Customized titanium meshes for bone augmentation.

The presence of alveolar ridge deficiencies is considered the major limitation to achieve a implant-prosthetic restoration with high aesthetics and stability over time. Guided Bone Regeneration (GBR) can be considered a predictable solution for bone augmentation. Many authors demonstrated the predictability of non-resorbable membranes or titanium meshes for bone augmentation for alveolar deficiencies. The use of PTFE membranes or titanium meshes can be consider the gold standard for bone augmentation because of 3 main reasons: adaptability, efficiency, and predictability. However, the use of a barrier device is a procedure not lacking complications: it is skillsensitive, experience-sensitive, operator-sensitive, and above all technique-sensitive. For these reasons, it is important to make the right choice about surgical approach and biomaterials. Recently, some authors introduced an advanced technology for GBR, that is custom-made titanium mesh. The features of these devices can be different in according to the defects' morphology and severity and to clinicians' preferences. What about the further evolution of customized titanium meshes?