Clinical Feasibility of SLM Ti Mesh Sheet in Cranio-Maxillofacial Bone Augmentation

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Titanium mesh sheet is a non-absorbable metallic material that has been used in various fields. Mostly, it is used as titanium anode or as a filter element in the chlor-alkali industry. But, it is also widely used in the pharmaceutical industry, aerospace, satellites, and marine environment. In this study, we evaluated the clinical feasibility of using SLM Ti mesh sheet in cranio-maxillofacial bone augmentation.

First, a 46-year-old man lost his left side teeth due to severe periodontitis. The defect was found by an incision in the gingival periosteum. It was consistent with the preoperative CT imaging.

Implantation of a Ti mesh sheet was done to fill the defect. This is typically done after bone augmentation. However, removal of the titanium mesh sheet can result in bone loss. Besides, it can cause a larger incision. To avoid this, a mucosal flap should be designed.

After the mucosal flap was prepared, a 1.0-x-6.0-mm microscrew was inserted into the defect. Autologous bone was then infiltrated into the space between the residual bone and the Ti mesh sheet.

When the defect was filled with SLM Ti mesh sheet, the bone neoplasticity around the edges was not observed. The mucosal flap was then sutured.

After four months, good bone regeneration was observed on the buccal side. In addition, there was no postoperative inflammation and wound site appeared healed. A SLM Ti mesh sheet is an efficient bone augmentation technique that can be applied to a wide variety of bone defects.

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