The ”Spaghetti Technique"

1. Knife edge ridge to start	2. Honeycomb mesh with screw fixation	3. Micronised and collagenised hydroxyapatite (Putty)
4. Making spaghetti using Putty	5. Horizontal mattress suture closure	6. Uncovered 4 months later
7. Fibrous connective tissue capsule	8. Implant placement	9. Sintered hydroxyapatite (Apatos) overlaid
10. 8 months' work completed

Case study courtesy of Dr John Bridgman _{MB ChB MDS FRACDS (OMS)}