Use of a Cellular Bone Matrix and Custom Titanium Mesh Scaffold for Vertical Bone Augmentation of the Posterior Mandible: A Case Report.

Abstract

This case report details the use of a cellular bone matrix (CBM) and custom titanium mesh (TM) scaffold for vertical bone augmentation in the posterior mandible of a 78-year-old patient. The patient presented with vertical bone deficiency, necessitating augmentation for dental implant placement. The customized titanium scaffold, designed based on CBCT data, provided a precise fit, minimizing the risks associated with traditional TM. During surgery, CBM was used in conjunction with the custom scaffold to enhance bone regeneration. Postoperative recovery was uneventful, with 6-month CBCT scans showing mature bone formation. Histological analysis confirmed successful osseous regeneration. The case demonstrates the effectiveness of combining CBM and custom TM for complex bone augmentation, offering a predictable and stable foundation for dental implants. Future studies with larger sample sizes and longer follow-up times are needed to validate these findings further.