Sandwich Bone Augmentation (SBA) in immediate implant placement post dentoalveolar trauma: a case report

Anton Anton (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, Jogjakarta, Indonesia)
Poerwati S. Rahajoe (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, Jogjakarta, Indonesia)
Bambang Dwirahardjo (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, Jogjakarta, Indonesia)

Journal of Dentomaxillofacial Science
Vol. 2 No. 3 (2017): (Available online: 1 December 2017)

Objective: Reporting the application of SBA procedure with titanium mesh as an alternative solution for immediate implant placement in socket with dentoalveolar trauma-induced buccal bone defect.Methods: An 18-year-old female patient visited our department, with a history dentoalveolar trauma and a loss of  tooth 21. Clinical examination during the implant placement procedure exposed  a socket with buccal bone defect. SBA with autogenous chin bone graft combined with DFDBA allograft and stabilized with titanium mesh (Ti-Mesh) for buccal defect on which flap reposition was done with tension free primary closure.Results: Ti-Mesh was removed after 3 months which no sign of inflamation appeared, implant was in a stable condition and new bone formation was observed. Subsequently, healing abutment was placed. A one-year observation suggested a good clinical retention with no luxation observed, along with decent functional and esthetic results. CBCT evaluation showed buccal bone thickness preserved.Conclusion: Sandwich bone augmentation with stabilized titanium mesh provides a satisfying result in treating horizontal buccal bone defect.