Wiederherstellung einer komplex atrophierten Freiendsituation mittels individualisierten Titangitters (ReOss^®) zur festsitzenden implantatprothetischen Versorgung

Zum Ersatz von verloren gegangenen Zähnen haben sich Implantate sehr gut bewährt [1]. Insbesondere nach langer Zahnlosigkeit, nach Explantation oder nach Trauma ist das Knochenangebot für eine Implantation häufig nicht geeignet. Die funktionellen und ästhetischen Standards für eine prothetische Versorgung sind dann häufig nicht gewährleistet. Zudem korrelieren der Langzeiterfolg und die Stabilität der Implantate mit der Quantität und Qualität des Knochenangebots [2]. Aufgrund dessen sind Augmentationen bei einer ausgeprägten Knochendefektsituation vor einer Implantation häufig unvermeidbar. Dabei stellen horizontale und insbesondere vertikale Knochendefekte eine Herausforderung für den behandelnden Zahnarzt oder Chirurgen dar.

• Literatur

• 1 Moraschini V, Poubel LA, Ferreira VF. et al. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg 2015; 44: 377-388
• 2 Al-Nawas B, Schiegnitz E. Augmentation procedures using bone substitute materials or autogenous bone – a systematic review and meta-analysis. Eur J Oral Implantol 2014; 7 (Suppl. 02) S219-S234
• 3 Boyne PJ. Restoration of osseous defects in maxillofacial casualities. J Am Dent Assoc 1969; 78: 767-776
• 4 Seiler M, Kaemmerer PW, Peetz M. et al. Customized Titanium Lattice Structure in Three-Dimensional Alveolar Defect: An Initial Case Letter. J Oral Implantol 2018; 44: 219-224
• 5 Seiler M, Peetz M, Hartmann A. et al. Individualized CAD/CAM-produced titanium scaffold for alveolar bone augmentation: a retrospective analysis of dehiscence events in relation to demographic and surgical parameters. J Oral Science Rehabilitation 2018; 4: 38-46
• 6 Simion M, Dahlin C, Rocchietta I. et al. Vertical ridge augmentation with guided bone regeneration in association with dental implants: an experimental study in dogs. Clin Oral Implants Res 2007; 18: 86-94
• 7 Buser D, Halbritter S, Hart C. et al. Early implant placement with simultaneous guided bone regeneration following single-tooth extraction in the esthetic zone: 12-month results of a prospective study with 20 consecutive patients. J Periodontol 2009; 80: 152-162
• 8 Tinti C, Parma-Benfenati S, Manfrini F. Spacemaking metal structures for nonresorbable membranes in guided bone regeneration around implants. Two case reports. Int J Periodontics Restorative Dent 1997; 17: 53-61
• 9 Parma-Benfenati S, Roncati M, Galletti P. et al. Resorbable dome device and guided bone regeneration: an alternative bony defect treatment around implants. A case series. Int J Periodontics Restorative Dent 2014; 34: 749-755
• 10 Merli M, Moscatelli M, Mariotti G. et al. Bone level variation after vertical ridge augmentation: resorbable barriers versus titanium-reinforced barriers. A 6-year double-blind randomized clinical trial. Int J Oral Maxillofac Implants 2014; 29: 905-913
• 11 Moura RV, Kojima AN, Saraceni CHC. et al. Evaluation of the Accuracy of Conventional and Digital Impression Techniques for Implant Restorations. J Prosthodont 2019; 28: e530-e535
• 12 Ciocca L, Ragazzini S, Fantini M. et al. Work flow for the prosthetic rehabilitation of atrophic patients with a minimal-intervention CAD/CAM approach. J Prosthet Dent 2015; 114: 22-26
• 13 Sumida T, Otawa N, Kamata YU. et al. Custom-made titanium devices as membranes for bone augmentation in implant treatment: Clinical application and the comparison with conventional titanium mesh. J Craniomaxillofac Surg 2015; 43: 2183-2188
• 14 Vrielinck L, Sun Y, Schepers S. et al. Osseous reconstruction using an occlusive titanium membrane following marginal mandibulectomy: proof of principle. J Craniofac Surg 2014; 25: 1112-1114
• 15 Rasia-dal Polo M, Poli PP, Rancitelli D. et al. Alveolar ridge reconstruction with titanium meshes: a systematic review of the literature. Med Oral Patol Oral Cir Bucal 2014; 19: e639-e646
• 16 Roccuzzo M, Ramieri G, Bunino M. et al. Autogenous bone graft alone or associated with titanium mesh for vertical alveolar ridge augmentation: a controlled clinical trial. Clin Oral Implants Res 2007; 18: 286-294
• 17 Aytac S, Ozbek S, Kahveci R. et al. Titanium mesh fracture in mandibular reconstruction. J Craniofac Surg 2005; 16: 1120-1122
• 18 Lindfors LT, Tervonen EA, Sandor GK. et al. Guided bone regeneration using a titanium-reinforced ePTFE membrane and particulate autogenous bone: the effect of smoking and membrane exposure. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 825-830
• 19 Keestra JA, Barry O, Jong L. et al. Long-term effects of vertical bone augmentation: a systematic review. J Appl Oral Sci 2016; 24: 3-17
• 20 Misch CM. Comparison of intraoral donor sites for onlay grafting prior to implant placement. Int J Oral Maxillofac Implants 1997; 12: 767-776
• 21 Hammerle CH, Karring T. Guided bone regeneration at oral implant sites. Periodontology 2000 1998; 17: 151-175
• 22 Simion M, Baldoni M, Zaffe D. Jawbone enlargement using immediate implant placement associated with a split-crest technique and guided tissue regeneration. Int J Periodontics Restorative Dent 1992; 12: 462-473
• 23 Oda T, Sawaki Y, Ueda M. Experimental alveolar ridge augmentation by distraction osteogenesis using a simple device that permits secondary implant placement. Int J Oral Maxillofac Implants 2000; 15: 95-102
• 24 Chappuis V, Cavusoglu Y, Buser D. et al. Lateral Ridge Augmentation Using Autogenous Block Grafts and Guided Bone Regeneration: A 10-Year Prospective Case Series Study. Clin Implant Dent Relat Res 2017; 19: 85-96
• 25 Rasia-dal Polo M, Poli PP, Rancitelli D. et al. Alveolar ridge reconstruction with titanium meshes: a systematic review of the literature. Med Oral Patol Oral Cir Bucal 2014; 19: e639-e646
• 26 Esposito M, Grusovin MG, Felice P. et al. The efficacy of horizontal and vertical bone augmentation procedures for dental implants – a Cochrane systematic review. Eur J Oral Implantol 2009; 2: 167-184
• 27 Canullo L, Trisi P, Simion M. Vertical ridge augmentation around implants using e-PTFE titanium-reinforced membrane and deproteinized bovine bone mineral (bio-oss): A case report. Int J Periodontics Restorative Dent 2006; 26: 355-361
• 28 Volkmann A, Göllnitz I. Eine individualisierte 3D-gedruckte Lösung für komplexe Knochenaugmentationen: Rekonstruktion von komplexen Knochendefekten mit CAD/CAM-designten und -gefertigten Titangittern. Dentale Implantologie und Parotontologie 2018.
• 29 Sagheb K, Schiegnitz E, Moergel M. et al. Clinical outcome of alveolar ridge augmentation with individualized CAD-CAM-produced titanium mesh. Int J Implant Dent 2017; 3: 36
• 30 Pellegrino G, Lizio G, Corinaldesi G. et al. Titanium Mesh Technique in Rehabilitation of Totally Edentulous Atrophic Maxillae: A Retrospective Case Series. J Periodontol 2016; 87: 519-528
• 31 Seiler M, Peetz M, Hartmann A. et al. Individualized CAD/CAM-produced titanium scaffold for alveolar bone augmentation: a retrospective analysis of dehiscence events in relation to demographic and surgical parameters. J Oral Science Rehabilitation 2018; 4: 38-46