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Radiographic Analysis of Ridge Augmentations Using Titanium Mesh and Titanium-Reinforced Polytetrafluoroethylene

Lina Elnakka, Janina Golob Deeb, Caroline K Carrico

    The Journal of Oral Implantology
    |May 22, 2025
    PubMed
    Summary
    This summary is machine-generated.

    Titanium-reinforced polytetrafluoroethylene (Ti-PTFE) and Titanium mesh (Ti-mesh) both provide reliable horizontal bone gain for dental implants. Vertical bone gain varied, but both techniques showed similar overall success rates of 76%.

    Keywords:
    CBCTTi-PTFETi-meshalveolar ridge augmentationbone graftingreinforced methods

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    Area of Science:

    • Oral and Maxillofacial Surgery
    • Periodontology
    • Dental Implantology

    Background:

    • Atrophic alveolar ridges pose challenges for dental implant placement.
    • Titanium-reinforced polytetrafluoroethylene (Ti-PTFE) and Titanium mesh (Ti-mesh) are utilized for ridge augmentation.
    • Comparing these materials is crucial for optimizing implant success.

    Purpose of the Study:

    • To evaluate and compare vertical and horizontal bone gain using Ti-PTFE versus Ti-mesh.
    • To assess and contrast the clinical outcomes and success rates of these two ridge augmentation techniques.

    Main Methods:

    • Retrospective chart review and CBCT scan superimposition of 70 augmented sites (35 Ti-PTFE, 35 Ti-mesh).
    • Vertical bone gain (L1) measured along a bisecting line.
    • Horizontal bone gain (W1-6) measured buccolingually at 3mm intervals.
    • Statistical analysis included paired t-tests, ANCOVA, and chi-squared tests.

    Main Results:

    • Average vertical bone gain was 0.75 mm for Ti-PTFE and 0.61 mm for Ti-mesh.
    • Average horizontal bone gain was 2.05 mm for Ti-PTFE and 2.42 mm for Ti-mesh.
    • Ti-PTFE showed significantly greater width gain at W1 after adjusting for pre-operative levels; overall success rates were 74% (Ti-PTFE) and 77% (Ti-mesh).

    Conclusions:

    • Both Ti-PTFE and Ti-mesh achieve reliable horizontal bone augmentation for dental implants.
    • Vertical bone gain shows variability, with no significant difference in overall success rates between the two materials (76% average).