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Alveolar Bone Augmentation Using Octacalcium Phosphate and Collagen Composite with Custom-Made Titanium Mesh: A Case

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Octacalcium phosphate (OCP) and OCP collagen composite (OCP/Col) show promise for bone regeneration. This case report details successful extensive alveolar bone augmentation using OCP/Col and a titanium mesh for dental implants.

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Area of Science:

  • Biomaterials Science
  • Regenerative Medicine
  • Oral and Maxillofacial Surgery

Background:

  • Autologous bone grafts are superior for bone regeneration but challenging for extensive augmentation.
  • Octacalcium phosphate (OCP) and its collagen composite (OCP/Col) demonstrate enhanced bone substitute capabilities.
  • Alveolar bone defects often require advanced augmentation techniques for successful dental implant restoration.

Purpose of the Study:

  • To report the first clinical application of OCP/Col combined with a custom titanium mesh for extensive alveolar bone augmentation.
  • To demonstrate the efficacy of this combination in reconstructing maxillary anterior alveolar bone defects.
  • To restore occlusion and aesthetics using dental implants following bone augmentation.

Main Methods:

  • A custom titanium mesh was designed based on preoperative simulations for ideal alveolar morphology.
  • Extensive alveolar bone augmentation was performed using OCP/Col and the custom titanium mesh.
  • Dental implants were placed six months post-augmentation, followed by prosthesis insertion.

Main Results:

  • Ideal alveolar morphology was reconstructed six months after bone augmentation with OCP/Col and titanium mesh.
  • Successful placement of dental implants and restoration of occlusion and aesthetics were achieved.
  • The patient experienced significant improvement in quality of life post-treatment.

Conclusions:

  • OCP/Col combined with a custom titanium mesh is effective for reconstructing extensive alveolar bone defects.
  • This approach offers a viable solution for challenging cases requiring significant bone augmentation in the maxillary anterior region.
  • The successful outcome highlights the potential of OCP/Col as a bone substitute in combination with rigid fixation for complex reconstructive procedures.