0142-9612(96)87653-8
  8. Ozeren M. eComment: Foreign body reaction to polytetrafluoroethylene. Interact Cardiovasc Thorac Surg 2008;7:276-7.
  9. Williamson RA. Rehabilitation of the resorbed maxilla and mandible using autogenous bone grafts and osseointegrated implants. Int J Oral Maxillofac Implants 1996;11:476-88.
  10. Sumi Y, Miyaishi O, Tohnai I, Ueda M. Alveolar ridge augmentation with titanium mesh and autogenous bone. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:268-70. https://doi.org/10.1016/S1079-2104(00)70087-4
  11. Roccuzzo M, Ramieri G, Spada MC, Bianchi SD, Berrone S. Vertical alveolar ridge augmentation by means of a titanium mesh and autogenous bone grafts. Clin Oral Implants Res 2004;15:73-81. https://doi.org/10.1111/j.1600-0501.2004.00998.x
  12. Roccuzzo M, Ramieri G, Bunino M, Berrone S. Autogenous bone graft alone or associated with titanium mesh for vertical alveolar ridge augmentation: a controlled clinical trial. Clin Oral Implants Res 2007;18:286-94. https://doi.org/10.1111/j.1600-0501.2006.01301.x
  13. Merli M, Migani M, Bernardelli F, Esposito M. Vertical bone regeneration with dental implant placement: efficacy and complications associated with 2 different techniques. A retrospective cohort study. Int J Oral Maxillofac Implants 2006; 21:600-6.
  14. Hong SW, Kim GT, Choi YS, Hwang EH. Evaluation of imaging reformation with cone beam computed tomography for the assessment of bone density and shape in mandible. Korean J Oral Maxillofac Radiol 2008;38:49-56.
  15. Nomura Y, Watanabe H, Honda E, Kurabayashi T. Reliability of voxel values from cone-beam computed tomography for dental use in evaluating bone mineral density. Clin Oral Implants Res 2010;21:558-62. https://doi.org/10.1111/j.1600-0501.2009.01896.x