Socket grafting and ridge preservation using Bond Apatite® - David Baranes D.M.D

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Posted on 06.29.2017 03:15 PM By Rotem Maller In Bone Grafting

In this case the two inferiors hopeless molars 37 38 was removed.The socket and the ridge were preserved by augmenting the area with Bond apatite bone graft cement. After teeth removal and complete debridement of the site, the application of the cement was according to the protocol in 3 consecutive steps, place ,press, close.
the cement was ejected directly into the grafted site from its
”all in one ”syringe and then press firmly with a dry gauze for 3 seconds, followed by primary soft tissue closure directly above the cement .no membrane was needed.
12 weeks post op at reentry the new patient own bone was formed and the 3D ridge volume was preserved. At this stage implant placement took place.

Before augmentation

after site preparation Bond apatite graft cement was Ejected into the site from its ”all in one syringe .by 3 simple Consecutive steps .according to the protocol

Soft tissue is primarily closed above the graft Without using a membrane

Complete regeneration of the grafted Site can be seen at the reentry stage 3 months post op .

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2 Comments

Maurice Salama says on 07.01.2017 08:32 PM

Nice results...what do you feel the site would have looked like without any graft material? Dr. Salama

dr Amos yahav says on 07.02.2017 11:15 AM

Thank you Dr Salama
its depends, if the socket has wide bony walls ,existing septum ,and a wide gingival phenotype ,the blood clot can do the work perfectly for us ,also if it is a very short space maintainer ,because there are enough rigid structure which surrounds the clot and sport it during the bone formation phase .
in cases when the bony walls are thin ,leak of a septum ,thin gingival phenotype .bone graft scaffold would be essential to prevent volume loss.

in this case using of Bond apatite simplify the procedure dramatically as well it dose not require membrane coverage ,and it dose not just integrate with the new formed bone. instead it transform into the patient own bone