3 The procedure
3.1 The design and construction of custom-made implants can be achieved by a number of different techniques. In most cases, customised implants are designed and manufactured using CT scan data by CAD‑CAM and 3-dimensional printing techniques. In some cases a model is constructed on which the implant is shaped and made, either directly or indirectly.
3.2 With the patient under general anaesthesia the sterilised titanium implant is fixed to adjacent bone using titanium screws. Precise details of the operation will depend on where the implant is to be used and the integrity of surrounding structures.