New frontiers in protected bone regeneration with customised titanium meshes - A Hands-on Workshop

A range of reconstructive surgical options are available that enable implant placement even in the presence of severely atrophic edentulous ridges. Such options can include guided bone regeneration, autogenous bone block grafts, and distraction osteogenesis. These procedures are reliable but can be time-consuming and technically demanding.

Recently, customised CAD/CAM titanium meshes based on personalised 3D models using data from CBCTs have become available on the market. The aims are to offer results similar to those obtained with the traditional reconstructive procedures, whilst simplifying and shortening the surgical procedure.

Furthermore, over the last decade, the importance of peri-implant soft tissues has been demonstrated to play a relevant role on the final outcome of implant-supported prostheses.

Aims of this hands-on workshop are to present:
> The application and clinical results obtained with customised titanium meshes (including planning considerations, surgical details, and clinical videos); and
> The role played by soft tissues in the final outcome of implant-supported restorations in atrophic sites

Learning objectives:
> How to optimise pre-operative planning of a clinical case in need of reconstruction of an atrophic edentulous ridge with a customised titanium mesh
> How to optimise the combination of autogenous bone chips with bovine bone mineral for guided bone regeneration
> How to adapt the preformed titanium meshes to the defect and how to stabilise it with titanium screws
> How to release mucoperiosteal flaps to obtain a water-tight and tension-free suture (hands-on using pig jaws)
> How to optimise timing of implant placement and prosthetic loading