IBL designs and fabricates patient-specific titanium subperiosteal frameworks for severe ridge atrophy, post-oncologic defects, and failed endosteal implant salvage.
For patients with severe ridge resorption or bone loss where conventional endosteal implants can't get adequate purchase, we design a mesh framework that rests on the bone surface beneath the periosteum, distributing load across the residual ridge instead of relying on it for anchorage.
| Case type | Frequency | Notes |
|---|---|---|
| Severe ridge / bone atrophy | Primary indication | Most common referral pathway |
| Post-tumor resection defect | Supported | Coordinated with oncologic surgery timeline |
| Failed endosteal implant salvage | Common | Where residual bone can't support new fixtures |
| Traumatic fracture non-union | Occasional | Case-by-case review |
| Congenital / developmental defect | Occasional | Case-by-case review |
Referring surgeon submits a CT scan of the affected bone, along with case history and desired outcome.
Our engineers model the bone surface in CAD and design a mesh framework that follows its exact topography, then route fixation points around anatomical structures to avoid.
The design is sent back for digital sign-off before fabrication begins — this is the point to request changes to coverage, strut pattern, or fixation layout.
The approved design is laser-sintered from titanium, finished, and sterile-packaged.
The framework is seated directly on the bone surface beneath the periosteum and secured at the pre-planned fixation points — no intraoperative shaping needed.
| Factor | Subperiosteal (IBL) | Endosteal |
|---|---|---|
| Bone volume required | Minimal — rests on bone surface | Sufficient height/width needed |
| Fit | Patient-specific, designed pre-op | Standard sizes, shaped chairside |
| Best suited for | Severe atrophy, salvage, irregular defects | Adequate residual bone |
| Placement | Single surgical stage | Often staged, with healing interval |
Upload the scan and your contact details, and our design team will follow up with a feasibility review and timeline — usually within 2 business days. Choose Digital design only if you'll fabricate in your own lab, or Full production if you want a finished implant. See both services →