DOI:

10.37988/1811-153X_2023_4_29

Guided bone regeneration the alveolar part of low jaw with skeletal titanium membrane: clinical case

Downloads

Authors

  • H.M. Nalchajyan 1, postgraduate at the Maxillofacial surgery and surgical dentistry Department
    ORCID: 0000-0002-6741-4916
  • A.A. Muraev 1, PhD in Medical Sciences, full professor of the Oral and maxillofacial surgery Department
    ORCID: 0000-0003-3982-5512
  • S.V. Bopkhoev 1, postgraduate at the Maxillofacial surgery and surgical dentistry Department
    ORCID: 0000-0003-0431-0033
  • G.G. Kazarian 1, postgraduate at the Maxillofacial surgery and surgical dentistry Department
    ORCID: 0000-0002-3532-983X
  • G.D. Tunian 1, clinical resident at the Maxillofacial surgery and surgical dentistry Department
    ORCID: 0000-0002-9861-5876
  • M.P. Martirosyan 2, clinical resident at the Maxillofacial surgery Department
    ORCID: 0009-0003-0648-2581
  • 1 RUDN University, 117198, Moscow, Russia
  • 2 Sechenov University, 119991, Moscow, Russia

Abstract

When conducting guided bone regeneration in the area of the alveolar ridge, skeletal titanium membranes are successfully used. Intraoperative use of standard scaffold membranes is laborious, since it is necessary to manually model its shape, which significantly increases the operation time. With the help of additive technologies, in particular, titanium laser 3D printing, it became possible to manufacture individualized titanium frame membranes that do not deform and exactly repeat the boundaries of the reconstruction area. The use of such membranes reduces the operation time and increases the success of the surgery. The aim of the study — to demonstrate a new protocol for guided bone regeneration (GBR) of alveolar bone using a customized titanium frame membrane.
Results.
After the surgery, the height of the alveolar ridge was increased by 6.44 mm relative to the initial value, the width of the alveolar ridge in the region of the apex was 9.64 mm.
Conclusion.
The individualized skeletal titanium membrane was used to demonstrate its effectiveness in eliminating the defect of the alveolar bone, which indicates the success of this technique.

Key words:

customized frame membrane, titanium membrane, guided bone regeneration, keratinized gingiva

For Citation

[1]
Nalchajyan H.M., Muraev A.A., Bopkhoev S.V., Kazarian G.G., Tunian G.D., Martirosyan M.P. Guided bone regeneration the alveolar part of low jaw with skeletal titanium membrane: clinical case. Clinical Dentistry (Russia).  2024; 26 (4): 29—33. DOI: 10.37988/1811-153X_2023_4_29

References

  1. Mecuku I., Muraev A.A., Gazhva J.V., Ivashkevich S.G. Comparative characteristics of various types of membranes used for bone grafting and guided tissue regeneration in dentistry and maxillofacial surgery. Russian Journal of Dentistry. 2017; 5: 291—296 (In Russian). eLIBRARY ID: 30542317
  2. Muraev A.A., Gazhva Y.V., Ivashkevich S.G., Riabova V.M., Korotkova N.L., Semyonova Y.A., Metsuku I.N., Faizullin R.L., Ivanov S.Y. A novel approach to alveolar bone complex defects 3D reconstruction. Modern Technologies in Medicine. 2017; 2: 37—45. DOI: 10.17691/stm2017.9.2.04
  3. Tereshchuk S.V., Ivanov S.Yu. The influence of zero-gravity on the volume of the augmented in the posterior maxilla bone and the survival of the dental implants placed in this bone. Clinical Dentistry (Russia). 2021; 4: 74—79 (In Russian). eLIBRARY ID: 47475764
  4. Polupan P.V., Sipkin A.M., Modina T.N. Osteoplasty in oral surgery: outcomes, complications, success factors, and risks classification. Clinical Dentistry (Russia). 2022; 1: 58—65 (In Russian). eLIBRARY ID: 48156200
  5. Gupta R., Gupta N., Weber K.K. Dental Implants. StatPearls, 2023. PMID: 29262027
  6. Bassett C.A. Biologic significance of piezoelectricity. Calcif Tissue Res. 1968; 1 (4): 252—72. PMID: 4898290
  7. Boyne P.J., James R.A. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg. 1980; 38 (8): 613—6. PMID: 6993637
  8. Degidi M., Scarano A., Piattelli A. Regeneration of the alveolar crest using titanium micromesh with autologous bone and a resorbable membrane. J Oral Implantol. 2003; 29 (2): 86—90. PMID: 12760452
  9. Poli P.P., Beretta M., Cicciù M., Maiorana C. Alveolar ridge augmentation with titanium mesh. A retrospective clinical study. Open Dent J. 2014; 8: 148—58. PMID: 25317209
  10. Rakhmatia Y.D., Ayukawa Y., Furuhashi A., Koyano K. Current barrier membranes: titanium mesh and other membranes for guided bone regeneration in dental applications. J Prosthodont Res. 2013; 57 (1): 3—14. PMID: 23347794
  11. Rasia dal Polo M., Poli P.P., Rancitelli D., Beretta M., Maiorana C. Alveolar ridge reconstruction with titanium meshes: a systematic review of the literature. Med Oral Patol Oral Cir Bucal. 2014; 19 (6): e639—46. PMID: 25350597

Downloads

Received

September 16, 2023

Accepted

November 24, 2023

Published on

January 16, 2024