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Updated: Jan 31, 2026

Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
Reconstruction of the atrophic maxilla combining Le Fort I osteotomy, sinus augmentation and titanium mesh guided
1Department of Oral and Maxillofacial Surgery, Assistance Publique - Hôpitaux de Marseille (APHM), Timone University Hospital, Aix-Marseille University, Marseille, France.
Abstract:
Severe atrophy of the edentulous maxilla poses a significant surgical challenge. This technical note presents a novel approach combining Le Fort I osteotomy, bilateral sinus augmentation, and titanium mesh guided bone regeneration. Preoperative prosthetic planning allows accurate maxillary repositioning to restore a skeletal Class I relationship and enable an implant-supported prosthesis without prosthetic gingiva. The titanium mesh provides stable, three-dimensional support for uniform ridge reconstruction, enabling ideal implant placement. This technique offers a reproducible and less invasive alternative to conventional autogenous grafting in pre-implant reconstructions.
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