Mesh 4U

Mesh4U is an individualized titanium grade 5 mesh (Ti6AL4V), produced by selective laser sintering (SLM), with bases in a CAD-CAM system and indication of use in regenerative techniques for atrophic maxillary oss and mandibular.

 Why Mesh4U? Step by step Surgical Protocol Clinical cases Articles

Why Mesh4U?

It is a reliable bone growth solution, due to its stability and containment of biomaterial or synthetic granules, at the site of bone atrophy, crucial to the process of bone growth treatment.

We recommend filling the interior of the mesh with a mixture of 50% autologous bone, scaling of the crestal area to be regenerated, and 50% of a bone substitute of the clinician's preference. The present autologous bone contains the bone cells necessary for the regenerative process, which is thus accelerated and facilitated.

Custom mesh design  We can help?

Mesh design personalized step by step

 
 
 1. Boneeasy is a partner of a free online platform - Tailoredimplant - where you can design your custom mesh. However, you can also ask the Boneeasy team to design your mesh, adding the value of this service.

 2. You should www.tailoredimplant.com and create your registration as a doctor. You should join a clinic if the product has to be billed to you instead of you.   



3. After registration, download the Tailoredimplant software for your computer. It should have Windows system. The download area is at the bottom of the page. Choose the "Get Full Version" option. The software will be on your computer for use when you need it.



4. Open the Tailoredimplant software. The first phase that appears to you is the construction of the 3D model of the bone. You will need to load the DICOM files in "SELECT DICOM"



5. Select the files, press "IMPORT / UPDATE" An incomplete template will appear in the window below.



6. To obtain the complete model, you must adjust the display on the "THRESHOLD FILTER" button until the complete model appears. The ideal is not to have holes or excesses in the image. When finished, press "NEXT" and the gray image will appear as in the image. If you are satisfied with the image, press "CONFIRM"



7. Then you will be directed to the modeling page where you will do the mesh drawing. When it is open, press "START". For drawing you need a mouse with scroll ball. WARNING: will only draw the volume you need to regenerate. The mesh will be designed by the Boneeasy team and then submitted for validation.



8. The 3D Model will appear and you will need to delete the parts you do not need. With the right mouse button make a spot on an area you need (see image) and select in the sidebar "REMOVE NON-LINKED". Repeat the process until you have the model without interference. Click the mouse wheel and move it to rotate the model so you can see it from multiple angles. At the end of this phase click on "NEXT"



9. To see the model as in the image, click on "TOGGLE BONE TRANSPERANCY". Select the supplier of your product in "SELECT GRAFT", choose "BONEEASY - MESH4U". Then press "NEXT"



10. This step is optional. Allows to place dummy implants that will guide you in the construction of the volume to be regenerated. Place your cursor over where you want to import them, choose the size and click on "IMPORT IMPLANT". Repeat for the number of implants you wish.



11. You can reposition the implants by selecting the "MANIPULATOR ROTATE", "MANIPULATOR TRANSLATE" and "MANIPULATOR SCALE" functions and using the left mouse button. Change the transparency in "TOGGLE BONE TRANSPERANCY" to evaluate the interference of the implants with anatomical structures (nerve, maxillary sio ...)



12. Place the cursor where you want to import the graft. Press "IMPORT GRAFT".   Use the "MANIPULATOR TRANSLATE", "MANIPULATOR ROTATE" and "MANIPULATOR SCALE" functions to adjust the block size and position.



13. A warning appears that the block will be separated from the model. Press "OK". This phase has no interference with the work to be carried out by the Boneeasy team. Just do "NEXT"



14. The next step is the placement of test osteosynthesis screws. This phase is not necessary because the Boneeasy team does the study of the position of the screws when it draws the mesh for its later approval. You can do "NEXT".



15. Fill in the requested data. Name for the clinical case (at your choice) and the patient's full name. Here you have the price information of the mesh according to the supplier who chose, in this case, Boneeasy. The price shown does not include taxes. If you accept the displayed value, make "EXPORT MESH" and your request is submitted. Go to Tailoredimplant, enter your login and confirm in "ORDERS" your request.


SURGICAL PROTOCOL  We can help?





SURGICAL PROTOCOL

Mesh4U Should be filled with a mixture of autologous bone removed and bone substitutes in a proportion of 50/50% on the bone defect in the following steps:

1. The broad crestal incision, passing at least 1 cm from the end of the graft. Vertical incisions should be avoided (Figure 1)

2. Periosteal lift with full thickness flaps

3. Periosteal cut 5 mm from the edge of the vestibular flap and debridement of milo hyoid muscle. (Figure 2)

4. Bone collection with scraper at the site where you will be regenerated.

5. Perforation of the cortical bone, must be done to gain access to the bone marrow cells. (Figure 3)

6. Test the mesh adjustment.

7. Secure the mesh with screws at the marked places (Figure 4)

8. Fill the mesh with the autologous bone mixture and substitute for the perforations to prevent the particulate from escaping from the area to be regenerated.

9. Coat the mesh with collagen membrane and suture the periosteum

10. Release the tension and suture flaps in two layers, with PTFE suture and with continuous polypropylene suture (Figure 5)

11. Antibiotic therapy for 10 days.

12. Remove the suture at the end of 16 days.

View Protocol images

CLINICAL CASES  We can help?





CONTACT US!

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