Bone reconstruction in the aesthetic zone using Lateral Augmentation approach
The following video describes the technique when using Bond Apatite bone graft cement for bone reconstruction in the aesthetic zone by lateral augmentation approach.
Bone graft cement is a different concept compared to all of the existing augmentation solutions such as granules /putties, or blocks. therefore it requires a different attitude.
Such as :
• The augmented site should be completely prepared before the activation of the cement.
• Soft tissue Release should be minimal in order to have it in a moderate tension during closure (not tension free as we use to when working with granules and membrane. )exposure of 2-3 mm is not an issue, soft tissue will migrate rapidly above the graft to close this gap. however, if it will be exposed more than that we might lose volume.
After activation of the cement within its syringe, 3 consecutive steps should be followed
Place - The cement should be ejected directly into the site, Press- place a dry sterile gauze on the cement and press firmly for 3 seconds, Close – close directly the flap above the graft.
The healing period is 3-4 months.