Naslov
Complication of alveolar ridge reconstructioin with titanium mesh – a case report

Autori
Osmanović, Bego ; Bjelica, Roko ; Vuletić, Marko ; Kuna, Tihomir ; Gabrić, Dragana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Sažeci 15. kongresa Hrvatskog društva za maksilofacijalnu, plastičnu i rekonstrukcijsku kirurgiju glave i vrata i 9. kongresa Hrvatskog društva za oralnu kirurgiju s međunarodnim sudjelovanjem. U: Acta Stomatologica Croatica 2022 ; 56(4) / Belušić-Gobić, Margita - Zagreb : Stomatolški fakultet Sveučilišta u Zagrebu, 2022, 430-430

Skup
15th International Congress of the Croatian Society of Maxillofacial, Plastic and Reconstructive Head and Neck Surgery 9th International Congress of the Croatian Society of Oral Surgery

Mjesto i datum
Zagreb, Hrvatska, 06.10.2022. - 08.10.2022

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Domaća recenzija

Ključne riječi
bone regeneration ; titanium ; alveolar ridge augmentation

Sažetak
Introduction: Guided bone regeneration (GBR) is considered a safe and predictable method for the reconstruction of alveolar ridge defects. Prevention of soft tissue migration into the regenerated bone defect and mechanical stabilization of grafting material are considered essential in the process of GBR. Various membrane types have been designed to meet these criteria. Despite the extensive use of conventional membranes, three-dimensional bone defects require adequate retention and stabilization of the replacement mate-rial. The use of a titanium mesh provides mechanical conditions necessary for successful healing. The advantages of titanium are its good mechanical properties and biocompatibility. Titanium meshes can be individualized preoperatively by 3D printing or intraoperatively due to the plasticity of the material. Complications are to a lesser extent present in the surgical phase of treatment, with predominantly emphasis on complications in the healing phase. The wound dehiscence and consequential exposure of the titanium mesh are the most frequent complications. Case report: The case of exposed titanium mesh in the mandible in a 34 year old patient will be presented. The patient comes to the Department of oral surgery at the School of Dental Medicine University of Zagreb due to the pain and exposure of the titanium mesh placed 8 years ago in the right distal region of the mandibular alveolar ridge. A comparison of the post-operative orthopantomogram and present CBCT shows the spread of the inflammatory process to the anterior tooth adjacent to the augmented region. The removal of the titanium mesh was performed in general anesthesia with finding of inadequate fixation of the mesh to the alveolar ridge, which was the primary cause of insufficient stabilization of the grafting material. Suturing of the mucoperiosteal flap under tension had also contributed to the membrane exposure. After removal of the mesh, the bone defect was cleaned and the adjacent tooth was extracted. Conclusion: A proper surgical technique in the reconstruction of the alveolar ridge is essential for avoiding surgical complications, but also at later stages of healing.

Izvorni jezik
Hrvatski, engleski

Znanstvena područja
Kliničke medicinske znanosti, Dentalna medicina

POVEZANOST RADA