Research progress of 3D printing individualized titanium mesh for complex bone augmentation

doi:10.12337/zgkqzzxzz.2022.12.002

Abstract

Abstract: Complex and severe alveolar bone defect is an important factor affecting the esthetic and long-term stability of dental implants. Compared to conventional bone augmentation, digital and custom bone augmentation could reduce operation time and improve the accuracy of bone augmentation. Three-D printing individualized titanium mesh (3D-PITM) shows good biocompatibility and space-making capacity, which could accurately reconstruct the alveolar bone contour. Thus, 3D-PITM has been gradually applied in the bone augmentation surgery. This paper introduces the application and research progress of 3D-PITM used for complex bone augmentation.

Key words: 3D printing individualized titanium mesh, Bone augmentation, Guided bone regeneration, Bone defect

Ji Ping. Research progress of 3D printing individualized titanium mesh for complex bone augmentation[J]. Chinese Journal of Oral Implantology, 2022, 27(6): 334-339.

References

[1] MacBeth N, Trullenque-Eriksson A, Donos N, et al. Hard and soft tissue changes following alveolar ridge preservation: a systematic review[J]. Clin Oral Implants Res, 2017,28(8):982-1004. DOI: 10.1111/clr.12911.
[2] Jiang X, Zhang Y, Di P, et al.Hard tissue volume stability of guided bone regeneration during the healing stage in the anterior maxilla: a clinical and radiographic study[J]. Clin Implant Dent Relat Res, 2018,20(1):68-75. DOI: 10.1111/cid.12570.
[3] Hikita A, Chung UI, Hoshi K, et al.Bone regenerative medicine in oral and maxillofacial region using a three-dimensional printer[J]. Tissue Eng Part A, 2017,23(11-12):515-521. DOI: 10.1089/ten.TEA.2016.0543.
[4] 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]. J Craniomaxillofac Surg, 2015,43(10):2183-2188. DOI: 10.1016/j.jcms. 2015. 10.020.
[5] 张富贵, 宿玉成, 邱立新, 等. 牙槽骨缺损骨增量手术方案的专家共识[J].口腔疾病防治,2022,30(4):229-236. DOI: 10.12016/j.issn.2096-1456.2022.04.001.
[6] Chiapasco M, Casentini P, Tommasato G, et al.Customized cad/cam titanium meshes for the guided bone regeneration of severe alveolar ridge defects: preliminary results of a retrospective clinical study in humans[J]. Clin Oral Implants Res, 2021,32(4):498-510. DOI: 10.1111/clr.13720.
[7] Lee WB, Choi WH, Lee HG, et al.Mandibular reconstruction with a ready-made type and a custom-made type titanium mesh after mandibular resection in patients with oral cancer[J]. Maxillofac Plast Reconstr Surg, 2018,40(1):35. DOI: 10.1186/s40902-018-0175-z.
[8] Dellavia C, Canciani E, Pellegrini G, et al.Histological assessment of mandibular bone tissue after guided bone regeneration with customized computer-aided design/computer-assisted manufacture titanium mesh in humans: a cohort study[J]. Clin Implant Dent Relat Res, 2021,23(4):600-611. DOI: 10.1111/cid.13025.
[9] Tallarico M, Park CJ, Lumbau AI, et al.Customized 3d-printed titanium mesh developed to regenerate a complex bone defect in the aesthetic zone: a case report approached with a fully digital workflow[J]. Materials (Basel), 2020,13(17):3874. DOI: 10.3390/ma13173874.
[10] Gao H, Li X, Wang C, et al.Mechanobiologically optimization of a 3D titanium-mesh implant for mandibular large defect: a simulated study[J]. Mater Sci Eng C Mater Biol Appl, 2019,104:109934. DOI: 10.1016/j.msec.2019.109934.
[11] Boyne PJ, Cole MD, Stringer D, et al.A technique for osseous restoration of deficient edentulous maxillary ridges[J]. J Oral Maxillofac Surg, 1985,43(2):87-91. DOI: 10.1016/0278-2391(85)90054-0.
[12] Miyamoto I, Funaki K, Yamauchi K, et al.Alveolar ridge reconstruction with titanium mesh and autogenous particulate bone graft: computed tomography-based evaluations of augmented bone quality and quantity[J]. Clin Implant Dent Relat Res, 2012,14(2):304-311. DOI: 10.1111/j.1708-8208.2009.00257.x.
[13] Her S, Kang T, Fien MJ.Titanium mesh as an alternative to a membrane for ridge augmentation[J]. J Oral Maxillofac Surg, 2012,70(4):803-810. DOI: 10.1016/j.joms.2011.11.017.
[14] Gutta R, Baker RA, Bartolucci AA, et al.Barrier membranes used for ridge augmentation: is there an optimal pore size?[J]. J Oral Maxillofac Surg, 2009,67(6):1218-1225. DOI: 10.1016/j.joms.2008.11.022.
[15] 张立强, 刘洋, 姜昕, 等. 增材制造个性化骨增量钛网的工程实现[J].中国口腔种植学杂志,2021,26(6):354-361. DOI: 10.12337/zgkqzzxzz.2021.12.004.
[16] Cruz N, Martins MI, Domingos Santos J, et al.Surface comparison of three different commercial custom-made titanium meshes produced by SLM for dental applications[J]. Materials (Basel), 2020,13(9):2177. DOI: 10.3390/ma13092177.
[17] Silva TS, Machado DC, Viezzer C, et al.Effect of titanium surface roughness on human bone marrow cell proliferation and differentiation: an experimental study[J]. Acta Cir Bras, 2009,24(3):200-205. DOI: 10.1590/s0102-86502009000300007.
[18] Silva DN, Gerhardt de Oliveira M, Meurer E, et al. Dimensional error in selective laser sintering and 3D-printing of models for craniomaxillary anatomy reconstruction[J]. J Craniomaxillofac Surg, 2008,36(8):443-449. DOI: 10.1016/j.jcms.2008.04.003.
[19] Li L, Wang C, Li X, et al.Research on the dimensional accuracy of customized bone augmentation combined with 3D-printing individualized titanium mesh: a retrospective case series study[J]. Clin Implant Dent Relat Res, 2021,23(1):5-18. DOI: 10.1111/cid.12966.
[20] Ricci L, Perrotti V, Ravera L, et al.Rehabilitation of deficient alveolar ridges using titanium grids before and simultaneously with implant placement: a systematic review[J]. J Periodontol, 2013,84(9):1234-1242. DOI: 10.1902/jop.2012.120314.
[21] Sagheb K, Schiegnitz E, Moergel M, et al.Clinical outcome of alveolar ridge augmentation with individualized cad-cam-produced titanium mesh[J]. Int J Implant Dent, 2017,3(1):36. DOI: 10.1186/s40729-017-0097-z.
[22] Jiang X, Zhang Y, Chen B, et al.Pressure bearing device affects extraction socket remodeling of maxillary anterior tooth. A prospective clinical trial[J]. Clin Implant Dent Relat Res, 2017,19(2):296-305. DOI: 10.1111/cid.12442.
[23] Hartmann A, Hildebrandt H, Schmohl JU, et al.Evaluation of risk parameters in bone regeneration using a customized titanium mesh: results of a clinical study[J]. Implant Dent, 2019,28(6):543-550. DOI: 10.1097/ID.0000000000000933.
[24] Proussaefs P, Lozada J.Use of titanium mesh for staged localized alveolar ridge augmentation: clinical and histologic-histomorphometric evaluation[J]. J Oral Implantol, 2006,32(5):237-247. DOI: 10.1563/1548-1336(2006)32[237:UOTMFS]2.0.CO;2.
[25] Maiorana C, Santoro F, Rabagliati M, et al.Evaluation of the use of iliac cancellous bone and anorganic bovine bone in the reconstruction of the atrophic maxilla with titanium mesh: a clinical and histologic investigation[J]. Int J Oral Maxillofac Implants, 2001,16(3):427-432.
[26] Louis PJ, Gutta R, Said-Al-Naief N, et al. Reconstruction of the maxilla and mandible with particulate bone graft and titanium mesh for implant placement[J]. J Oral Maxillofac Surg, 2008,66(2):235-245. DOI: 10.1016/j.joms.2007.08.022.
[27] Xie Y, Li S, Zhang T, et al.Titanium mesh for bone augmentation in oral implantology: current application and progress[J]. Int J Oral Sci, 2020,12(1):37. DOI: 10.1038/s41368-020-00107-z.
[28] Torres J, Tamimi F, Alkhraisat MH, et al.Platelet-rich plasma may prevent titanium-mesh exposure in alveolar ridge augmentation with anorganic bovine bone[J]. J Clin Periodontol, 2010,37(10):943-951. DOI: 10.1111/j.1600-051X.2010.01615.x.
[29] Wang X, Wang G, Zhao X, et al.Short-term evaluation of guided bone reconstruction with titanium mesh membranes and CGF membranes in immediate implantation of anterior maxillary tooth[J]. Biomed Res Int, 2021,2021:4754078. DOI: 10.1155/2021/4754078.
[30] Hartmann A, Seiler M.Minimizing risk of customized titanium mesh exposures - a retrospective analysis[J]. BMC Oral Health, 2020,20(1):36. DOI: 10.1186/s12903-020-1023-y.