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

<i>Background and Objective:</i> Guided bone regeneration allows new bone formation in anatomical sites showing defects preventing implant rehabilitation. <i>Material and Methods:</i> The present case series reported the outcomes of five patients treated with customized titan...

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Main Authors: Daniele De Santis, Federico Gelpi, Giuseppe Verlato, Umberto Luciano, Lorena Torroni, Nadia Antonucci, Fabio Bernardello, Morris Zarantonello, Pier Francesco Nocini
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/57/1/60
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author Daniele De Santis
Federico Gelpi
Giuseppe Verlato
Umberto Luciano
Lorena Torroni
Nadia Antonucci
Fabio Bernardello
Morris Zarantonello
Pier Francesco Nocini
author_facet Daniele De Santis
Federico Gelpi
Giuseppe Verlato
Umberto Luciano
Lorena Torroni
Nadia Antonucci
Fabio Bernardello
Morris Zarantonello
Pier Francesco Nocini
author_sort Daniele De Santis
collection DOAJ
description <i>Background and Objective:</i> Guided bone regeneration allows new bone formation in anatomical sites showing defects preventing implant rehabilitation. <i>Material and Methods:</i> 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. <i>Results</i>: 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. <i>Conclusions:</i> 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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spelling doaj.art-82253df8d17641fbac4ecc62bcaafa0b2023-09-03T00:20:08ZengMDPI AGMedicina1010-660X2021-01-0157606010.3390/medicina57010060Digital Customized Titanium Mesh for Bone Regeneration of Vertical, Horizontal and Combined Defects: A Case SeriesDaniele De Santis0Federico Gelpi1Giuseppe Verlato2Umberto Luciano3Lorena Torroni4Nadia Antonucci5Fabio Bernardello6Morris Zarantonello7Pier Francesco Nocini8Department of Surgery, Dentistry, Paediatrics and Gynecology, University of Verona, 37134 Verona, ItalyDepartment of Surgery, Dentistry, Paediatrics and Gynecology, University of Verona, 37134 Verona, ItalyDepartment of Diagnostics and Public Health, University of Verona, 37134 Verona, ItalyDepartment of Surgery, Dentistry, Paediatrics and Gynecology, University of Verona, 37134 Verona, ItalyDepartment of Diagnostics and Public Health, University of Verona, 37134 Verona, ItalyDepartment of Diagnostics and Public Health, University of Verona, 37134 Verona, ItalyFree Practitioner in Verona Via F.Bonvicini 42, Legnago, 37045 Verona, ItalyFree Practitioner in Verona Via Carducci 88/2 Badia Polesine, Rovigo, 45021 Verona, ItalyDepartment of Surgery, Dentistry, Paediatrics and Gynecology, University of Verona, 37134 Verona, Italy<i>Background and Objective:</i> Guided bone regeneration allows new bone formation in anatomical sites showing defects preventing implant rehabilitation. <i>Material and Methods:</i> 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. <i>Results</i>: 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. <i>Conclusions:</i> 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.https://www.mdpi.com/1010-660X/57/1/60custom titanium meshbone regenerationdigital planned surgery
spellingShingle Daniele De Santis
Federico Gelpi
Giuseppe Verlato
Umberto Luciano
Lorena Torroni
Nadia Antonucci
Fabio Bernardello
Morris Zarantonello
Pier Francesco Nocini
Digital Customized Titanium Mesh for Bone Regeneration of Vertical, Horizontal and Combined Defects: A Case Series
Medicina
custom titanium mesh
bone regeneration
digital planned surgery
title Digital Customized Titanium Mesh for Bone Regeneration of Vertical, Horizontal and Combined Defects: A Case Series
title_full Digital Customized Titanium Mesh for Bone Regeneration of Vertical, Horizontal and Combined Defects: A Case Series
title_fullStr Digital Customized Titanium Mesh for Bone Regeneration of Vertical, Horizontal and Combined Defects: A Case Series
title_full_unstemmed Digital Customized Titanium Mesh for Bone Regeneration of Vertical, Horizontal and Combined Defects: A Case Series
title_short Digital Customized Titanium Mesh for Bone Regeneration of Vertical, Horizontal and Combined Defects: A Case Series
title_sort digital customized titanium mesh for bone regeneration of vertical horizontal and combined defects a case series
topic custom titanium mesh
bone regeneration
digital planned surgery
url https://www.mdpi.com/1010-660X/57/1/60
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