Custom-made 3D printed subperiosteal titanium implants for the prosthetic restoration of the atrophic posterior mandible of elderly patients: a case series
Open accessAbstract
Purpose: To present the application of custom-made 3D-printed subperiosteal implants for fixed prosthetic restoration of the atrophic posterior mandible of elderly patients. Methods: Between January 2017 and June 2018, all partially edentulous patients aged over 65 years, with two or more missing teeth in the posterior atrophic mandible, and who did not want to undergo bone regenerative procedures, were included in this study. These patients were rehabilitated with custom-made subperiosteal implants, designed from cone beam computed tomography (CBCT) and fabricated in titanium by means of direct metal laser sintering (DMLS). The outcome measures were fit and stability of the implants at placement, duration of the intervention, implant survival, and early and late complications. All patients were followed for 1 year after surgery. Results: Ten patients (four males, six females; mean age 69.6, SD ± 2.8, median 69, 95% CI 67.9–71.6) were included in the study. The fit of the implants was satisfactory, with a mean rating of 7 out of 10 (SD ± 1.6, median 7, 95% CI 6–8). Only two implants had insufficient fit, because of the presence of scattering in the CBCT; however, they were adapted to the sites during the interventions. The mean duration of the intervention was 44.3 min (SD ± 19.4, median 37, 95% CI 32.3–56.3). At the one-year follow-up, no implants were lost (survival rate 100%). One implant presented immediate postoperative complications with pain, discomfort and swelling, and two patients experienced late complications, having their provisional restorations fractured during the temporisation phase. All these complications were minor in nature, but the final complication rate amounted to 30% (three of ten patients). Conclusions: Although this study has limits (small patient sample and short follow-up), DMLS has proven to be an effective method for fabricating accurate subperiosteal implants, with high survival rates. This may represent an alternative treatment procedure in elderly patients with a severely atrophic posterior mandible, since it allows avoidance of regenerative bone therapies. Further studies are needed to confirm these outcomes.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
These features, along with cranial base anchorage, make the IPS Implants® Preprosthetic a unique dental rehabilitation device for stable restoration in complex cases, distinguishing it from other subperiosteal implants, particularly those produced by laser melting technology.
“These features, along with cranial base anchorage, make the IPS Implants® Preprosthetic a unique dental rehabilitation device for stable restoration in complex cases, distinguishing it from other subperiosteal implants, particularly those produced by laser melting technology [25–32].”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Cone beam computed tomography in implant dentistry: recommendations for clinical use
Jacobs, R., Salmon, B. J. R., Codari, M., et al. (2018) · BMC Oral Health · doi:10.1186/s12903-018-0523-5 · Cited by 522 · see citing works
Current status on lithium disilicate and zirconia: a narrative review
Zarone, F., Mauro, M. I. D., Ausiello, P., Ruggiero, G., & Sorrentino, R. (2019) · BMC Oral Health · doi:10.1186/s12903-019-0838-x · Cited by 454 · see citing works
Rocchietta, I., Fontana, F., & Simion, M. (2008) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.2008.01271.x · Cited by 443 · see citing works
The complete digital workflow in fixed prosthodontics: a systematic review
Joda, T., Zarone, F., & Ferrari, M. (2017) · BMC Oral Health · doi:10.1186/s12903-017-0415-0 · Cited by 424 · see citing works
Esposito, M. A., Grusovin, M. G., Felice, P., Karatzopoulos, G., Worthington, H. V., & Coulthard, P. (2010) · Springer eBooks · doi:10.1007/978-3-642-05025-1_13 · Cited by 334 · see citing works
Wessing, B., Lettner, S., & Zechner, W. (2017) · The International Journal of Oral & Maxillofacial Implants · doi:10.11607/jomi.5461 · Cited by 275 · see citing works
Mangano, F. G., Hauschild, U., Veronesi, G., et al. (2019) · BMC Oral Health · doi:10.1186/s12903-019-0792-7 · Cited by 260 · see citing works
Self-citationTolstunov, L., Hamrick, J. F. “., Broumand, V., et al. (2019) · Oral and Maxillofacial Surgery Clinics of North America · doi:10.1016/j.coms.2019.01.005 · Cited by 166 · see citing works
Bechara, S., Kubilius, R., Veronesi, G., et al. (2016) · Clinical Oral Implants Research · doi:10.1111/clr.12923 · Cited by 140 · see citing works
Direct Metal Laser Sintering Titanium Dental Implants: A Review of the Current Literature
Mangano, F. G., Chambrone, L., van Noort, R., et al. (2014) · International Journal of Biomaterials · doi:10.1155/2014/461534 · Cited by 136 · see citing works
Self-citationFelice, P., Marchetti, C., Iezzi, G., et al. (2009) · Clinical Oral Implants Research · doi:10.1111/j.1600-0501.2009.01765.x · Cited by 123 · see citing works
Cerea, M., & Dolcini, G. A. (2018) · BioMed Research International · doi:10.1155/2018/5420391 · Cited by 104 · see citing works
Mangano, F. G., Macchi, A., Caprioglio, A., Sammons, R. L., Piattelli, A., & Mangano, C. (2014) · Journal of Prosthodontics · doi:10.1111/jopr.12152 · Cited by 83 · see citing works
Self-citationLong-Term Retrospective Studies On Hydroxyapatite-Coated Endosteal And Subperiosteal Implants
Golec, T. S., & Krauser, J. T. (1992) · Dental Clinics of North America · doi:10.1016/s0011-8532(22)02455-7 · Cited by 80 · see citing works
Gellrich, N.-C., Zimmerer, R. M., Spalthoff, S., Jehn, P., Pott, P.-C., Rana, M., & Rahlf, B. (2017) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2017.07.022 · Cited by 75 · see citing works
Mangano, F. G., Franco, M. D., Caprioglio, A., et al. (2013) · Lasers in Medical Science · doi:10.1007/s10103-013-1299-0 · Cited by 73 · see citing works
Self-citationCohen, D. J., Cheng, A., Kahn, A., et al. (2016) · Scientific Reports · doi:10.1038/srep20493 · Cited by 73 · see citing works
Mangano, F. G., Bazzoli, M., Tettamanti, L., et al. (2012) · Lasers in Medical Science · doi:10.1007/s10103-012-1205-1 · Cited by 71 · see citing works
Self-citationMangano, F. G., Mangano, C., Ricci, M., et al. (2011) · Clinical Oral Implants Research · doi:10.1111/j.1600-0501.2011.02307.x · Cited by 67 · see citing works
Self-citationShibli, J. A., Mangano, C., d'Avila, S., et al. (2009) · Journal of Biomedical Materials Research Part A · doi:10.1002/jbm.a.32566 · Cited by 65 · see citing works
Self-citationEarly Human Bone Response to Laser Metal Sintering Surface Topography: A Histologic Report
Mangano, C., Piattelli, A., d'Avila, S., et al. (2010) · Journal of Oral Implantology · doi:10.1563/aaid-joi-d-09-00003 · Cited by 64 · see citing works
Self-citationMangano, C., Sinjari, B., Shibli, J. A., et al. (2013) · Clinical Implant Dentistry and Related Research · doi:10.1111/cid.12145 · Cited by 62 · see citing works
Self-citationAngulated Implants: An Alternative to Bone Augmentation and Sinus Lift Procedure: Systematic Review
Asawa, N. (2015) · JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH · doi:10.7860/jcdr/2015/11368.5655 · Cited by 51 · see citing works
A 41‐year history of a mandibular subperiosteal implant
Schou, S., Pallesen, L., Hjørting-Hansen, E., et al. (2000) · Clinical Oral Implants Research · doi:10.1034/j.1600-0501.2000.110210.x · Cited by 47 · see citing works
Forty years of experience with subperiosteal implant dentures in 41 edentulous patients
Bodine, R. L., Yanase, R. T., & Bodine, A. (1996) · Journal of Prosthetic Dentistry · doi:10.1016/s0022-3913(96)90414-x · Cited by 46 · see citing works
Venet, L., Perriat, M. M., Mangano, F. G., et al. (2017) · BMC Oral Health · doi:10.1186/s12903-017-0423-0 · Cited by 46 · see citing works
Self-citationA digital workflow for modeling of custom dental implants
Surovas, A. (2019) · 3D Printing in Medicine · doi:10.1186/s41205-019-0046-y · Cited by 46 · see citing works
Mangano, F. G., Shibli, J. A., Sammons, R. L., Veronesi, G., Piattelli, A., & Mangano, C. (2014) · The International Journal of Oral & Maxillofacial Implants · doi:10.11607/jomi.3327 · Cited by 43 · see citing works
Self-citationMoore, D. J., & Hansen, P. A. (2004) · Journal of Prosthetic Dentistry · doi:10.1016/j.prosdent.2004.05.018 · Cited by 42 · see citing works
Mangano, F. G., Caprioglio, A., Levrini, L., et al. (2014) · Journal of Periodontology · doi:10.1902/jop.2014.140343 · Cited by 42 · see citing works
Self-citationMangano, C., Mangano, F. G., Shibli, J. A., Roth, L. A., D’Addazio, G., Piattelli, A., & Iezzi, G. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15081611 · Cited by 39 · see citing works
Self-citationFatigue testing of electron beam‐melted Ti‐6Al‐4V ELI alloy for dental implants
Joshi, G. V., Duan, Y., Neidigh, J. L., et al. (2012) · Journal of Biomedical Materials Research Part B Applied Biomaterials · doi:10.1002/jbm.b.32825 · Cited by 38 · see citing works
The rehabilitation of oral defects by osseointegrated implants
van Steenberghe, D., Brånemark, P., Quirynen, M., et al. (1991) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1991.tb02321.x · Cited by 34 · see citing works
Balshi, T. J., Wolfinger, G. J., Slauch, R. W., et al. (2013) · The International Journal of Oral & Maxillofacial Implants · doi:10.11607/jomi.2693 · Cited by 31 · see citing works
A Light and Scanning Electron Microscopy Study of Human Direct Laser Metal Forming Dental Implants
Mangano, C., Piattelli, A., Scarano, A., et al. (2014) · The International Journal of Periodontics & Restorative Dentistry · doi:10.11607/prd.1213 · Cited by 25 · see citing works
Self-citationCucchi, A., Giavatto, M. A., Giannatiempo, J., et al. (2018) · Journal of Oral Implantology · doi:10.1563/aaid-joi-d-18-00141 · Cited by 22 · see citing works
Draining Orocutaneous Fistula Associated With a Failing Subperiosteal Implant: Report of a Case
Markiewicz, M. R., Nishiyama, K., Kaori, Y. A. G. O., et al. (2007) · Journal of Oral Implantology · doi:10.1563/1548-1336(2007)33[347:dofawa]2.0.co;2 · Cited by 21 · see citing works
The Complete Mandibular Subperiosteal Implant: An Overview of Its Evolution
Sconzo, J. (1998) · Journal of Oral Implantology · doi:10.1563/1548-1336(1998)24 · Cited by 15 · see citing works
Subperiosteal implant: serving the dental profession for over 50 years.
Silvestri, K. D., & Carlotti, A. E. (1995) · PubMed · Cited by 15 · see citing works
Resnick, D. (1998) · Journal of Oral Implantology · doi:10.1563/1548-1336(1998)024 · Cited by 14 · see citing works
Chaar, E. E., Urtula, A. B., Georgantza, A., et al. (2019) · The International Journal of Periodontics & Restorative Dentistry · doi:10.11607/prd.3733 · Cited by 13 · see citing works
Zygomatic Implants as a Rehabilitation Approach for a Severely Deficient Maxilla
Al‐Thobity, A. M., Wolfinger, G. J., Balshi, S. F., et al. (2014) · The International Journal of Oral & Maxillofacial Implants · doi:10.11607/jomi.3662 · Cited by 10 · see citing works
Linkow, L. I. (2000) · Journal of Oral Implantology · doi:10.1563/1548-1336(2000)26 · Cited by 9 · see citing works
Custom Titanium Ridge Augmentation Matrix (CTRAM): A Case Report
Connors, C., Liacouras, P. C., & Grant, G. A. (2016) · The International Journal of Periodontics & Restorative Dentistry · doi:10.11607/prd.2620 · Cited by 8 · see citing works
Kurtzman, G. M., & Schwartz, K. (1995) · PubMed · Cited by 7 · see citing works
A Novel Approach for Horizontal Augmentation of Posterior Maxilla Using Ridge Split Technique
Karan, N. B., & Akıncı, H. O. (2019) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000005124 · Cited by 7 · see citing works
Replacement of a Mandibular Subperiosteal Implant
Mansueto, R. F. (1999) · Journal of Oral Implantology · doi:10.1563/1548-1336(1999)025 · Cited by 6 · see citing works
Placement of a modified subperiosteal implant: a clinical solution to help those with no bone.
Nazarian, A. (2014) · PubMed · Cited by 5 · see citing works
Flagged first, then by citations
Research works printed but not linked: 3
- [4]Linkow LI Ghalili R Ramus hinges for excessive movements of the condyles: a new dimension in mandibular tripodal subperiosteal implants J Oral Implantol 1999 25 1 11 17 10.1563/1548-1336(1999)025<0011:RHFEMO>2.3.CO;2 10483422 · DOI
- [5]Linkow LI Use of a tripodal mandibular subperiosteal implant with ramus hinges for facial asymmetry J Oral Implantol 2000 26 2 120 123 10.1563/1548-1336(2000)26<120:CR>2.0.CO;2 11831328 · DOI
- [6]Linkow LI Ghalili R Critical design errors in maxillary subperiosteal implants J Oral Implantol 1998 24 4 198 205 10.1563/1548-1336(1998)024<0198:CDEIMS>2.3.CO;2 10321207 · DOI
Cited by
Sorted by citations
The atrophic edentulous alveolus. A preliminary study on a new generation of subperiosteal implants
Dimitroulis, G., Gupta, B., Wilson, I., & Hart, C. (2022) · Oral and Maxillofacial Surgery · doi:10.1007/s10006-022-01044-3 · Cited by 60 · see citing works
Vaira, L. A., Biglio, A., Favro, A., Salzano, G., Abbate, V., Lechien, J. R., & De Riu, G. (2024) · International Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.ijom.2024.01.003 · Cited by 38 · see citing works
Korn, P., Gellrich, N.-C., Jehn, P., Spalthoff, S., & Rahlf, B. (2021) · Frontiers in Oncology · doi:10.3389/fonc.2021.718872 · Cited by 28 · see citing works
Maxillary reconstruction with subperiosteal implants in a cancer patient: A one-year follow-up
Garrido-Martínez, P., Quispe-López, N., Montesdeoca-García, N., Esparza-Gómez, G., & Cebrián-Carretero, J. (2022) · Journal of Clinical and Experimental Dentistry · doi:10.4317/jced.59331 · Cited by 25 · see citing works
Exceptional Cases Demand Exceptional Personalized Solutions: The Next Level in Dental Rehabilitation
Gellrich, N.-C., Korn, P., Jehn, P., Neuhaus, M., Lentge, F., & Rahlf, B. (2024) · Journal of Personalized Medicine · doi:10.3390/jpm14030294 · Cited by 15 · see citing works
Gellrich, N.-C., Korn, P., Jehn, P., Lentge, F., Neuhaus, M.-T., & Rahlf, B. (2025) · Head & Face Medicine · doi:10.1186/s13005-025-00549-y · Cited by 2 · see citing works
- Authors
- Mangano, C., Bianchi, A., Mangano, F. G., Dana, J., Colombo, M., Solop, I., & Admakin, O.
- Affiliations
- Vita-Salute San Raffaele University (IT)
- Sechenov University (RU)
- Corresponding author
- Mangano, Francesco Guido
- Venue
- 3D Printing in Medicine
- Published
- 2020-01-08
- Volume
- 6
- Issue
- 1
- Pages
- 1-1
- ISSN
- 2365-6271 (ISSN-L)
- PMC
- PMC6950914
- OpenAlex
- W2999934826
- Cited by
- 119
- References
- 48
- Citations by year
- 2026: 15 · 2025: 20 · 2024: 24 · 2023: 21 · 2022: 18 · 2021: 14 · 2020: 6 · 2019: 1
- FWCI
- 15.34
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- 3D Printing in Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Health Sciences › Medicine › Surgery › Orthopaedic implants and arthroplasty
- Keywords
- subperiosteal implants, 3D-printed implants, titanium implants, atrophic posterior mandible, edentulous mandible, elderly patients, direct metal laser sintering, cone-beam computed tomography, implant survival, implant stability, implant complications, fixed prosthetic restorations
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
