Assessment of Customized 3D Zirconium Versus Titanium Mesh for Anterior Maxillary Ridge Augmentation With Delayed Implant Placement

Inclusion criteria

• Inclusion criteria:

• Patients from both genders with the age range of 18-60 years with good systemic health, no contraindication for periodontal surgery and able to maintain good oral hygiene.
• Patient with anterior maxillary alveolar ridge deficiency (horizontal, vertical or combined defects) less than 2 mm in width or less than 6 mm in height - measured from the alveolar crest to the basal bone in order to be enrolled in this study. (56)
• Adequate zone of keratinized gingiva at minimum 3mms.
• Patient with sufficient inter-arch space for future dental rehabilitation.
• Subjects who are not on any medication known to interfere with periodontal tissue health or healing within 6 months of the study.

Exclusion criteria

Exclusion criteria

• History of systemic diseases (i.e. diabetes, autoimmune dysfunction, prolonged cortisone therapy, or chemotherapy) that would contraindicate periodontal surgical treatment or affect bone turn over.
• Patients with deleterious habits like the use of tobacco chewing or smoking ones.
• History of previous periodontal surgical treatment of the involved sites.
• Presence of malocclusion and pathologic movement of teeth in involved sites.
• Patient not willing to give consent for the study and poor plaque control.(57)
• Pregnant or nursing mothers.
• Patients with acute odontogenic infection.