A healthy 55-year-old woman attends the appointment with an almost total absence of maxillary teeth. After evaluation of the complementary exams, it was confirmed that there was horizontal bone loss, as well as bilateral pneumatization of the maxillary sinus. The patient was using a removable upper prosthesis and she wanted to change to a fixed rehabilitation.

This case highlights the removal of three large cysts, with apicoectomy and filling of the defect.

The patient returned for an unscrewing of the crown of #37 (18), which induced an occlusal trauma. This ultimately led to peri-implantitis trauma.

The patient is a 35 year old female, non-smoker and generally healthy. She came to my clinic with an aesthetical problem with the crown on the implant in positioning #44 (28). Implant was inserted in wrong position (too much vestibular) from the alveolar ridge, and crown was unacceptable for the patient. Treatment Planning included extraction, implant and GBR procedure using Bond Apatite®. Insertion new implant (BICON) and anchorage of the new crown.

After performing the intra-oral evaluation/complementary exams, it was understood that the remaining teeth and root had no resistance for a new bridge, and the root of tooth #21 (9) was already quite fragile and destroyed. It was also found that the bone area of ​​teeth #11 (8) and #22 (10) had great horizontal bone loss and lack of keratinized soft tissue. It was decided to undergo treatment in several surgeries.

Implant placement in maxillary. The remaining teeth of the mandible are extracted, followed by ridge preservation and immediate implant placement.

This case demonstrates the clinical and biological versatility of biphasic calcium sulphate. All digital. The last canine remaining was used for vertical dimension of occlusion. There was no infection and healing was great. The temp was placed 7 days post-op, and the final was placed at 4 months post-op.

The treatment plan starts with the removal of the infected implant and antibiotic therapy. Another surgery will be completed 1.5 months later with flap opening and local cleaning. Bone reconstruction will be done with Augma Bond Apatite®. Five months later a new implant is placed in the grafted site and a month after this the new implant is placed using the old prosthesis. Throughout the treatment the patient will use his prosthesis fixed on the three remaining implants.

This video shows cyst removal and apicoectomy with MTA. The defect was filled with Bond Apatite and the sutures are covered with a wound dressing.

A large periapical lesion involving teeth #22 (10) and #23 (11). Cyst enucleation and apicoectomy were performed. Two year post-op photos show the entire defect filled with true bone.

The patient presented with swelling and pain in the apical area of ​​teeth #21 (9) and #22 (10). Additional exams confirmed an apical lesion in both teeth.

he patient came with a cyst in the upper, right maxilla. The cyst was removed and apicoectomy performed. The defect was filled using Augma Bond Apatite and a wound dressing was placed to help protect the sutures from the oral environment.

The patient presents with a fistula on apical part of tooth #22 (10). The patient complained of pain in the area. The radiographic examination showed an apical lesion on the apex of #21 (9) & #22 (10).

Healthy male, 47 years old. The inflammatory changes (radicular cyst) are not involved after 3 months post re-endodontic treatment using microscopy. He has pain and discomfort from time to time. We have done a root resection of tooth #36 (19) with backfill of the root canal with the MTA, cyst enucleation (confirmed with histopathology examination). We filled the bone defect with Bond Apatite® (1/2 cc).

(11), #24 (12), and #25 (13) are to be extracted at the same time. The flap will not be sufficient to cover the Bond Apatite, so Augma Shield™ was used to cover the exposed material.

The patient came for implants in the right and left central incisors. Upon opening a defect was discovered. Implants were placed and augmentation was done with Bond Apatite®

A 60 years old. Came in to consult for implant treatment from tooth #23 (11) to #27 (15). Scans showed a large bone deficiency in close proximity to the sinus floor.

30 year old patient presents with pain from an infection in tooth #11 (8) and the decay of tooth #21 (9) beneath the crown.

The treatment will be done in stages. First, the failing central incisors will be extracted. The narrow ridge in the area of the lateral augmentation will be prepared with decortication and augmentation done using Bond Apatite.

The patient had no maxillary teeth and very few teeth left in the mandible. The patient also had a large periodontal lesion on tooth #48 (32). The patient had a very difficult time chewing, and she wanted to laugh freely for the first time in many years and increase her self-esteem.

The patient came with highly pneumatic maxillary sinuses. The treatment plan consists of a bilateral open sinus lift and bone expansion of the residual border (2 mm) with osteotomes.

After clinical and radiographic assessment, it was decided to perform extraction of teeth #22 (10) and #24 (12). This included immediate implant placement and socket preservation with Augma bone cement, and immediate provisional crown loading. Tooth #24 (12) presented an extra challenge with a huge loss of  buccal keratinized tissue. This determined an extra layer of Bond Apatite® and Augma Shield™  to recover the lost keratinized tissue. Four months later, rehabilitation was done on both implants with Zirconia ceramic crowns.

This video shows extractions, immediate placement and augmentation with bone cements.

In this video see the extraction of the upper, left incisor with immediate implant placement and grafting with Bond Apatite.

Extraction and cyst enucleation in the upper incisors. Socket preservation and the filling of the defect are completed with Bond Apatite.

The patient was 35 years old and came to the clinic for emergency treatment of tooth #21 (9). The tooth was fractured, mobile and infected. After examination we decided to extract the tooth and graft the bone defect with Bond Apatite® for the future implant.

A long term case, five years after augmenting with Bond Apatite. The grafting procedure was performed in the aesthetic zone, where a buccal plate was missing. The patient had poor periodontal condition, and came in for a consultation. They complained of significant mobility of tooth #21 (9), with inflammation.

Abstract: Calcium sulfate is used as a synthetic graft material in orthopedics, plastic surgery, oncological surgery, and dentistry, and it has been used in a variety of clinical applications, such as the repair of periodontal defects, the treatment of osteomyelitis, maxillary sinus augmentation, and as a complement to the placement of dental implants. To carry out this systematic review, a bibliographic search was carried out. The PICO (Patient, Intervention, Comparison, Outcome) question was: Does Citation: Torrejon-Moya, A.; Apalimova, A.; González-Navarro, B.; Zaera-Le Gal, R.; Marí-Roig, A.; López-López, J. Calcium Sulfate in Implantology (Biphasic Calcium Sul-Fate/Hydroxyapatite, BCS/HA, Bond Apatite®): Review of the Literature and Case Reports. Coatings 2022, 12, 1350. https://doi.org/ 10.3390/coatings12091350 Academic Editor: Jun-Beom Park Received: 14 August 2022 Accepted: 12 September 2022 Published: 16 September 2022 Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). the use of calcium sulfate as a material in guided bone regeneration in dentistry have better results compared to other bone graft materials? Finally, a case series is presented using the calcium sulfate for different procedures. Currently, the available literature on the use of calcium sulfate as a graft material in implant surgery is scarce, and what is available provides low-quality evidence. That is whymoreresearch studies on the subject are necessary to allow more comparisons and meaningful conclusions. After using Bond Apatite® in our case series, we can conclude that it is a useful and easy-to-handle material in implantology practice, but more controlled studies should be carried out in this regard to assess its long-term efficacy, especially in horizontal and/or vertical regeneration.

A distal root resection of tooth #46 (30) was performed with backfill of the root canal with the MTA and cyst enucleation (confirmed with histopathology examination). The bone defect was filled with 1cc Bond Apatite®.

A revision of the lower right molar was made, the tumor was removed (highly mineralized part similar to osteoma and granulation tissue from area around). We made a root resections of tooth #46 (30) with retrograde filling of the root canals using MTA. We filled the bone defect with Bond Apatite (1 cc). Histopathological study showed the presence of a odontogenic fibroma structure in granulation tissue and osteoma in mineralized part. We observed a good healing of bone and soft tissue in 2 years months follow-up.

A root resection of #42 (26) was performed with backfill of the root canal with MTA. The tumor was removed with peripheral bone curettage about one millimeter deep and the bone defect was filled with Bond Apatite® (1cc).

This case shows us the evolution of the sinus floor, one year after an intra crestal sinus lift through the crestal direction. The patient is a diabetic woman in her 60's, who came for an implant treatment in the upper, right jaw. She had several years with an edentulous space between #14 (5) - #16 (3).

Video of Dr. Baranes performing an intra-crestal (closed) sinus lift with immediate implant placement.

Patient : Male, 60 year old, non-smoker. The extractions of #13 (25) and #14 (26) were realized 5 months before, including bone preservation with Augma Bond Apatite®. The option of a closed sinus lift was preferred to a lateral approach because of the flexibility of the sinus floor due to the bone preservation.

A patient came for implant placement in #14 (5) and #16 (3). An implant in # 14 (5) can be placed easily, but a sinus lift must be performed in #15 (4) and #16 (3). It was decided to avoid a lateral window approach and to perform an intra crestal sinus lift.

A patient in her fifties came for implant treatment in the left maxilla. Dr. Baranes decided to place an implant, 3.75/10 in tooth #24 (12). In #26 (14) bone width was only 1mm, so a crestal sinus floor elevation was completed first to increase the bone height. Three months post-op an implant of 3.75/10 was placed. No additional augmentation was performed as 6 mm of bone was gained.

The patient presented with vertical movement of the 1st quadrant bridge, difficulties in chewing and extreme tooth wear and nerve exposure. Treatment planning involved the extraction of all mandible and maxillary teeth, the placement of 5 implants on the mandible with immediate load. A bilateral sinus lift will be done with maxillary implants planned for 6 months post-op.

The surgical plan included the total extraction of upper and lower teeth. Five implants are placed in the lower jaw with immediate load. The correction of bone defects in the maxilla and mandible. Bilateral superior sinus lift and an All on 6 with immediate loading 6 months after bone reconstruction.

The patient presented with a cracked left maxillary lateral incisor. Treatment includes extraction, grafting and immediate implant.

The patient is 67 years old and was referred for the treatment of a fractured tooth with radiolucency. In this case there was no buccal plate and no incisions were made. Due to the lack of buccal plate, the choice was made to use Bond Apatite.

In this case there was a vertical fracture and a fistula. Extraction and immediate implant with 3D Bond.

The patient is a healthy, 46-year-old female. In the area of tooth #15 (4) there was an inflammatory lesion that presented with pain and another clinical symptoms. The tooth had a prosthetic restoration with a crown and was blocked with another crown on tooth #14 (5). CBCT after 4 years confirmed good healing of the bone and stability of regenerated cortical both laminas.

We did an endodontic treatment of #14 (5) and a surgery. The radicular cyst was removed (with histopathology), root resection of teeth #14 (5) and #15 (4) with retrograde MTA filling. We filled the bone defect with Bond Apatite® (1 cc).

Tooth #45 (29) & #46 (30) were extracted. Tooth #44 (28) is going through an endodontic retreatment procedure.  At the time of extraction, enucleation of a cystic lesion 1 cm in diameter.

We made a root resection of tooth #35 (20) with back-fill with the MTA, cyst enucleation (confirmed with histopathology examination). We filled the bone defect with Bond Apatite (1/2 cc). Good healing and no clinical symptoms after six months was observed.

The cyst appeared 8 months after good endodontic treatment. We did a root resection of tooth #22 (10), followed by a cyst enucleation with histopathology examination. The bone defect was then filled with Bond Apatite (2cc).

The first clinical symptom was a swollen abscess. 6 weeks after the abscess incision, we did a one step endo-surgery treatment with a root resection of tooth #13 (6), cyst enucleation (with histopathology examination) and backfill of the root canal with MTA. In addition, we performed a microsurgery because of little changes around root #22 (10), which included an apicoectomy, backfill and graft with Bond Apatite®. The bone defect was filled with Bond Apatite® (2 cc).

33-year-old male, otherwise healthy, heavy smoker. He was referred due to multiple cysts in the maxilla and mandible. Under general anesthesia: the patient underwent multiple extractions, cyst enucleations and bone augmentation utilizing Augma Bond Apatite®.

There were long standing carries in the upper left canine, so it was decided not to proceed with a socket shield. The decay extended subgingival and drilling was done at the palatal portion of the root. Once the osteotomy was complete, periotomes were used to deflect the buccal segment to the palatal space to allow for extraction. Bond Apatite® was next followed by placement of noris medical tuff 5x13 implant and a 5mm healing abutments. Vertical mattress nylon at the papillae and 4-0 pga to retain the Augma Shield™

A 20 year old was referred to us to perform an implant in area #22 (10) due to agenesis (after orthodontic preparation.) The doctor wants to perform a screwed crown. This requires us to perform the implant outside the frame of the bone. We will treat the dehiscence with Bond Apatite.

Pain in the apical area of teeth #11 (8) and #12 (7). Complementary exams confirm apical lesion in both teeth. The tooth #11 (8) needs endodontic treatment. The patient wants to keep her teeth. The treatment plan includes removal of apical cysts, apicectomy of teeth #12 (7) and #11 (8). Bone defect reconstruction and saving the two teeth.

The conservative endodontic treatment of the tooth #26 (14) failed. We made a root resection of this buccal mesial root of tooth #26 (14,) backfilling with MTA and cyst enucleation with histopathology examination. We filled the bone defect with Bond Apatite®.

The root of #35 (20) was resected, with a backfill of the root canal with MTA. Cyst enucleation was confirmed with histopathology examination. The bone defect was filled with Bond Apatite® (0.5 cc).

The lower right first molar was atraumatically extracted without any lingual or buccal flap. Immediate implant was placed with >50 N/Cm torque.

The patient presented with fractured implants. Explanted and GBR with Augma. Four months later implants are placed with autogenous bone regenerated by Augma was harvested during osteotomy and used as a graft. 3D Bond™ was used to help regrow keratinized gingiva around implant abutments.

Unerupted tooth #13 (6) was preserved and deciduous #53 (C) was extracted. GBR with Bond Apatite® was done. An implant was placed 4 months post-op, during which time a temporary tooth was connected with braces.

In this video the second premolar is extracted and 3D Bond is used to repair a sinus communication. Socket grafting is completed with Bond Apatite, and the graft is protected with a collagen plug.

Healthy 44 year old female presents with constant, moderate pain on endodontically treated tooth #30 (46). Three months following endo re-treatment of MB and ML canals, the pain persisted.

The patient is a healthy 39 year old woman. The crown on tooth #16 (3) broke that day while biting bread. There was no way to rescue the tooth. She has pain and discomfort. Tooth #16 (3) was extracted without flap reflection and the defect was filled with 3D Bond™ 0.5 cc, and a collagen sponge. Bone regeneration was observed both clinically and in radiographic images 3 months post-op, and the ultrashort Bicon implant was placed (D-4.5mm, L -6.0mm). Final prosthetic restoration was done 4 months later with a full ceramic crown. In the next 12 months no inflammatory symptoms were observed.

Extraction and Bone Regeneration with Biphasic Calcium Sulfate. 5 month post-op follow up with implant placement with sinus lift augmentation.

The patient is a 35-year-old male. Tooth #21 (9)  is impacted in a reverse position with a large periapical lesion. The treatment plan included extraction, augmentation of the defect, and implant placement 4 months post-op.

Tooth #31 (24) presents second level of mobility, pain and the inflammatory changes. Treatment planning involved the extraction of the tooth and GBR procedure with Bond Apatite®. Four months later a Bicon implant was placed, and the final crown was placed 4 months after implant placement.

In bone of poor quality, increasing implant diameter may be the only way to increase tolerance to occlusal forces, improve initial stability, and provide a favorable stress distribution to the surrounding bone. Shorter implants, those with locking tapers and plateau root shapes, tend to have longer survival times by using Biphasic Calcium Sulfate.

The patient presented with an infected and fractured molar with compromised buccal plate. The extraction was done in segments. Osteotomy prep grafted with Bond Apatite®, uncover osteotomy, immediate implant placement.  Note the keratinized gingiva around the healed implant. The key here was no flap at the time of the extraction.

The patient presented with a large area of inflammation around the tooth #12 (7) with a complete lesion of external cortical lamina. We extracted the tooth and removed the inflammation (with histopathology examination). We filled the bone defect with Bond Apatite® (1 cc). After 4 months we have a new young bone in the position of #12 (7), so the implant was placed with good primary stability of the implant.

and after graft placement with Augma Bond Apatite® a 6x11.5mm implant was inserted at 50n-cm final torque.

treatment of #37 (18) and extraction of #36 (19) due to deep periodontal pocket with active secretion and furcation involvement. The tooth was extracted atraumatically, and an implant was placed centrally, relying on the septum.

The patient is a woman in her 50’s, who came a day before a family event for a fixed prothetelic supported by immediate implant placement. Canine in a classic vestibular position, it will be necessary to try to keep the buccal bone wall as much as possible and reconstruct the ridge.

An 81-year-old woman came to the consultation with complaints of mandibular pain, difficulty in chewing, bad taste and bad breath. The patient had an old mandibular treatment with infected implants with suppuration. The remaining teeth were also in very poor condition. It was decided to extract all teeth and mandibular implants, with placement of 4 immediate implants with immediate loading and mandibular bone reconstruction. Four months later the definitive hybrid prosthesis would be made.

Failing first molar, immediate extraction and implant placement. Flap stretch to achieve primary closure. Graft with Bond Apatite.

The patient presented with a failed bridge, and has a history of IV bisphosphonate and extractions were completed without flaps. Socket grafting and immediate implants were placed, and the socket opening were covered with a collagen sponge to protect the graft material and minimize chance of bone exposure.

The treatment happened in several stages. The first stage was extraction and socket grafting. Four months later implants were placed and ridge grafting was performed. Preparation of osteotomies with Versah helped to minimize bleeding as well. Restorative four months after implants placement.

The patient is a healthy female, 59 years old. The root of tooth #13 (6) broke without any reason. Prosthetic restoration was not possible.  The patient feels pain and discomfort. Root #13 (6) was extracted with flap opening. After that we saw partial damage of the external cortical lamina, about 5 millimeters. Immediate implant placement is performed, and the bone defect is filled with Bond Apatite® (1 cc). A full restoration of the external lamina was observed clinically 3.5 months post-op. Final prosthetic restoration was done in next 3 weeks. 12 month post-op follow-up no inflammatory symptoms were observed.

The crowns of the teeth were destroyed below the bone level and any type of reconstruction was impossible. Treatment planning includes extraction and socket grafting with Bond Apatite^®. Insertion of three Bicon implants in the areas of teeth #35 (20), 36 (19), 37 (18). Setting three crowns on the implants.

The patient is a healthy 62 old year female non-smoker. She presented 10 years after insertion and reconstruction of teeth #44 (28), #45 (29) & #46 (30). The X-ray shows a huge defect vertical and lateral around implant in position #44 (28) and tooth #43 (27).

Extraction and grafting of lower left and right molars, followed months later by open sinus lift and immediate implant.

45 year old male presented with vertical and lateral atrophy of the bone around the implant head. Implant was placed 15 years prior in tooth #45 (29).

The patient is a healthy 52 year old female. She attends the consultation with the absence of the lower back teeth. In addition, she has a single second left pre-molar with very bad positioning and advanced bilateral horizontal bone loss, especially in the 3rd quadrant. The patient wants a fixed solution.

The patient presents with a symptomatic cyst with an active fistula on the area of #21 (9) & #22 (10) and an absence of tooth #24 (12) with major bone loss. The patient wants to have fixed teeth on #22 (10) and #24 (12).

The patient presents with an absence of tooth #24 (12), with a loss of bone thickness. Augmentation is done with immediate implant placement.

The patient is a healthy, 48-year-old female who presented with the absence of tooth #46 (30). Due to the lack of width and keratinized tissue, the treatment plan is divided into stages. The first stage involves horizontal augmentation with Augma Bond Apatite®.  This will help gain keratinized tissue and allow for placement of an immediate implant. In the second stage, rehabilitation is done with a screw retained crown.

e patient was an 18 year old presenting with congenital malformation of #12 (7) & #22 (10). The patient came after opening spaces with orthodontic treatment.

The patient is healthy 60 year-old female. The treatment includes GBR on the area of tooth #33 (22) with implant placement 5 months after augmentation.

Healthy female, age 52 years. The crown and furcation of tooth #46 (30) was totally damaged. Extraction and immediate implant placement ( D-3.7 mm, L-11.5 mm) were performed and the bone defect around the implant was filled with Bond Apatite® (1 cc).

The patient is a 44-year-old, healthy, female. She attended the consultation already missing tooth #14 (5). The patient wanted to have her tooth back and restore the aesthetics of her smile. After intra-oral inspection, a marked volume defect was observed in the buccal area, in relation with the bone volume of the adjacent teeth. After complementary exams, a very thin bone ridge was identified with great loss of horizontal volume, leaving insufficient thickness for the placement of an implant without exposed threads.

The patient presented with a crown fracture on the tooth #24 (12). The tooth was extracted and socket grafting was completed with Bond Apatite. A temporary crown was used during healing.

A 43-year-old woman came for consultation 3 days after losing tooth #11 (8) due to trauma. The patient has a history of periodontitis and tooth mobility, and she brought her tooth with her in her hand. The patient just wanted to have her tooth back. The patient is a smoker. Tooth #13 (6) had already been replaced with an implant for the same reason about 10 years ago.

The patient presents a total failure of an old bridge between teeth #21 (9) and #23 (11) with high horizontal/vertical mobility and marked absorption of the buccal bone plate in the area of tooth #23 (11) with active infection.

The patient is a 56 year old female, healthy & nonsmoking. Presented with a mobile bridge in her upper front left region. The distal abutment of the bridge was a broken root with caries, swelling and discharge. Tooth #26 (14) was extracted years prior. The bridge is not aesthetic enough regarding teeth #21 (9) and #22 (10), and not in proper occlusion. Periapical lesion in tooth #22 (10) and PDL widening. The treatment plan started with cutting the bridge distal to #22 (10), extracting root #25 (13) and placing three tilted implants with immediate loading, preserving all the neighboring teeth.

The patient is a healthy, 75 years old female who presented with tooth #11 (8) after a root canal, with mobility and extreme extrusion. The patient complained that she was very dissatisfied with the aesthetics and wanted to correct position of #11 (8) and close the gap between tooth #11 (8) and #21 (9). 

The planning consists of tooth extraction, Augma Bone Cement, implant insertion and a provisional screwed composite crown.  Four months post-op we place a composite restoration on #11 (8) and then final impression for final ceramic crown.

After extraction four implants were placed in positions 34 (21), 32 (23), 42 (26) and 44 (28) with good primary stability (Ires System, D-3.7 mm, L-11.5 mm). The empty alveolars between implants were filled with Bond Apatite®. The temporary overdenture was fixed on temporary abutments. During a follow up visit 3 months later the patient reported a growing pain of the left site (position 34 (21)).

The patient is a healthy, 45 year old female. The mandibular periodontitis was treated but with high root exposure and dental mobility, and the patient is ashamed to smile. The treatment plan includes the complete extraction of mandibular teeth, regularization of the mandibular bony platform, and 5 implants with immediate load.

A healthy 36 year old woman comes to the clinic with pain and swelling in the area of ​​the inferior left molars. In the intraoral observation, a vestibular fistula was identified, and the complementary exams confirmed a bone lesion caused by a root perforation (poorly executed false post) on the first lower left molar #36 (19). It was decided to do antibiotic therapy for a week and then the tooth extraction with immediate implant placement and bone graft. 4 months post-op the definitive zirconia/ceramic crown would be was made.

Extraction of tooth 36 (19) with immediate implant placement and augmentation. Placement of zirconia/ceramic crown 4 months later.

Healthy female patient, 68 years old, attends the consultation with complaints of a lack of aesthetics, and pain and mobility in the 4 lower incisors. The patient wants an aesthetic, fixed solution.

Advanced caries with heavy damage to the #43 (27) and horizontal mobility throughout the sector. Extraction of all the teeth from the 5th sextant, immediate placement of 2 implants without flap opening, bone graft in all dental sockets and immediate loading with a provisional bridge adapted directly in the mouth. The zirconia-ceramic final bridge is placed 4 months post-op.

The patient was referred for an implant after the extraction of tooth #12 (7). According to the CBCT, their was insufficient bone volume due to a bone defect and a residual cyst.

The patient was a young male, after failure of crown on tooth #11 (8).

The patient is a healthy, 42-year-old male. He attended the consultation with a traumatic loss of tooth #21 (9). The patient arrived with a temporary tooth that had been attached with resin to the adjacent teeth in another clinic, and had fallen. The loss of the tooth had occurred two months earlier.

In this video a closed sinus lift is completed with immediate implant placement using Bond Apatite.

In this video a closed sinus lift is completed with immediate implant placement using Bond Apatite.

a case of severe bone loss around failed implants, that served for about 15 years and were recently grouped together with a metal bar in order to support an upper denture. The entire frame was held by implant #16 (3), the other implants were in soft tissue only, the remaining bone was severely atrophied.

The patient is a 48 years old female, non-smoker, with good general health. She came to the clinic for treatment on the left upper jaw, complaining of discomfort while chewing. Upon clinical examination severe mobility of the dental bridge in the area of #25 (13) - #27 (15) was discovered. There was no bleeding and no pus discharge. CBCT of the site revealed chronic sinusitis and resorption of alveolar bone on both the buccal and palatal cortex, with loss of the left sinus floor.

The lower left canine is both infected and fractured. Grafting was with autogenous bone and Augma Bond Apatite®. Due to uneven socket wall levels for the canine, and implant was selected with 2mm machined collar. Augma provided bone and soft tissue enhancement. The tissue is holding around the machined collar. The final images are 18 months after restoration.

The implant is placed 11 months after augmentation. At the time of implant placement there are no visible remaining particles of Hydroxyapatite, and the implant is placed in the patient's fully regenerated bone.

(15). In order to avoid lateral sinus lift procedure, the ridge was first reconstructed. Three months later, a minimally invasive intra-crestal sinus lift approach with immediate implant placement was performed.

The surgical treatment of a dentigerous cyst of the maxilla and the use of biphasic calcium sulfate (Bond Apatite®) in bone augmentation. The material was used during the treatment of odontogenic cyst, arising as a result of necrotic changes within the structure of an invaginated tooth #12 (7).

After nine months of healing the implants were placed and simultaneously used Bond Apatite® to gain keratinized tissue around these implants.

The patient came to our office complaining of mobility and discomfort of teeth 8,9 (11,21). The clinical and radiographic evaluation confirmed the patient’s complaint. The CBCT demonstrates a large bone deficiency at the apical level with the absence of the buccal plate.

A large cyst is removed from the aesthetic zone, and the gap is filled with Bond Apatite.

We did an enucleation and resection of roots of the upper right incisors, (#11 (8) & #12 (7)) with retrograde fillings (MTA) and augmentation with Bond Apatite® bone cement. Healing was uneventfully and after six months post op the place was asymptomatic and bone was formed.

Male age 40, cyst in the front of the mandible, range of root #31(24) and #32(23). There was pain, swelling and active buccal fistula. Enucleation of the cyst and resection with retrograde and filling (MTA) of roots #31(24) and #32(23). Augmentation was

The cyst appeared 4 years after successful endodontic and prostetic treatment. The first clinical symptom was an abscess. Three weeks after the abscess incision, we completed a one step endosurgery treatment with a root resection of tooth #12 (7), cyst enucleation (with histopathology examination), and backfill of the root canal with MTA. In addition, we used dedicated microtools and then filled the bone defect with Bond Appetite® (2 cc).

An 82 year old woman presented with swelling and pain on the left side of the cheek and lip, and Vincent symptom. The cyst was removed, and the defect filled with Bond Apatite. Follow up showed very good bone remodeling, and no inflammatory symptoms were observed.

The patient reported inflammation, swelling and pain on occasion consistent with Vincent’s symptom in the area of teeth #36 (19), #20 (35), and #34 (21). The surgery was performed under general anesthesia. We removed a radicular cyst (with histopathology), root resection of #35 (20) with retrograde MTA filling, and extraction of #36 (19). The bone defect was grafted with Bond Apatite® (6 cc).

The molar is extracted and socket grafting and lateral ridge augmentation are completed with Bond Apatite. Implants are placed 5 months post-op.

A how-to video in which Dr. Amos Yahav shows the protocols for Lateral Augmentation with Bond Apatite® and the Augma Shield™.

Patient in her sixties come for implant treatment in the maxilla on the right side. The ridge was very thin, about 2 mm. A lateral augmentation to thicken the ridge with Bond Apatite was performed. The implant in tooth #13 (6) is of 3 mm in diameter, the other implants #14 (5), #15 (4) and #17 (2) are of 3.75 mm in diameter.

The patient is a healthy, 60 year old, female with no medical history. She attended the first consultation with a fractured bridge on areas #33 (22) to #38 (17). The patient had a periapical lesion, and the edentulous section from #34 (21) - #37 (18) does not have sufficient bone width to place implants. The treatment plan was lateral augmentation with Bond Apatite® and placing 3 implants 5 months after grafting.

The patient is a 70 year old female with no health problems. Tooth #34 (21) is fractured and must be extracted, and the bridge sliced. Tooth #38 (17) will be kept for the moment.

The right lateral incisor was broken during a meal. There is a false post, difficult to remove, inside the root canal and there seems to be a cyst at the apex. The right lateral incisor was broken during a meal. There is a false post, difficult to remove, inside the root canal and there seems to be a cyst at the apex. The crown was made of resin. Trying to do a crown on the root seems less predictable than to do an immediate implant. The patient as done other implants with great success and she prefers the implant solution.              

The patient is a female, 60 year old, non-smoker. She presented with loss of the lateral plate following an infection on root fracture #25 (13). Implant placement occurs 5 months after bone preservation with Augma Bond Apatite®.

Examination reveals a narrow alveolar crest that will not accommodate implant placements in the molar area. It was decided to perform a ridge augmentation initially, and after a few months of healing to proceed with placement of the implants.

The patient is a healthy, 60-year-old female. She came because root #15 (4) can no longer support the metal ceramic crown. A lateral sinus lift is performed fist and then the implant is placed in a second stage.

Root resection was performed on both roots of tooth #36 (19), with cyst enucleation (including a histopathology examination) and back fill of all the root canals with MTA. The bone defect was filled with Bond Apatite® (1 cc).

In this live surgery video we see multiple extractions and augmentation in order to prevent bone loss and maintain healthy bone. This case demonstrates the importance of augmentation procedures for preventing bone loss and maintaining healthy bone, regardless of the

Congenitally missing maxillary lateral incisors, and deficient buccal width of alveolar bone in edentulous areas. Simultaneous graft and implant placement.

The patient presented with difficulties chewing and a poor aesthetic. They had 6 remaining teeth in the mandible and wanted a fixed prosthesis. The treatment plan included multiple extractions and 4 implants with immediate load and ridge preservation.

Upon extraction of the first molar a missing buccal plate is observed. Grafting is completed with Bond Apatite and the implant is placed 4 months post-op.

This video demonstrates the need to preserve available bone when extracting teeth in preparation for implants.

The patient is a 76-year-old female. She complained of difficulties chewing, a lack of aesthetics and discomfort in the mandible. After the intra-oral examination and the completion of the complementary tests, we verified the existence of 4 remaining mandibular teeth in very poor condition. She had one root with a big cyst, and 2 old implants with a less than ideal position to be used in a total rehabilitation. The treatment plan involved extraction of the remaining teeth and roots. Extraction of the two old implants. Leveling off the bony platform and the placement of 4 implants with immediate load.

The patient wants to be able to eat and laugh for the first time in many years, and to raise her self-esteem. She also wants to stop using the old, unsightly and uncomfortable removable prostheses.

The patient came with aesthetical problems, difficulty with chewing and failure of most of his remaining teeth. The treatment plan involved complete maxillary teeth extraction, 7 immediate implants, bone grafting with bone cements and immediate load.

The patient presented with difficulties in chewing and problems with self esteem. She no longer wanted to use a removable prosthesis and had severe maxillar atrophy.

Multiple extractions, cyst removal and the reconstruction of maxillary bone defects. Rehabilitation with a temporary removable prosthesis, and 6 months post-op the final skeletal prosthesis is placed.

62 year old male presents with painful and mobile upper left first premolar tooth. Exam revealed gingival inflammation and mobility. Exploration revealed a missing buccal plate. The plan was to remove the tooth, and graft with Bond Apatite, without flap elevation.

A patient came to the office complaining of the mobility of the old bridges, located in the anterior maxillary segment. With Bond Apatite we were able to fill gaps and large defects. Including the void left after removing the impacted canine. This was done while the site was chronically infected.

This video shows the protocols for an Open (lateral window) Sinus Lift with immediate implants, as well as extractions and dehiscence.

The patient is a 65 year old female, who came in for implants. We decided to perform an open sinus lift using a lateral window, which we will fill with Bond Apatite.

Medical Background: Breast cancer (30 months ago) Chemotherapy (with bisphosphonates) Radiation Dental Background: Severe pain and decay in tooth 18 (#8), which caused an infection of the Schneider’s membrane.  Because of the severe pain, we must intervene.

The tumor was removed with peripheral bone curettage to about 1 millimeter deep. The biological structure of the tumor was similar to spongy bone but a little harder. The bone defect was filled with Bond Apatite® (2cc).

The first symptom was pain similar to pulpitis in teeth #41 (25), #42 (26) and #43 (27). After endodontic treatment, the X-rays and CBCT showed a focus of necrotizes with strongly sheading elements in the central area. We did a root resection with backfill of the root canal with MTA in teeth #42 (26) and #43 (27). The tumor was removed with peripheral bone curettage to about 1 millimeter deep. The biological structure of the tumor was similar to spongy bone, but little harder. The bone defect was filled with Bond Apatite® (2cc). The tumor was taken to histopathology. Diagnosis: Osteoid osteoma of the mandible

The tumor was removed. The structure was similar to spongy bone but much softer, with mechanical peripheral bone curettage around the defect up to 1mm. The root of #44 (28) was resected 3mm, with backfill of the canal with MTA. The bone defect was filled with Bond Apatite® (1cc).

Periapical lesion and root resorption are demonstrated around the tooth #23 (#11). The tooth underwent repeated root canal treatment by endodontist and courses of antibiotics without improvements.

This is a case of socket shield for the right central incisor. The left central incisors was placed 8 years prior with full extraction. One can tell the difference with bone and soft tissue architecture between the two.

The patient is a healthy, 50 year old male. They presented with a cyst and fistula on the mandible, 2nd left premolar. There was large bone loss which included most of the buccal plate. The patient complained of pain and swelling.

The patient is a 46 year old male, non-smoking and generally healthy. His main complaint was about the pain in two broken teeth, #14 (5), #15 (4). A fracture line below the alveolar bone edge made it impossible to reconstruct the crowns. Treatment planning includes the extraction of two teeth, socket grafting with Bone Apatite®. Two implants are placed 3 months after grafting.

Due to the lack of bony support in the lower jaw, and the mobility of the teeth, it was decided to extract all of the teeth and move to an implant supported bridge which provides posterior occlusal support with immediate loading. On the upper maxilla all remaining teeth are preserved except for tooth #27 (15), using zygomatic and pterygoid implants in order to achieve immediate loads in those areas as well.

nt is a 72 year old female smoker with poor hygiene,. The treatment plan includes a complete denture in the upper jaw, as well as a complete denture in the lower jaw stabilized by two anterior implants. A provisional denture will be placed in the upper and lower jaw during the healing process.

The patient presented with a failing restoration of the upper jaw. This included failing root canals, failing crown and bridge and most importantly, failing blade implants. Restoring a case like this, all in one shot with extraction of teeth, removal of blade implants, placing of new implants and immediate loading requires innovative tools and innovative grafting. In this case we used Augma to augment the tissue and to protect and augment the buccal plate. Immediate load was performed. The patient has been functioning for over three years.

The patient is a healthy, 60 year old male. He presented completely asymptomatic, 25 years after apicoectomy on both #25 (13) and #26 (14). There was missing buccal plate in both areas. After aggressive curettage, the defect was filled with 3cc Bond Apatite®. The graft was covered with Augma Shield™.

The patient is a healthy, 48-year-old male. He came to the clinic with pain in the posterior, left area of the mandible. After clinical evaluation, abundant suppuration was observed along with inflammation in the area of the two crowns placed over implants #36 (19) and #37 (18). The complementary exams showed a bizarre situation with total bone loss around the 2 implants, one of them submerged and without load, and the loss of 1/3 of the mesial bone of the 3rd implant.

The patient presented with two small cysts. Root resection was performed along with cyst enucleation . The defect was filled with Augma Bond Apatite. 2-year follow-up showed good remodeling of the bone and soft tissue healing.

healthy patient. He came to consult for pain on #11 (8). The x-ray did not provide any convincing but the clinical examination made us think of a root fracture. I performed a large full thickness flap and realized a bone filling with biphasic calcium sulfate (Augma Bond Apatite), hoping to limit the loss of width following a traumatic extraction. A collagen sponge was used to cover the graft.

The crown on #46 (#30) was 6 months old, and was still painful despite weeks of antibiotics. Our decision was to extract the tooth and to graft biphasic calcium sulfate (Augma Bond Apatite®) in order to recover as much bone volume as possible. After 6 months, and a complete restitution of the bone volume, an implant (Surcam, S-type, 5x 13) was placed in a true bone.

In this video Bond Apatite is used to fill a defect in the area of the lower, right incisor with a missing buccal plate. Four months post-op an implant is placed in new bone.

In this video see the implant placement in the area of the maxillary incisors, and lateral augmentation using the tunneling technique.

Extraction of hopeless premolars #24 (12) & #25 (13). The treatment plan included extraction and socket grafting, and the placement of two implants during a second stage. A closed sinus lift was performed using Bond Apatite® with the distal implant placement.

A bridge in the lower left molars and premolars is replaced with 4 implants. During the uncovery Biphasic Calcium Sulfate is used to aid in soft tissue growth.

Ridge reconstruction of the mandible with immediate implants.

Extractions and ridge reconstruction of the maxilla with immediate implant placement.

Intra oral images showing failed bridge in an otherwise healthy 60 year old male. Referred to the surgeon due to recurrent inflammation and discomfort in the upper right maxilla. Periimplantitis signs are evident.

In this video an implant is placed in the area of the right, lower premolar. Lateral augmentation with bone cements takes place simultaneously.

Extraction using a magnetic mallet to avoid the distal implant with flap elevation. Prep at the palatal socket relying on the interradicular bone. Augma Bond Apatite® was placed first and then the osteotomy was uncovered and then the implant is placed. After which the Augma Shield™ was placed with a quick adaptation. It was held in place with 5-0 sutures.

Bone cements are used to repair a large, buccal dehiscence, and a wound dressing is placed over the sutures to help protect the wound and aid in the healing process.

Socket grafting of #48 (32) with Augma Bond Apatite® (x 3) following the root treatment of #47 (31) is realized.

The patient is a healthy, 67 year old female who presented with a root fracture of tooth #13 (6). The patient complained of dissatisfaction with the color of the tooth, and the inability to chew due to pain and discomfort.

Patient is a 74 year old male, healthy non smoker. Tooth #26 (14) was under follow up after rehabilitation that took place more than 20 years ago, with another clinic. Recently the patient experienced pain and swelling, as well as discharge. Due to the infection and periapical lesions detected we decided to extract.

This video shows a full arch rehabilitation with bilateral open sinus lift.

The patient presented with a lack of teeth for chewing in the 2nd quadrant, a destroyed tooth #24 (12) with an apical cyst, and a lack of aesthetics when they smiled.

This is a sinus lift with two windows due to a partial septum. Bond Apatite® was used in the sinus lift, and was placed directly into the chamber.

Root resection was performed on teeth #12 (7) and #22 (10). At this same time, cyst enucleation with histopathological examination confirmed radicular cysts. The bone defect was filled with Bond Apatite® (1 cc). More Bond Apatite® was used in #12 (7) and #22 (10).

In this case Bond Apatite is used for socket grafting after extraction, and lateral augmentation. The socket is covered with the Augma Shield to protect the material during the initial healing stage.

Discomfort and tooth mobility of the left upper lateral incisor. A fistula was detached buccally near the apex zone of the tooth. Radiographic imagery revealed a large radiolucency in connection with the tooth apex. The tooth was extracted and the lesion removed, followed by augmentation with Bond Apatite.

A how-to video in which Dr. Amos Yahav shows the protocols for Socket Grafting with flap reflection, using bone cements and the Augma Shield™.

The patient is a 70 year old male with a bridge from #45 (29) - #47 (31) that is mobile and causing pain.

Dr. Amos Yahav shows the protocols for Socket Grafting with Bond Apatite® and the Augma Shield™

presented with diffuse palatal swelling and mild pain in the upper left first molar. The tooth was sectioned and removed without any palatal or buccal flap. Augma was placed with sutures and a collagen plug.

Diagnosis: Granuloma and bone re absorption in septum and palatal root.

The first molar #30 (46) was extracted and augmentation was done with Augma Bond Apatite®. Re-entry for implant placement was 3 months post-op. Radiographic evaluation was done 3 and 6 months post-op. Follow up after 4 years of clinical function illustrates the stability of the bone level, and the process of bone remodeling and maturation.

Dr. Stéphane Berg discusses changing dogmas and the evolution of dentistry, first for himself and then for others. His way of confronting dogmas, through the dissonance between periodontology and implantology and later while adopting new bone grafting principles, allowed him to become an expert in his field.

Following the 2nd International Symposium, we had the greatest pleasure to host Dr. Jose Camelo Ferreira in The Bone Cement Podcast. Dr. Ferreira shares the mindset that led him to pursue his professional and personal path over alternative routes, and how he puts himself in a position to show colleagues how to work differently.

The patient presented with poorly positioned implants in the area of teeth #13 (6), #12 (7), #22 (10) and #23 (11). He had minimal to no tissue around the implants. The poorly placed implants and surrounding teeth were extracted, and new implants were placed in the available bone with proper spacing.

The patient is a 40 year old female who came to the clinic with crowns on teeth #21 (9) & #11 (8) that are failing and show signs of infection. CBCT shows missing buccal bone. The treatment plan included extraction and immediate implants with Bond Apatite® to fix the dehiscence.

The patient is a healthy 62-year-old woman. She attended the consultation with complaints of pain and edema in the right, posterior maxilla. The patient complained of pain while chewing, a lack of teeth in the 2nd quadrant and a lack of aesthetics with the old hybrid prosthesis. She also has the constant feeling of having a bad taste in her mouth.

The first surgery will be a full maxillary horizontal bone augmentation, double nasal sinus elevation and extraction of the 6 remaining teeth. The patient will use a fully fixed removable prosthesis supported only on the palate. 6 months later, a guided surgery will be planned and executed  with the placement of 6 implants with immediate load. After another 6 months, the definitive hybrid prosthesis will be made.

A significant percentage of lesions of endodontic origin require surgical management due to the possible diagnosis of odontogenic cysts and tumors in the maxilla and mandible. Ossifying fibroma is a benign fibro-osseous lesion that typically presents as a painless, slow-growing, and expansile lesion that appears as a well-demarcated lesion with a variable degree of internal calcification on radiography. Treatment results in a large osseous defect, utilization of a graft to fill the void accelerates healing and prevents complications that may result from failure to fill by the host response.

The patient is a 19 year old female, coming for implant treatment on #21 (9). Tooth #21 (9) is missing after a fall 10 years earlier. CBCT shows a very thin crest and a need for lateral augmentation. The challenge is to keep the papilla and the gingival contour (aesthetic zone) despite the surgery.

Removal of the old bridge over implants #45 (29)/#47 (31), flap opening, removal of granulation tissue, cleaning and disinfection of the implant surface. The extraction of #44 (28) with immediate implant and immediate load followed by the placement of the old bridge sterilized in the autoclave during the surgery time. 4 months post-op, a final crown will be made on the new implant #44 (28).

The patient is a 62 year old male with advanced periodontal disease, mobility grade II, missing teeth and compromised function and esthetic. Augmentation and immediate placement of trefoil implants.

Placement of the #12 (7) implant with immediate load 1.5 months post-op, placement of the #11 (8) implant with immediate load (to avoid losing the  papilla between the implants) 6 months later, placement of the finals crowns

The patient is a 50 year old male with periodontitis and mandibular teeth in poor condition. The patient has difficulty chewing and a poor aesthetic.

Augmentation of the maxillary sinus when severe atrophy and/or pneumatization of the sinus has occurred results in minimal crestal height that will not allow simultaneous implant placement has been a clinical challenge. The lateral sinus augmentation approach has been traditionally utilized in these clinical situations, but there are known complications such as membrane tears and increased post-operative issues that follow use of this technique. This article aims to propose a new technique utilizing specific surgical instruments, making it possible to increase the height of the crestal bone under the maxillary sinus in cases of significant atrophy, without complications using a two-stage crestal approach with biphasic calcium sulphate as the graft material. The article will discuss the technique, present a case example and review 51 cases representing initially 1-3 mm sub sinus crestal bone heights that the technique was utilized with.

Extraction of the natural tooth may be a prelude to implant placement. This may be done using an immediate placement protocol or require a delayed approach depending on multiple factors that include residual infection related to the failed tooth being extracted, availability of bone to stabilize the implant at placement, or soft tissue issues. Socket preservation is recommended when the delayed approach is selected to create an osseous bed with adequate height and width that can accommodate the implant that is planned.

Periodontitis, Stage III, Grade C, with molar incisor pattern. They demonstrated bleeding, deep pockets and vertical bone resorption.

The patient was referred by his treating dentist following repeat acute phases. The decision to extract is done with antibiotics and corticosteroid coverage. GBR will be performed during the surgical stage, with Augma Bond Apatite.

Here we have three different cases of the extraction of wisdom teeth (3rd Molars) using Bond Apatite for socket grafting and GBR.

Quad -Zygoma using Extra Maxillary Approach in conjunction to Bond Apatite®, reducing trauma and avoiding complications on Full Arch clinical cases.

The patient presented with reduced dimension of the vertical bone after using a removable prosthesis for 20 years. The treatment plan included 2 retro-molar implants, 2 zygomatic implants and 4 conventional implants.