Rehabilitation of deficient alveolar ridges using titanium grids before and simultaneously with implant placement: a systematic review.

Rehabilitation of deficient alveolar ridges using titanium grids before and simultaneously with implant placement: a systematic review.

Journal of periodontology (2012-12-05)

Laura Ricci, Vittoria Perrotti, Lorenzo Ravera, Antonio Scarano, Adriano Piattelli, Giovanna Iezzi

PMID23205918

ABSTRACT

The aim of the present study is to perform a systematic review of the literature on the use of titanium grids for implant surgery before and simultaneously with implant placement and to assess the success rate of the procedure, as well as survival and success rates of implants placed in the regenerated areas. Medline was used to identify studies in English published from 1996 to 2011. An additional hand search was performed of the relevant journals and of the bibliographies of the papers identified. Articles retrieved by two independent authors were screened using specific inclusion criteria: randomized controlled trials (RCTs), controlled clinical trials, and prospective clinical studies regarding vertical and/or horizontal regeneration of the alveolar ridge using titanium grids, in association or not with biomaterials, before and simultaneously with implant placement. Six articles were selected, including a total of 79 patients, 87 titanium grids, and 141 implants. Twenty-four implants were placed simultaneously with titanium grids, and 117 implants were inserted after a period of 4 to 9 months. Titanium grids in combination with autogenous bone were used in 43 cases, 25 in combination with a mixture of autogenous bone and bone substitutes, 14 in association with bone substitutes, five using only titanium grids. The overall success rate of the regenerative procedures was 98.86%; the overall survival and success rates of implants were 100% and 93.2%, respectively. The main limit of the present systematic review is the scarcity of papers with an adequate and consistent methodology regarding the data collection and analysis and the lack of RCTs and large well-designed long-term trials. Survival and success rates of implants placed in the areas treated with titanium grids were comparable to those of implants placed in native, non-regenerated bone and of implants placed in bone regenerated with resorbable and non-resorbable membranes.

MATERIALS

Product Number

Brand

Product Description

369489

Sigma-Aldrich

Titanium, foil, thickness 2.0 mm, 99.7% trace metals basis

305812

Sigma-Aldrich

Titanium, 5-10 mm, ≥99.99% trace metals basis (purity exclusive of Na and K content)

267902

Sigma-Aldrich

Titanium, wire, diam. 0.81 mm, 99.7% trace metals basis

266035

Sigma-Aldrich

Titanium, wire, diam. 1.0 mm, 99.99% trace metals basis

IRMM531C

Titanium, IRMM^®, certified reference material, 0.5 mm wire

IRMM531B

Titanium, IRMM^®, certified reference material, 0.5 mm foil

348791

Sigma-Aldrich

Titanium, foil, thickness 0.127 mm, 99.7% trace metals basis

348848

Sigma-Aldrich

Titanium, foil, thickness 0.025 mm, 99.98% trace metals basis

GF90688449

Titanium, wire reel, 5m, diameter 0.75mm, as drawn, 99.6+%

GF91204466

Titanium, wire reel, 5m, diameter 1.0mm, as drawn, 99.6+%

GF94607040

Titanium, tube, 1000mm, outside diameter 4.25mm, inside diameter 3.75mm, wall thickness 0.25mm, annealed, 99.6+%

GF82517722

Titanium, tube, 1000mm, outside diameter 6.35mm, inside diameter 4.57mm, wall thickness 0.89mm, annealed, 99.6+%

GF72212813

Titanium, tube, 200mm, outside diameter 25.4mm, inside diameter 23.62mm, wall thickness 0.89mm, annealed, 99.6+%

GF68670366

Titanium, tube, 1220mm, outside diameter 2.03mm, inside diameter 1.55mm, wall thickness 0.24mm, annealed, 99.6+%

GF72503827

Titanium, tube, 100mm, outside diameter 2.03mm, inside diameter 1.63mm, wall thickness 0.2mm, annealed, 99.6+%

GF88742054

Titanium, tube, 200mm, outside diameter 4.25mm, inside diameter 3.75mm, wall thickness 0.25mm, annealed, 99.6+%

GF98611623

Titanium, rod, 200mm, diameter 8.0mm, as drawn, 99.99+%

GF82495198

Titanium, rod, 200mm, diameter 9.5mm, annealed, 99.99+%

GF91859967

Titanium, rod, 100mm, diameter 9.5mm, annealed, 99.99+%

GF76772391

Titanium, rod, 100mm, diameter 10mm, annealed, 99.6+%

GF89377701

Titanium, tube, 100mm, outside diameter 25.4mm, inside diameter 23.62mm, wall thickness 0.89mm, annealed, 99.6+%

GF66991179

Titanium, rod, 100mm, diameter 2mm, as drawn, 99.99+%

GF87716997

Titanium, rod, 100mm, diameter 16mm, as drawn, 99.99+%

GF69259315

Titanium, rod, 500mm, diameter 6mm, annealed, 99.6+%

GF85496664

Titanium, tube, 1000mm, outside diameter 9.5mm, inside diameter 8.2mm, wall thickness 0.65mm, annealed, 99.6+%

GF90963928

Titanium, rod, 25mm, diameter 50mm, 99.99+%

GF71783354

Titanium, wire reel, 100m, diameter 0.75mm, as drawn, 99.6+%

GF84917188

Titanium, wire reel, 1m, diameter 0.25mm, as drawn, 99.99+%

GF71020235

Titanium, wire reel, 0.5m, diameter 1.0mm, as drawn, 99.6+%

GF91672139

Titanium, wire reel, 20m, diameter 0.05mm, hard, 99.8%