Customized 3D-Printed Titanium Mesh Developed for an Aesthetic Zone to Regenerate a Complex Bone Defect Resulting after a Deficient Odontectomy: A Case Report

Abstract

Background and Objectives: Alveolar ridge augmentation in the complex bone defect is a popular topic in implantology. Guided bone regeneration (GBR) is one of the most commonly applied methods to reconstruct alveolar bone. The application of a membrane is the fundamental principle of GBR. There are many membrane types used in oral surgery, but the advantage of the titanium mesh is the rigidity which provides space maintenance and prevents contour collapse. The smooth surface also reduces bacterial contamination. Using computer-aided design (CAD) and computer-aided manufacturing (CAM) in dentistry allows us to obtain the perfect architecture form of the mesh, which covers and protects the bone reconstruction. Case presentation: We present a surgical case of a 27-year-old female patient with severe aesthetic bone atrophy after a deficient odontectomy. Based on the GBR clinical applications, the technique consists of bone reconstruction and a customized titanium mesh application. Using mesh titanium in this case presentation was a reliable alternative to perform a lateral alveolar bone augmentation and reconstruct ridge deformities before reaching an ideal implant placement. Conclusions: According to our case report, the customized titanium mesh could be a valuable option for guided bone regeneration in aesthetic maxillary defects.

Guided Bone Regeneration with Occlusive Titanium Barrier: A Case Report and Clinical Considerations

“…They noted that the ISQ stabilized between the fourth and sixth months. Therefore, biologically active bone was observed around the implants [ 40 ].…”

Guided Bone Regeneration in a Periodontally Compromised Individual with Autogenous Tooth Bone Graft: A Radiomics Analysis

“…In this experiment, the surgeon covered the AutoBT with Bio-Gide ® collagen membrane in order to provide osteogenic space; however, the resorbable collagen membrane could not be used, as it lacked rigid support in order to maintain a stable osteogenic space. A case report by Gelet , u GL [44] illustrates that pre-formed titanium mesh has some strength and rigidity to guide the regenerative bone contour and maintain a relatively stable space with good repair results.…”

Full-Digital Customized Meshes in Guided Bone Regeneration Procedures: A Scoping Review

“…A moderate risk of bias was observed in this review. Geletu et al, 2022 [56] hesis 2023, 5, FOR PEER REVIEW 5 Table S3 (Supplementary Materials) shows the studies excluded from this review and the reasons for exclusion [32][33][34][35][36][37][38][39][40][41][42].…”

“…The Cochrane Collaborati included in this review (Table S4 (Supplementary Materials). The studies were from four categories: controlled intervention studies [43,44], before-after (Pre-Post) studies with no control group [45], observational cohort studies [46][47][48][49][50][51], and case series/case report studies [52][53][54][55][56][57].…”