Dento-alveolar reconstruction using titanium mesh and bone grafting followed by dental implants placement for malunion and malocclusion after a maxillo-mandibular fracture

Maxillofacial trauma that occurs in a traffic accident often results in not only missing teeth but also sever bone defects, with bone augmentation including possible reconstruction of occlusion needed for treatment. This case report describes bone augmentation treatment for a patient with severe bone injuries because of a traffic accident, in which titanium mesh and an iliac bone (autogenous particulate cancellous bone and marrow: PCBM) graft were utilized. A 33-year-old male was involved in a traffic accident and referred to visited Kyushu Dental University Hospital 2 months later. Computerized tomographic scanning showed a maxillary and mandibular anterior alveolar bone defects. Mandibular surgery was performed under general anesthesia, and a reconstructive plate was used for fixation with titanium mesh as well as PCBM graft. For the alveolar bone defect in the maxillary anterior region, bone augmentation using titanium mesh was also performed. At 6 months after the operation, the plate and titanium mesh were removed, then 5 implants were successfully placed and remained intact for more than 5 years. Additionally, the esthetic and functional results successfully matched the expectations of the patients.