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 Regenerative, Research and News, Surgical.
Bookmark Custom Titanium Ridge Augmentation Matrix (CTRAM): Ideal Augmentation Technique?

Videos to Watch:

Titanium Mesh for Ridge Augmentation

The use of titanium mesh is a reliable method for ridge augmentation to provide adequate[...]


Watch Now!
Implant Grafting Techniques: Demineralized Sponge Strip and Tunneling

This video reviews several unique grafting and surgical techniques, including the use of demineralized cancellous[...]

Watch Now!
Mandibular Fixed Screw Retained Restoration

This video shows the use of a surgical guide for a mandibular fixed screw retained[...]

1 Comment

Watch Now!
Clinical Tip for Fixation of a Collagen Membrane

This video provides a clinical tip with regards to the fixation of a collagen membrane.[...]

Watch Now!
Lower Molar Extraction with Graft

Video showing lower left first molar extraction, followed by a socket graft, and then immediate[...]


Watch Now!
Maxillary Bone Reconstruction

This video demonstrations Maxillary Bone Reconstruction using Subnasal Floor Elevation and an Osteotome Closed Approach[...]

Watch Now!
Infection of Lower Premolar: Extract and Place Implant

In this video, the lower left 2nd premolar was extracted due to infection, and implants[...]

Watch Now!
Flapless Immediate Implant and Provisional

This video shows a technique showing using the patient's own tooth as a provisional at[...]

Watch Now!
Extraction and Immediate Implant with Luxator LX

Extraction of tooth #8, using Luxator LX, and then an immediate implant and provisional.[...]


Watch Now!
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!