Additively manufactured sub-periosteal jaw implants
Abstract
Severe bone atrophy jeopardizes the success of endosseous implants. This technical note aims to present the innovative concept of additively manufactured sub-periosteal jaw implants (AMSJIs). Digital datasets of the patient's jaws and wax trial in occlusion are used to segment the bone and dental arches, for the design of a sub-periosteal frame and abutments in the optimal location related to the dental arch and for the design of the suprastructure. The implants and suprastructure are three-dimensionally (3D) printed in titanium alloy. The provisional denture is 3D-printed in polymer. AMSJIs offer an alternative approach for patients with extreme jaw bone atrophy. This report refers to the use of this technique for full maxillary rehabilitation, but partial defects in either jaw and extended post-resection defects may also be approached using the same technique. This customized, prosthesis-driven reverse-engineering approach avoids bone grafting and provides immediate functional restoration with one surgical session.
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For postablative defects, options for achieving stable screw fixation are significantly limited.
“However, for postablative defects, options for achieving stable screw fixation are significantly limited [20].”
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“However, for postablative defects, options for achieving stable screw fixation are significantly limited [20].”
- Authors
- Mommaerts, M. Y.
- Affiliations
- Universitair Ziekenhuis Brussel (BE)
- Corresponding author
- Mommaerts, M.Y.
- ORCID
- Mommaerts, M.Y.
- Venue
- International Journal of Oral and Maxillofacial Surgery
- Publisher
- Elsevier BV
- Published
- 2017-07
- Volume
- 46
- Issue
- 7
- Pages
- 938-940
- ISSN
- 0901-5027 (ISSN-L)
- OpenAlex
- W2592062516
- Cited by
- 109
- References
- 8
- Citations by year
- 2026: 20 · 2025: 21 · 2024: 25 · 2023: 17 · 2022: 6 · 2021: 8 · 2020: 7 · 2019: 3 · 2018: 2
- FWCI
- 4.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Oral and Maxillofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Physical Sciences › Engineering › Biomedical Engineering › Anatomy and Medical Technology
- Keywords
- additive manufacturing, maxillary rehabilitation, titanium alloy implants, 3D-printed prostheses, bone segmentation, abutment design, reverse engineering, bone grafting alternatives
- MeSH terms
- Models, Dental, Humans, Polymers, Titanium, Alveolar Bone Loss, Dental Prosthesis Design, Prostheses and Implants, Printing, Three-Dimensional
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