Reconstruction of Atrophic Alveolar Process With Xenograft, Fibrin-Rich Plasma, Titanium Mesh, Implant Placement, and Immediate Provisionalization.

Abstract

Placement of dental implants is often compromised due to alveolar ridge resorption caused by postextraction defects, periodontal disease, traumatic tooth avulsion, or long-term edentulism. During the last 2 decades, various techniques have been proposed for reconstructing atrophic alveolar processes. Different therapeutic modalities have been implemented to achieve bone gain. These techniques require an orderly sequence of maneuvers, which involves handling the soft and hard tissues to minimize the risk of complications. A clinical case of reconstruction of an atrophic alveolar process with xenograft, fibrin-rich plasma (FRP), and titanium mesh; placement of an implant; and immediate provisionalization is reported. The reported case had a significant horizontal and vertical bone deficiency. The combination of different elements, such as the xenograft combined with FRP, the placement of a titanium mesh, and the final coverage of the mesh with an FRP membrane, resulted in a gain not only in the horizontal but also in the vertical direction.