De Santis Daniele, Gelpi Federico, Verlato Giuseppe, Luciano Umberto, Torroni Lorena, Antonucci Nadia, Bernardello Fabio, Zarantonello Morris, Nocini Pier Francesco
Department of Surgery, Dentistry, Paediatrics and Gynecology, University of Verona, 37134 Verona, Italy.
Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy.
Medicina (Kaunas). 2021 Jan 11;57(1):60. doi: 10.3390/medicina57010060.
Guided bone regeneration allows new bone formation in anatomical sites showing defects preventing implant rehabilitation. 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. : 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. 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.
引导性骨再生可使解剖部位形成新骨，这些部位存在妨碍种植体修复的缺损。本病例系列报告了5例患者的治疗结果，这些患者采用数字化工作流程制造的定制钛网，以实现未来种植部位的骨再生。所有患者在宽度和厚度上均有显著增加。从影像学角度（CBTC）来看，水平和垂直缺损均取得了满意的结果。平均水平增加3.6±0.8毫米，垂直增加5.2±1.1毫米。本研究结果表明，定制钛网是在水平、垂直或联合缺损中进行引导性骨再生的有效方法。外科医生必须特别注意根据一种称为“雨披”技术的正确方法来包扎皮瓣，以减少最常见的并发症，即钛网暴露，即使一个钛网部分暴露也不会影响重建和种植体愈合的最终结果。
