Situation
Pre-operative Observation
Diagnosis & Treatment Planning
A 60-year-old male patient had severe bone resorption at site 46 and 47. The plan was to extract #46 and place an implant at site 46. In addition, the GBR procedure using CTi-mem was planned due to bone defects at site 46 and mesial part of 47.
An implant was placed at #46 after 8 weeks of the extraction.
CTi-mem was placed over the graft and fixed with sutures in the periosteum.
Autogenous bone chips were harvested in the retromolar site using the ACM drill and a collagen membrane was placed over the CTi-mem.
Tension-free primary closure of flap was achieved.
The soft tissue has healed without membrane exposures.
It was verified that the volumetric stability of the bone graft was achieved.
CTi-spacer was removed.
The CTi-mem was easily removed.
Note the excellent bone formation underneath the titanium membrane.
After 4 months of healing, uncovering was performed.
The final prosthesis was delivered.
Panoramic view after delivery of the prosthesis.
Conclusion
This case presents the GBR procedure using a customized titanium mesh (CTi-mem) at site 46 and mesial part of 47. Prior to the CTi-mem placement, the buccal bone defect was filled with autogenous bone chips harvested with ACM.