Editorial Type:
Article Category: Letter
 | 
Online Publication Date: 01 Feb 2019

Custom-Made Titanium Mesh for Maxillary Bone Augmentation With Immediate Implants and Delayed Loading

DDS, ClinMSc, PhD,
DDS,
DDS,
DDS, ClinMSc, PhD, and
MD, DDS
Page Range: 59 – 64
DOI: 10.1563/aaid-joi-D-18-00141
Save
Download PDF
<bold>
  <sc>Figures 1 and 2</sc>
</bold>
Figures 1 and 2

Figure 1. Frontal and occlusal view of atrophic maxilla. Figure 2. Preoperative ortopanthomography.


<bold>
  <sc>Figures 3–6</sc>
</bold>
Figures 3–6

Figure 3. Digital implant placement planning. Because of severe horizontal bone atrophy, the previsualization showed implant fenestrations. Figure 4. Maxilla computer-aided design (CAD) rendering from computerized tomography data. Figure 5. CAD design of bone augmentation volume. Figure 6. CAD design of titanium mesh.


<bold>
  <sc>Figure 7</sc>
</bold>
Figure 7

Digital titanium mesh (Ti-mesh) computer-aided design workflow. The space that will be occupied by biomaterial is represented in light blue, while in red is figured the Ti-mesh. The titanium grid is designed and printed to precisely adapt to bone anatomy.


<bold>
  <sc>Figure 8</sc>
</bold>
Figure 8

Surgical implant placement phases. The previsualization of fenestrations shown in Figure 4 revealed to be true in reality (d).


<bold>
  <sc>Figure 9</sc>
</bold>
Figure 9

Biomaterial application under titanium mesh and plasma-rich growth factor.


<bold>
  <sc>Figure 10</sc>
</bold>
Figure 10

Second-stage surgery after 6 months. (a, b) Augmented maxilla in frontal and lateral view. (c, d) Grid exposure and removal, detaching from pseudo-periosteum. (e) Augmented bone volume. (f) Healing abutments and soft-tissue augmentation.


<bold>
  <sc>Figure 11</sc>
</bold>
Figure 11

Orthopantomography after prosthetic loading.


<bold>
  <sc>Figures 12 and 13</sc>
</bold>
Figures 12 and 13

Detailed computerized tomography images of implant bone, horizontal and vertical levels 1 year after loading.


<bold>
  <sc>Figure 14</sc>
</bold>
Figure 14

Computerized tomography 1 year after loading, occlusal view. Notice the native cortical level in the inner augmented bone and the newly formed cortical bone.


Contributor Notes

Corresponding author, e-mail: marcoaurelio.giavatto@gmail.com
  • Download PDF