Abd Elwakeel Mohamed Abd Elrahman, Adel Hamdy Abo ElFetouh And Mohamed Mounir Ahmed Shaker,

ABSTRACT


Aim: Is To Assess The Horizontal Bone Gain Following Utilization Of Patient Specifictitanium Sheet In Patients With Horizontal Deficiency In The Anterior MaxillaPatients And Methods: The Study Represents A Case Series Of Eight Patients Having Horizontally Deficientedentulous Anterior Maxilla. 18 Implants Were Inserted Within The Current Study. The Selected Patients Were Submitted To A Virtual Preplanned Reconstruction Of The Deficientridges By Incorporating An Equivalent Mixture Of Autogenous Cancellous Particulates And Xenogeneic Bone Loaded In A Solid Concealing CAD CAM Fixatingtitanium Device, Prior To The Installment Of Root-form Dental Implants. A Radiographic Comparison Between The Preoperative CBCT And The 6 Months Postoperative CBCT Took Place. The Study Has Been Permitted By The Ethics And Research Committee Of The Faculty Of Dentistry, Cairo University.

Results: There Was A Statistically Significantdifference Among Mean Horizontal Bone Changes At Different Time Intervals. The Mean Ridge Gain Measured Immediately Post-operative Was Significantlyhighest, Followed By That Observed From Baseline To 4 Months Post-operative, Then From Baseline To 6 Months Post-operative. While, The Significantlyhighest Mean Ridge Reduction Was Detected From Immediate Post-operative To 6 Months Post-operative, Followed By That Measured From Immediate Post-operative To 4 Months Post-operative And From 4 Months To 6 Months Post-operative, Which Did Not Differ Significantl. Conclusion: Horizontal Bone Augmentation At The Anterior Maxilla Using Patient Specificsolid-occlusive Non-perforated Titanium Sheets Could Be Considered A Reliable, Effective, Less Time-consuming Technique With Better Ridge Contour., Endosteal Blood Supply Is Considered To Be A Very Important Factor For Graft Consolidation With Complete Blockage Of The Periosteal Blood Supply. Non-perfroated Sheets Allowed For More Graft Protection And Reliable Bone Quality.