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Is it recommended to perforate the socket walls with a bur to stimulate bleeding?
No direct socket drilling is recommended. Augma Bone Graft Cement is bioactive and pulls in resources from the surrounding circulation, which usually exists in the socket walls.
Is it recommended to decorticate the bone before placing Augma bone graft cement?
Decortication prior to placing Augma Bone Graft Cement is recommended in cases where there is a thick cortical plate. The decortication osteotomies should penetrate the entire cortex to reach the medullary bone.
2 thoughts on “FAQ”
I used bond apatite today for the first time and it didn’t harden at all at the surgical site, and kept almost flowable about 20 minutes.
How could that be?
In order for the material to harden properly it should be used as follows:
During activation the shaft of the syringe should be advanced until the first piston reaches the blue line. Then the cap is removed, and the material should be injected into the site. Immediately place on it a dry gauze, not too folded, simply in two layers. Then press strongly with a finger on top of the gauze for 3 seconds, and again with a periosteal elevator for an additional 3 seconds. That’s all you need to do and the material will set instantly. It will never be hard like a stone, but it is definitely stable. During suturing, if the material breaks, place a dry gauze on it and press for one second before continuing to suture.
If the material didn’t harden, it’s probably because the pressure with the gauze was not done immediately. As such, the crystals are soaked with blood and it will not set properly, and will be flowable.
Please see our online course for more instructions on proper use.