الفهرس 
Assessment of horizontal bone gain using patient specific titanium sheet: a novel protocol for treatment of horizontal deficiency in the anterior maxilla
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Abstract
Aim: is to assess the horizontal bone gain following utilization of patient specific titanium sheet in patients with horizontal deficiency in the anterior maxilla. Patients and Methods: The study represents a case series of eight patients having horizontally deficient edentulous anterior maxilla.18 implants were inserted within the current study.The selected patients were submitted to a virtual preplanned reconstruction of the deficient ridges by incorporating an equivalent mixture of autogenous cancellous particulates and Xenogeneic bone loaded in a solid concealing CAD CAM fixating titanium device, prior to the installment of rootform dental implants. A histomorphometric analysis of the consolidated graft and a radiographic comparison between the preoperative CBCT and the 4 months postoperative CBCT took place. The study has been permitted by the ethics and research committee of the Faculty of Dentistry, Cairo University. Results: The clinical results showed that all patients showed mild to moderate postoperative edema which was completely resolved by the 7th day postoperatively. One patient showed flap dehiscence without any signs of infection. There was a statistically significant difference among mean horizontal bone changes at different time intervals. The mean ridge gain measured immediately post-operative was significantly highest, followed by that observed from baseline to 4 months postoperative, then from baseline to 6 months post-operative