Custom Titanium Ridge Augmentation Matrix (CTRAM): Ideal Augmentation Technique?

custom-meshWith major yearly advances in CAD/CAM dentistry (computer-aided design and computer-aided manufacturing), it seems inevitable that new augmentation techniques will be developed that should lead to major improvements over current treatment protocols. One very interesting area of development is a novel bone augmentation technique using a custom titanium ridge augmentation matrix (CTRAM). The CTRAM is fabricated by utilizing information digitally obtained from CBCT scans to produce virtual augmentations and custom designs, which are then additively manufactured.

A recent study 1 reported on 2 cases using the custom titanium ridge augmentation matrix (CTRAM) method and concluded:

The CTRAM design allows for preoperative planning for increasing alveolar ridge dimensions to support dental implants, reduces surgical time, and prevents the need for a second surgical site to gain sufficient alveolar ridge bone volume for dental implant therapy.1

Another study 2 went even further in praising CTRAM stating:

The combination of CT imaging and CAD technology to create CTRAM from virtual 3D models of the jaw allows for precise pre-surgical planning, resulting in an ideal augmentation of the patient’s defect. This technology enables 1) pre-surgical determination of required bone for ridge augmentation to facilitate future implant placement, 2) reduction of intraoperative time, and 3) application of the critical principle of rigid space maintenance.2

What are your thoughts on CTRAM and it’s potential adoption in GBR?

1. Int J Periodontics Restorative Dent. 2016 Sep-Oct;36(5):707-14. Custom Titanium Ridge Augmentation Matrix (CTRAM): A Case Report..
. Conner CA, et al.
2. Naval Postgraduate Dental School, Clinical Update, Vol. 38, 1 Alveolar Ridge Augmentation Techniques for Implant Site Development, Lieutenant Commander Cameron Beck, DC, USN, et al

3 thoughts on “Custom Titanium Ridge Augmentation Matrix (CTRAM): Ideal Augmentation Technique?

    • KPM says:

      Yes, the idea is excellent but I would think the cost would have to competitive with conventional matrices to make it “worth it”. I wonder if the CT obtained matrix might be milled from something resorbable…THAT would be nice.


Leave a Comment:

Comment Guidelines: Be Yourself. Be Respectful. Add Value. For more details, read our comment guidelines. Though we require an email to comment, we will NEVER publish your email.
Required fields are marked *

Posted in Implant News, Regenerative, Surgical.
Bookmark Custom Titanium Ridge Augmentation Matrix (CTRAM): Ideal Augmentation Technique?

Videos to Watch:

Dealing with the Implant Gap

This short video discusses how to best deal with the gap after immediate implant insertion[...]

1 Comment

Watch Now!
Lower Right Molar Extraction & Immediate Implant Placement Using i-PRF

In this video, the lower right second molar was extracted and grafted with i-PRF and[...]


Watch Now!
Maxillary Implantation with Treatment of Chronic Sinusitis

This video shows two cases where implants were placed following treatment of Sinusitis. [...]


Watch Now!
Suturing in Guided Bone Regeneration

This video provides clinical tips for suturing techniques in Guided Bone Regeneration. In Guided Bone[...]

1 Comment

Watch Now!
Socket grafting with Collagen Dressing and Bond Apatite

This video demonstrates socket grafting with just bond apatite and a collagen wound dressing.[...]

Watch Now!
Dental Implant for Lower Right Second Molar

This video shows implant placement on the lower right second molar.[...]

Watch Now!
Saving a Bridge with Periodontal Therapy

This video shows a case involving a 48-year-old male who was referred for periodontal treatment[...]

Watch Now!
Immediate Loading Full Arch

This video shows a case of Immediate loading of a full arch with simultaneous guided[...]

Watch Now!
Apically Repositioned Flap Technique Around Implants

The apically positioned flap is a commonly used surgical approach, that may help the long[...]

Watch Now!
Digitally Planned Bone Augmentation and Immediate Implantation

This video shows a case using the Ring technique to provide bone augmentation along with[...]

Watch Now!
AnyRidge Implants: Replacement of Upper Left Molars

This video shows the replacement of maxillary upper left molars with Megagen AnyRidge Implants.[...]

1 Comment

Watch Now!
Guided Implant Surgery & Immediate Temporisation

This video demonstrates the placement of a missing pre-molar using computer-guided surgery and immediate temporization.[...]

1 Comment

Watch Now!