Augma Biomaterials

1 Product, 2 Solutions – A New Perspective

The patient is a 40 year old, non-smoking female. She wanted a fast and aesthetic solution for tooth #14 (5). The treatment plan is a single surgery with an immediate implant and closed sinus life to replace teeth #14 (5) and #16 (3).  

The patient is deeply concerned by the aesthetic problem on tooth #14 (5). She is asking for an efficient, provisory solution. Nevertheless, if the loss of tooth #16 (3) is not promptly solved, it may cause the loss of tooth #15 (4). The proposal is to replace both the premolar and molar in one, single surgery.

The treatment is to extract tooth #14 (5) with immediate implant placement, grafting and immediate loading. For tooth #16 (3) – implant placement with a closed sinus lift (Summers technique) with grafting. It is decided to use Augma Bond Apatite® with 2 different protocols.


  1. Hi, when placing an immediate implant is it recommended to place bone cement in the whole osteotomy , wait for it to set and then make the final osteotomy and insert the implant?
    I saw some in Augmaflix cases done that way.
    This case looks like the bone cement is only placed AFTER the implant inserted.

    1. The following is a reply from Dr Stéphane Berg:

      Immediate implant placement is always a new challenge. 
      The time of the grafting depends on the following: 
      – The volume needed to complete the process.
      – The type of bone loss.

      When the implant is large enough, and the bone loss is reduced, then I graft before placing the implant. I drill without water, very low speed, reverse clockwise rotation in order to condense the material. 
      When the bone loss is larger, I perform implant placement before grafting so that I will have the opportunity to press the material directly. 

      In both cases, I add some graft on top of the implant.

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