Horizontal GBR with anorganic equine bone combined with a customized titanium mesh

Area of Science:

• Oral surgery
• Periodontology
• Biomaterials science

Background:

• Guided bone regeneration (GBR) is a key technique in dental implantology to augment bone volume.
• Horizontal bone defects present unique challenges for GBR and subsequent prosthetic rehabilitation.
• The development of advanced bone substitutes is crucial for predictable GBR outcomes.

Observation:

• A patient with a horizontal defect in the lower left arch underwent GBR.
• A customized titanium mesh was employed to contain the bone graft.
• A novel slow-resorption bone substitute of equine origin was utilized.

Findings:

• The combination of a customized titanium mesh and the equine bone substitute facilitated successful bone regeneration.
• Fixed prosthetic rehabilitation of the lower left arch was achieved.
• The slow resorption rate of the equine bone substitute may contribute to long-term stability.

Implications:

• This case report suggests a viable treatment protocol for horizontal bone augmentation in the mandible.
• Customized titanium mesh offers a reliable solution for defect containment in GBR.
• Equine-derived bone substitutes show promise as effective biomaterials in regenerative dentistry.