Yxoss CBR® – The future is now!
Innovative solution for regenerating complex alveolar bone defects by taking advantage of CBCT data combined with 3-D printing technology
Each titanium scaffold is custom-made for a precision fit that accurately reflects the specific patient data provided. Time-consuming impressions, cutting, shaping and adapting are no longer necessary, and sharp edges from cutting conventional meshes are entirely eliminated.
Initial situation. Highly atrophied free end situation on both sides in the lower jaw.
Radiographic presentation of the complex bone defect.
3D reconstruction prior to surgery shows the combined bone defect.
Presentation of the operative situs in the 3rd quadrant
Filling the titanium mesh with a mixture of autogenous bone and Geistlich Bio-Oss®.
Situation after inserting Yxoss CBR and fastening with two screws
Alveolar ridge following re-entry and removal of Yxoss CBR®
Implantation; the implants are all ideal to place
Easy removal of the titanium mesh by separating the target fracture site with a ‘Raspartorium instrument’.
Implant restoration - inserted impression posts
OP-Video: Surgical Crestal
OP-Video: Removal Crestal
Soft tissue management is the key to success
Options for the flap design
- Crestal incision of the mucosa and the periosteum
- No releasing incision – extension 3-4 teeth to the posterior (if possible)
- Flap design: Full thickness flap
- High vestibular incision of the mucosa, muscle and periosteum
- Undermining preparation of the flap and mobilization
- No releasing incision
- Flap design: Full thickness flap
Reference:
- Sagheb K et al., Int J Implant Dent 2017; 3(1):36. (adapted by Dr. Marcus Seiler MSc MSc)
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