| Autor: |
Araújo CRG; Department of Implant Dentistry, Faculdade São Leopoldo Mandic, Instituto São Leopoldo Mandic, Campinas, Brazil.; IMPLA, Belo Horizonte, Brazil., Araújo RC; IMPLA, Belo Horizonte, Brazil.; Department of Dental Prosthesis, Faculdade São Leopoldo Mandic, Instituto São Leopoldo Mandic, Campinas, Brazil., Araújo CG; IMPLA, Belo Horizonte, Brazil.; Department of Dental Prosthesis, Faculdade São Leopoldo Mandic, Instituto São Leopoldo Mandic, Campinas, Brazil., Carvalho AP; Department of Dental Clinics, Oral Pathology, and Oral Surgery, School of Dentistry, Federal University of Minas, Brazil., Cota LOM; Department of Dental Clinics, Oral Pathology, and Oral Surgery, School of Dentistry, Federal University of Minas, Brazil., Martins-Júnior PA; Department of Child and Adolescent Oral Health, School of Dentistry, Federal University of Minas Gerais, Brazil., Pelegrine AA; Department of Implant Dentistry, Faculdade São Leopoldo Mandic, Instituto São Leopoldo Mandic, Campinas, Brazil. |
| Abstrakt: |
Guided bone regeneration involving the use of titanium mesh and platelet-rich fibrin could be a feasible approach in cases of severely atrophic ridges. The purpose of this case report was to present an esthetic and functional rehabilitation in the anterior maxilla with the installation of dental implants in conjunction with guided bone regeneration using titanium mesh and advanced platelet-rich fibrin (A-PRF). A 60-year-old patient presented bone atrophy and partial edentulism in the anterior maxilla. After clinical and cone beam computed tomography assessment, guided bone regeneration was planned using a titanium mesh and A-PRF with xenograft bone. After 8 months of healing, the dental implants were placed with the aid of a surgical guide to obtain accurate 3-dimensional positioning. Prosthetic rehabilitation was carried out with individualized crowns. After 2 years of follow-up, radiographic analysis demonstrated a good quality and density of the bone tissue adjacent to the dental implants. No radiolucent areas were observed, and there were no clinical signs of failure. In cases of severe atrophy, using a titanium mesh and A-PRF proved to be a feasible alternative for bone reconstruction prior to dental implant placement. This approach can aid dental professionals in achieving an ideal implant positioning for rehabilitation with individualized crowns. |
