# Semi-customized three-dimensional ultra-fine titanium meshes in guided bone regeneration for implant therapy in severe alveolar bone defect: a case report

## TL;DR

A case report shows how a semi-customized titanium mesh helped regenerate bone for dental implants in a patient with severe bone loss.

## Contribution

A novel semi-customized ultra-fine titanium mesh is introduced for guided bone regeneration in implant therapy.

## Key findings

- The titanium mesh successfully augmented bone defects with satisfactory new bone formation.
- The mesh was directly connected to tenting screws with minimal shaping, simplifying the procedure.
- Implants were successfully placed after six months, followed by a definitive prosthesis.

## Abstract

This case report provides a detailed description of a simple and fast bone regeneration procedure using a semi-customized three-dimensional ultra-fine titanium mesh. A 50-year-old male with a severe vertical and horizontal bone defect in the anterior mandible underwent implant treatment in a staged approach. The autologous bone was combined with a xenograft, and the mixture was grafted to augment the bone defect and covered with semi-customized ultra-fine titanium meshes, which were selected among its various types according to size and configuration of the bone defect, directly connected and immobilized on the tenting screws with minimal shaping. In a postoperative 6 months re-entry surgery, the performed titanium meshes were removed, implants were placed, and a bone core biopsy was obtained that demonstrated satisfactory new bone formation. Finally, two months later, the definitive prosthesis was installed. This semi-customized ultra-fine titanium mesh could help an implant clinician obtain more predictable results in the guided bone regeneration (GBR).