Titanium Mesh: Placement and Removal

For many practitioners, the use of titanium mesh has provided excellent bone grafting results. There are of course certain procedures to follow to ensure a successful outcome. These two videos, provide a
quick overview to the surgical placement and removal of titanium mesh, for mandibular central incisors that had little bone. The idea was to augment the site in preparation for dental implant placement. The first video show the placement of the mesh, with BMP plus a PRF membrane, and closure obtained with a horizontal mattress suture. The second video shows the removal of the mesh and the placement of dental implants. Leave any comments below.

4 thoughts on “Titanium Mesh: Placement and Removal

  1. Dr Anuj Aggarwal says:

    Sir, what are the factors that help you decide between a graft and delayed implants after a few months as opposed to implants (with a few buccal threads exposed) followed by graft and mesh all in the same surgery.


    • Dr. Thevaril Thomas Thomas says:

      Yes Dr Anuj,

      It will work in single stage as far as the primary stability of the implant and the stability of the graft is maintained.

      Dr.Thevaril Thomas

  2. KEVIN says:

    What are common complications involved with Titanium mesh vs, GBR procedure with resorbable membrane especially regarding the mesh exposure? And how to manage if that happens?

  3. Dr. Gerald Rudick says:

    I have been working with Titanium mesh for many years……. it is a wonderful product; acts like a plywood form when cement is poured to build a side walk……. however, it is not uncommon to have some part of the mesh exposed…… it is harmless, and in fact, this annoyance speeds up the healing process between 2 and 10 times according to our dear collegue, the late Dr. Carl Misch…… he used the term “RAP….which stands for Regional Acceleratory Phenomenon.
    An exposed portion of the titanium can be annoying to the patient, because it is sharp and may cut some soft tissues or tongue ……. the patient must be made aware of this possibility, and they can help themselves by placing a piece of wax or gum over the sharp edge until the dentist can deal with it. The dentist can see the exposure, make sure that the mesh is itself not moving, whether it is screwed down or applied without screws as a saddle……….. but the exposed portion can be folded in or cut off.
    All patients with this type of treatment must be aware that oral hygiene is very important, as well as using a Peridex rinse once a day.
    I have done hundreds of this type of grafting, published articles on this technique, and give table clinics all over the world on this subject and highly recommend it…. the success rate is extremely high, and unlike a block graft, there is no donor site, and is very inexpensive for the dentist.


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