The efficiency of PRF, PTFE, and titanium mesh with collagen membranes for vertical alveolar bone addition in dental implant therapy: A narrative review

Abstract

Aim: In prosthodontics, adequate bone volume is required to place a dental implant. Augmentation treatment can increase bone volume if it is insufficient. The guided bone regeneration (GBR) approach can be applied for either horizontal or vertical alveolar ridge augmentation. The GBR approach requires material in the form of a membrane to prevent non-osteogenic cells from accessing the wound, thus preventing any disruption of the process of new bone creation. Typically, non-resorbable membranes like titanium mesh are used in the GBR procedure to augment bone vertical dimension volume. In order to improve healing and bone regeneration, titanium mesh can be coupled with several membranes, including collagen membranes, platelet-rich fibrin (PRF), and polytetrafluoroethylene (PTFE). This review sought to ascertain the effects of adding vertical bone to titanium mesh following GBR with a collagen membrane, PRF, and PTFE for dental implant treatment. Materials and Methods: In this review, the medical literature on membrane titanium mesh used for implant therapy with the GBR technique was gathered from journals and publications published in the PubMed and Google Scholar databases between 2015 and 2020. Experimental research, case reports, and randomized clinical trials (RCTs) were included. The keywords used were “titanium mesh membrane, titanium mesh guided bone regeneration, titanium mesh with collagen membranes, titanium mesh with PRF, and PTFE. Results: Thirteen publications were found and chosen which discuss the usage of titanium mesh in conjunction with collagen membranes, PRF, and PTFE as barrier membranes for GBR. Conclusion: The GBR technique, which combines titanium mesh with PTFE and collagen membranes, can improve alveolar bone vertical addition, and the combination of titanium mesh with PRF can help the healing process move faster.