Evidence map›Paper›PMID 41369229›Full record

SynthesisClinical and experimental dental research2025

Clinical Outcomes of Titanium Mesh for Alveolar Bone Augmentation: An Umbrella Review.

Ethan Ng, Nikos Donos, Mohammad Adib Jaafar, John Rong Hao Tay, Nikos Mardas

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical and experimental dental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ethan NgFaculty of Medicine and Dentistry, Centre for Oral Clinical Research, Institute of Dentistry, Queen Mary University of London, London, UK.ORCID 0000-0002-7538-7866
Nikos DonosFaculty of Medicine and Dentistry, Centre for Oral Clinical Research, Institute of Dentistry, Queen Mary University of London, London, UK.ORCID 0000-0002-4117-9073
Mohammad Adib JaafarFaculty of Medicine and Dentistry, Centre for Oral Clinical Research, Institute of Dentistry, Queen Mary University of London, London, UK.
John Rong Hao TayDepartment of Restorative Dentistry, National Dental Centre Singapore, Singapore, Singapore.ORCID 0000-0003-3042-3103
Nikos MardasFaculty of Medicine and Dentistry, Centre for Oral Clinical Research, Institute of Dentistry, Queen Mary University of London, London, UK.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

objectivesTo critically evaluate the evidence derived from systematic reviews for titanium mesh as a bone augmentation method for alveolar ridge deficiencies. MATERIALS AND

methodsFive databases were searched for systematic reviews describing any interventions to increase the dimensions of the alveolar ridge using titanium mesh. Included reviews had to report on the primary outcome of vertical and/or horizontal bone gain after augmentation with titanium mesh. The methodological quality of the systematic reviews was assessed with the AMSTAR 2 tool, and the certainty of evidence was evaluated with GRADE.

resultsEight systematic reviews were identified, including two with meta-analysis. Of the 51 index studies included in the reviews, 20 were RCTs. The weighted mean reported vertical bone gain was 4.05 mm, and horizontal gain was 3.96 mm. However, overlap of primary studies across included reviews limits the precision of these estimates. When stratified by review quality, the single high-quality review showed lower vertical and horizontal bone gain compared to the weighted mean. The average mesh exposure rate was 25%, although bone regeneration was usually still sufficient for implant placement.

conclusionsTitanium mesh can be effective for bone regeneration but carries a notable risk of site exposure. When choosing the technique for bone augmentation, clinicians should balance achieving optimal bone regeneration with minimal complications to enhance patient care and surgical outcomes.

Indexed as

Alveolar Ridge AugmentationSurgical MeshTitaniumBone RegenerationHumansSystematic Reviews as TopicTreatment OutcomeTitaniumalveolar bone lossalveolar ridge augmentationbone graftingbone regenerationdental implantstitanium surgical mesh

Identifiers

PMID41369229
PMCPMC12690612

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.