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Volume 36 , Issue 3
May/June 2016
Pages 373–381

Implant Site Development Using Ti-Mesh and Cellular Allograft in the Esthetic Zone for Restorative-Driven Implant Placement: A Case Report

Robert A. Levine, DDS/Bradley S. McAllister, DDS, PhD

PMID: 27100807
DOI: 10.11607/prd.2581

This article presents a case report of implant site development in a healthy, nonsmoking 62-year-old man using titanium mesh (Ti-mesh) in conjunction with human cellular allograft for ridge augmentation of a type 4 alveolar ridge defect. The patient presented initially with a severely periodontally abscessed maxillary right central incisor probing to the apex. The tooth was extracted, and after 8 weeks a bone reconstructive procedure was completed using a well-stabilized Ti-mesh and cellular allograft that was covered with a quickly resorbing collagen matrix. After 7 months of undisturbed healing, cone beam computed tomographic evaluation demonstrated a horizontal bone increase of 7 mm and a vertical bone increase of 2.3 mm. This case report demonstrates the benefits of predictable regenerative space maintenance using Ti-mesh in conjunction with a cellular allograft to allow for prosthetically driven implant placement in the esthetic zone.

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