• Medicina · Jan 2021

    Case Reports

    Digital Customized Titanium Mesh for Bone Regeneration of Vertical, Horizontal and Combined Defects: A Case Series.

    • Daniele De Santis, Federico Gelpi, Giuseppe Verlato, Umberto Luciano, Lorena Torroni, Nadia Antonucci, Fabio Bernardello, Morris Zarantonello, and Pier Francesco Nocini.
    • Department of Surgery, Dentistry, Paediatrics and Gynecology, University of Verona, 37134 Verona, Italy.
    • Medicina (Kaunas). 2021 Jan 11; 57 (1).

    AbstractBackground and Objective: Guided bone regeneration allows new bone formation in anatomical sites showing defects preventing implant rehabilitation. Material and Methods: The present case series reported the outcomes of five patients treated with customized titanium meshes manufactured with a digital workflow for achieving bone regeneration at future implant sites. A significant gain in both width and thickness was achieved for all patients. Results: From a radiographic point of view (CBTC), satisfactory results were reached both in horizontal and vertical defects. An average horizontal gain of 3.6 ± 0.8 mm and a vertical gain of 5.2 ± 1.1 mm. Conclusions: The findings from this study suggest that customized titanium meshes represent a valid method to pursue guided bone regeneration in horizontal, vertical or combined defects. Particular attention must be paid by the surgeon in the packaging of the flap according to a correct method called the "poncho" technique in order to reduce the most frequent complication that is the exposure of the mesh even if a partial exposure of one mesh does not compromise the final outcome of both the reconstruction and the healing of the implants.

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