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The course is aimed to provide all the necessary information to smoothly transition to Augma bone cement from traditional grafting and shorten the learning curve to minimal.
The overall structure of Bond Apatite® is composed of microporosity (1-10μm) and macroporosity (50-500μm). The initial surface porosity is about 40 percent; however, since calcium sulfate completely degrades over time, it creates more space for the new bone to be formed.
Bond Apatite® can be used in a wide variety of osseous defects, including medium- and large-size defects such as dehiscence, fenestration cases, lateral augmentations (horizontal crest widening), sinus augmentation procedures, periodontal bone defects, filling of bony defects pre-implant placement or simultaneously with implant placement, filling a cavity post-cyst removal, ridge augmentations, bone splits, etc.
The cement matrix within Bond Apatite® is made of pure calcium sulfate as a biphasic formulation. No additives, polymers, or other chemicals are added, so the chemical structure of calcium sulfate remains unchanged. The ability of the biphasic formulation to be moldable and to harden instantly in the presence of blood or saliva is due to the fact that the particles within the cement are partially crystallized and still maintain the ability to adhere to set and harden. In this way, the cement is much more stable and has predictable bioactivity.
Bond Apatite® is a composite graft made up of 2/3 biphasic calcium sulfate cement matrices and 1/3 hydroxyapatite granules in different sizes and shapes.
Bond Apatite® is a composite graft, made of biphasic calcium sulfate (3D Bond™) matrix mixed with HA granules in a controlled particle size distribution, intended to fill or augment a vast diversity of osseous defects.
Using a membrane is not recommend. Perform augmentation, close the flap and suture. If the graft is exposed more than 3mm, secure a collagen sponge on top as shown in the protocols.
No membrane is required with Augma bond cement. However, extra caution is needed to minimize removable prosthesis impingment on the grafted area. Contact on to the graft with the removable appliance will significantly reduce bone volume. Consider over building graft, and minimizing flage/prosthesis contact