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Video Details
Titanium Mesh Mediated Guided Bone Regeneration

Description:
In this surgical technique video, Dr. Tomohiro Ishikawa demonstrates, in great detail, the clinical step-by-step techniques required for successful GBR procedures utilizing a collagen membrane, titanium mesh and autogenous bone grafts.

Date Added:
11/26/2009

Author(s):

Tomohiro Ishikawa, DDS Tomohiro Ishikawa, DDS
Tomohiro Ishikawa, D.D.S.

Professional Experience:

  • Ishikawa Dental Office, private practice, Hamamatsu, Shizuoka, Japan, 1996-present [read more]




Online Videos / Surgery / Bone Grafting / Titanium Mesh Mediated Guided Bone Regeneration




Questions & Comments
Joon Kim554 - (10/9/2017 9:34 AM)

It seems both ti-reinforced membrane and ti mesh users like to cover with another membrane (resorbable) to prevent exposure. Nice to know.

mansour mirzaie - (9/20/2011 2:49 PM)

thank you for the nice presentation dear Dr.ishikawa.titanium mesh is a nice membrane ,easy to place but hard to remove.how do you remove the membrane ?

Milo Garcia Tempone - (3/7/2010 3:08 PM)

Thank you for sharing this nice technique. Where and how can we purchase these titanium membranes.

Mark Neale - (12/3/2009 8:15 PM)

Great results. Thanks for sharing. How were the mesh and membranes stablized?

Tomohiro Ishikawa - (6/16/2009 5:54 AM)

James, yes it is a little difficult to remove the Titanium mesh.I now always use cross-linked collagen membrane to cover the mesh in compliance with the accepted theory of GBR. Sometimes the mesh is covered with newly formed bone, in this case we have to use burs or chisels to remove the bone, before removing the mesh. On occasion, there is a thin soft tissue layer under the membrane. In this case, I use a blade to separate the tissue from the titanium mesh. In answer to your other question,I feel that it shouldn't be necessary to ever remove regenerated tissue.

Tomohiro Ishikawa - (6/16/2009 5:21 AM)

Maurice, I agree that PRGF,BMP or PDGF would have a positive influence on new bone formation. In addition, PRGF and PDGF would enhance soft tissue healing; which in turn, would reduce the chance of post-operative complications.

Paul, Thank you for your comment. I agree with you, a more stable video would be easier to watch.

james kim - (6/11/2009 8:22 AM)

How difficult is it to remove the titanium mesh at the uncovering stage?

Does it leave a somewhat bumpy ridge that you'll have to smooth down with a bur?

Maurice Salama - (5/17/2009 7:16 AM)

Amazing. Great surgical technique. Fitting the titanium membrane today can be done presurgically on a stereolithographic 3D model. Perhaps this would be a good indication for a bioactive modifier incorporated into the bone graft like PRGF or rhBMP?

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