CV
Carlo Mangano MD DDS
Past-President of DDS (Digital Dentistry Society)
Adjunct Professor of Digital Dentistry. Department of Dental Sciences, San Raffaele University, Milan, Italy
Head of Digital Dentistry Unit Research, San Raffaele Hospital, Milan, Italy
Research Professor at University of Granada, Spain
Research Professor and Head of the Oral Surgery Unit, Department of Surgical and Morphological Sciences, University of Insubria, Varese from 2011 to 2014
Researcher at Institute of Ceramics Science and Technology - National Research Council, Faenza, Italy from 1989 to 1997 and in 2002.
Active member of IAO (Italian Academy of Osseointegration)
Lecturer at National and International Congresses
Author of 235 scientific publications
Author and Coauthor of 20 Books on Biomaterials and Implantology
Customized 3D Printed Titanium Implants
Nowadays, dental implants are fabricated by machining titanium rods, followed by modification of the implant surface design, such as sandblasting, acid-etching, anodization, discrete calcium-phosphate crystal deposition, and chemical modification. These have all been used to improve stability and enhance osseointegration.
Histologically, it has been demonstrated that rough surfaces can effectively promote better and faster osseointegration, when compared to machined surfaces.
Selective Laser Melting (SLM) is a technology that allows fabrication of complex-shaped objects from powder-based materials, according to a three-dimensional (3D) computer model. The principal application of additive manufacturing (AM) is to fabricate parts with a geometrical complexity with relatively minimal tooling cost and time. With SLM, it is possible to fabricate titanium dental implants with an inherently porous surface. The implants are characterized by a porous surface with an average pore size of 10–400 ?m, on a bulk, dense titanium core. In the past 15 years our group showed clinical and histological results supporting the concept that SLM implants can be used in fixed prosthetic rehabilitation.
Learning objectives
- AM techniques such as SLM can provide complete control over the microarchitecture of porous titanium implants
- The introduction of SLM technology signals the start of a new revolutionary era for implant dentistry as its immense potential for producing highly complex macro- and microstructures is receiving considerable interest in a wide variety of medical fields
- SLM is used extensively for high accuracy production of customizable implants, for the patient specific personalized therapies, which have the potential to present a new gold standard in reconstructive surgery
Personalized Therapies with Custom-Printed Ceramic Biomaterials in Bone Regeneration
The ideal bone substitutes should have biocompatibility, excellent osteoconductive properties and appropriate strength, and they should be able to form a suitable shape easily and to replace the bone completely within a short period. A variety of bone substitute materials, such as allogenic, or xenogenic materials, are available for ridge augmentation, but risk of desease transmission need to be considered. In modern implant dentistry or maxillofacial surgery, priority should be given to those interventions that look simple, are less invasive, involve less risk of complications, and reach their goal within the shortest timeframe. Calcium phosphate-based materials have been considered for use as bone graft substitutes in the treatment of bone defect for over 30 years, in orthopedic, dental, and maxillofacial surgery. In the last years, the application of digital technology in dentistry is becoming widespread and considerable progress has been made in the development of CAD/CAM techniques, to fabricate custom-made scaffolds, allowing bone grafts to be tailored for specific applications or even for individual patients, using computer-assisted methods.
Learning objectives
- New protocols for the manufacturing of custom-made Biphasic Calcium-Phosphate
- Artificial Intelligence and Augmented Reality can help us to improve predictibility
- 3D Printing procedures to augment or repair bone defects and minimize surgery