| Abstrakt: |
The aim of this initial case report was to provide a new protocol for the clinical application of a patient-specific titanium lattice structure (Yxoss CBR®, ReOSS, Filderstadt, Germany) for customized bone regeneration. To obtain a 3-dimensional reconstruction of a posterior mandible segment in a 61-year-old woman, a patient-specific titanium customized lattice structure was used. As graft material autogenous bone tissue mixed with xenogenic alloplastic material (Bio Oss®, Geistlich Pharma, Wolhusen, Switzerland) was obtained for reconstruction. After a healing period of 6 months, the titanium lattice structure was removed and implant placement (Camlog Screw Line, 3.8/11, Camlog, Wimsheim, Germany) was performed. A cylindrical bone specimen was collected for histological analysis. Twentyfour months after implant loading, bone graft appeared stable. The case presented shows that this new protocol represents a sufficient and innovative way to provide a successful and predictable management for rebuilding an atrophied, complex bone defect. No serious complication occurred during the period of convalescence and no graft exposure occurred. The implant could be placed as planned and diminished surgical time. Further research is needed including long term studies and longer follow-ups. |
