Bond Apatite – Synthetic graft

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Catalog Bond Apatite
Clinical Cases – Bond Apatite
Catalog Scientific

The fastest, easiest and most efficient bone augmentation material the market has ever seen.

Bond Apatite® este un ciment pentru grefare osoasă sintetic,cu efect osteoconductiv, compus din hidroxiapatită şi sulfat de
calciu bifazic sub formă de pudră granulată, folosită pentru umplerea, creşterea osoasă sau reconstrucţia defectelor periodontale sau osoase din zona orală şi maxilo-facială.

Bond Apatite® este disponibil sub formă de pulbere granulată în seringă. Seringa este împărţită în 2 compartimente: unul
conţine ser fiziologic (0,9% Clorură de sodiu) şi cel de-al doilea conţine pulberea.

Bond Apatite® – Indicatii clinice:
• Mărirea planșeului sinusal
• Defecte osoase periodontale
• Dehiscente; fenestraţii
• Înălţarea crestei alveolare
• Defect orizontal (lărgirea crestei alveolare)
• Umplerea defectelor osoase înainte de inserarea implantului
• Augmentare osoasă dupa chistectomie

Bond Apatite® is composed of 2 matrices which have different absorption coefficients and characteristics
The first matrix is a 2/3 biphasic calcium sulfate cement matrices which is absorbed and replaced completely with the patient’s own bone. The second matrix is 1/3 hydroxyapatite granules in different sizes and shapes which servesas a longer range space maintainer.
The product guarantees minimal invasive surgical procedure, reduced treatment time and convenient manipulation of the graft material for the clinician and his patients, due to the product’s unique nature and the specially designed syringe. In less than a minute the entire graft placementand stabilization can be achieved, even in the most challenging situations.
No membrane may be used with Bond Apatite® during the grafting procedures.

How to Activate Bond Apatite® – Bone Graft Cement : PLACE » PRESS » CLOSE

Bond Apatite® is delivered in an all-in-one dual-chamber, prefilled syringe, containing the granulated powder and physiological saline. Mixing the powder component with the liquid in the driver results in a viscous composite that is suitable for injection into the graft site.
Advantages:
Safe & Biocompatible.
Moldable self-setting cement, attach to and set at the work site.
Simple, easy and enjoyable to work with.
Membrane coverage is not essential as long as the soft tissue is well stabilized, primary closed and properly sutured.
Saving you time and lowering your overhead expenses, all while giving you a better end result.

Bond Apatite® is FDA cleared and CE approved.

Clinical cases : https://www.augmabio.com/clinical-cases/ 

Clinical videos : https://www.augmabio.com/clinical-videos/

Bond Apatite® Internal structure divided into macro and micro porosities in various magnifications (SEM images).

Bond Apatite: Indication Tips

Socket grafting
In cases of four bony walls socket grafting, eject the material into the socket, and press frmly with dry guaze above the material; however, do not use any tool to push the material toward the apex as you are used to when working with granules (doing so will exert pain to the patient).

In case of socket grafting, if you choose not to refect the fap, do not leave the material exposed to the oral cavity. The material should be protected with a collagen sponge or a membrane which must be stitched together with the surrounding tissue (lack of physical graft protection will cause material and volume loss).

Periodontal Defects
In cases of periodontal defects, prior to graft placement, thorough debridement by scaling and root planning should be done. In cases of tooth mobility, the teeth must also be stabilized before graft placement.

Dehiscence and Fenestrations
The cement should be placed above the bone and the exposed threads of the new placed implant or above the exposed root after scaling and root planning. Remember to slightly overfill in order to compensate for graft shrinkage during the healing process. The cement is not indicated in cases when there are implant threads exposure of a previously (old) placed implant. In such cases, the outcome might be compromised as with any other grafts.

Lateral Augmentations & Crest Widening
Hard tissue preparation and soft tissue release should be done before activation of the cement (Decortication is optional). Place the cement into the augmented area and slightly overfll. Then press above frmly with dry gauze for 3 seconds to stabilize the material. You might shape, if required, and press again for 3 seconds. At this point, close the fap. (In large lateral augmentation cases we recommend to use additional horizontal mattress sutures for better soft tissue stabilization above the graft). Membrane coverage is not essential as long as your soft tissue is well stabilized, completely closed, and well sutured.

Vertical Augmentation
In your frst few cases, we defnitely do not recommend to use the material for vertical augmentations. After gaining experience with the cement, vertical augmentation can be done only if you are familiar with vertical augmentation techniques. As well, you must remember it is obligatory to use a rigid graft stabilization techniques (such as rigid bariers) to protect the cement from lateral movments during the healing phase. If you place the graft without rigid stabilization, your outcome will be completely compromised.

Open sinus lift
In a small to medium sized sinus cavity, you can use Bond Apatite® for fling the sinus cavity and window closure as well (no need for membrane). In larger sinus cavities, it is less comfortable since you will need to place the material by incremental steps. In such cases, we recommend you to use your prefereable granules to fill 2/3 of the sinus, and the last 1/3 fll with Bond Apatite® cement as a graft enhancer and for window closure. This will save you time, save membrane cost and will enrich the sinus with ions of calcium.

Close sinus lift
Due to the large size of the syringe opening, it is not recommended to eject directly the material from the syringe into the drilled cavity. The graft can be ejected into a dish and should be left for 3 minuets to set, and then can be crushed into small fragments that will be used in such case.

 Bond Apatite tutorial on a model and in the clinic

Full tension – no membrane – maximal closure

https://www.augmabio.com/full-tension-no-membrane-maximal-closure/

Tehnica de folosire BOND Apatite : 

• Realizați lamboul mucoperiostal
• Eliminați ţesutul moale nedorit de pe suprafaţa osoasă expusă
• Pregătiţi zona afectată pentru procedura de augmentare osoasă.Pentru o regenerare optimă a ţesutului, se recomandă
acoperirea materialului Bond Apatite® cu un burete de collagen cu rol de barieră.
Se recomandă ca timpul scurs de la aplicarea substanţei saline în Bond Apatite® să nu depăşească 3 minute; altfel materialul îşi va pierde caracterul pliabil.

PASUL 1.Ţineţi ferm capacul seringii materialului şi împingeţi încet pistonul către linia marcată de pe seringă până când simţiţi o rezistenţă maximă (acest lucru va activa materialul şi îl va pregăti pentru ejectare). Comentarii: În timpul apăsării pistonului este necesară o presiune moderată.

PASUL 2. Îndepărtați capacul prin rotire şi extragere.
PASUL 3. Apăsaţi în continuare pistonul şi introduceţi materialul în locul dorit. Comentarii: Pasta trebuie să fie în contact direct cu osul lăsând-o să se reverse uşor.

4.După introducerea materialului în locul dorit: aplicaţi o compresa uscată peste material şi condensaţi ferm materialul timp de 3 secunde.
5.Îndepărtați compresa şi modelaţi uşor,dacă este necesar.

6.Apăsaţi din nou deasupra, folosind o compresă uscată.
7.Îndepărtați compresa şi treceţi la acoperirea ţesutului moale şi sutura rănii.

 


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