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After placing the cement in place and pressing above for setting and hardening, there is no need to mix with blood. The graft porosity and its hygroscopic ability allow blood to seep inside immediately.
Yes, make sure to respect osseodensification protocols and bone cement protocols. Osseodensification best used on available medullary bone. Particulate graft does not predictably covert to the medullary bone in 3-6 months period. Thus osseodensification of a grafted site (especially xenografts) could be counterproductive. Augma bone cement completely disappears after 3-6 months and is replaced with the patient’s own bone, thus permitting osseodensification.
There is no need for PRF. Soft tissue healing is optimal due to the characteristics of the material and its high ability to promote angiogenesis. Use of PRF as a membrane over exposed augma bone graft cement may not provide an adequate barrier to prevent material wash out. Using PRF to mix in with Augma bone graft cement interferes with proper bone graft cement matrix formation and detracts from bone regeneration results.
There is no need, as Augma bone graft cement is a bioactive material that dissolves and facilitates the formation of a new bone. In case a clinician insists on creating a composite graft with autogenous particles, it can be done only with 3D Bone (according to the specific protocol).
It is not recommended to mix autogenous particulate with Bone Apatite, which is already a pre-made composite graft. Please note that the key to success with Augma Bond Apatite bone graft cement is the cohesive biphasic calcium sulfate matrix that is formed when the cement is activated placed and pressed in to place. The continuity of the matrix is of paramount importance. The introduction of other and unrelated particulate matter interfere with matrix formation and the bone regeneration potential of Augma bone graft cement.
There is no need to mix Bond Apatite® with other grafts since it is a pre-made composite graft. If one chooses to make their own made cocktail, 1cc 3D Bond can be mixed with any particles of other grafts according to the mixing protocol.
The key to success with Augma Bond Apatite bone graft is the cohesive biphasic calcium sulfate matrix that is formed when the cement is activated placed and pressed in to place. The continuity of the matrix is of paramount importance. Introduction of other and unrelated particulate matter interfere with matrix formation and the bone regeneration potential of Augma bone graft cement.