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Recommended Protocols Using Bond Apatite

Recommended Protocols per procedures

bone augmentation

7 Reasons to switch to
Bond Apatite®

  • Minimal invasive surgical protocol
  • Easier and faster application
  • Regenerate the patient own bone
  • Enhance the healing with higher predictability
  • No membrane
  • Reduce chair time
  • Great value

Choose your procedure:

Option 1 - Without flap reflection

  1.  No need to raise a flap.
  2.  Extract the tooth and prepare the socket for grafting.
  3.  Eject the cement into the socket.
  4.  Press firmly over the cement for 3 seconds using dry sterile gauze and finger pressure. Do not use an instrument to push and compact the cement into the bottom of the socket. (If the interdental space is too narrow to accommodate direct finger pressure on the sterile gauze, then a mirror handle or similar instrument can be applied on top of the gauze).
  5. Protect the cement by covering it with a collagen sponge and secure the sponge in place to the surrounding soft tissue by an initial suture thereafter with a cross stitch above. During the initial stage of healing, the cement should not be left exposed.

Option 2 - With flap reflection

  1.  Before Flap reflection perform short mesial oblique vertical incision (up to 2 mm into the mobile mucosa).
  2.  Raise full thickness flap, minimally as needed to expose the entire defect – (Do not perform any manipulation to get tension free flap. No horizontal dissection release cuts, and no brushing. the flap should be with tension during closure and not tension free).
  3. Extract the tooth and prepare the site for grafting.
  4. Cement application
    • Eject the cement into the site.
    • Place dry sterile gauze and press firmly for 3 seconds on the buccal and occlusal aspects.
  5. Reposition the flap for maximal closure by stretching it directly above the cement (exposure of 2-3 mm is fine, but no more than that).
  1.  Before Flap reflection perform short mesial oblique vertical incision (up to 2 mm into the mobile mucosa).
  2.  Raise full thickness flap, minimally as needed to expose the entire defect – (Do not perform any manipulation to get tension free flap. No horizontal dissection release cuts, and no brushing. the flap should be with tension during closure and not tension free).
  3. Extract the tooth and prepare the site for grafting.
  4. Cement application
    • Eject the cement into the site.
    • Place dry sterile gauze and press firmly for 3 seconds on the buccal and occlusal aspects.
  5. Reposition the flap for maximal closure by stretching it directly above the cement
    (exposure of 2-3 mm is fine, but no more than that).
  1.  Raise a flap
    • The flap should be minimally reflected in order to expose the entire grafted site. (The vertical cuts should be 2-3 mm into the mobile mucosa) Do not perform any horizontal periosteal dissection for release.
  2.  Prepare the site for grafting
  3.  Cement application
    •  Apply the cement and press firmly for 3 seconds to adapt to the defect using sterile dry gauze.
    • If needed, apply additional layer to obtain desired volume (slightly overfill).
    •  Press firmly with the dry sterile gauze for 3 seconds after each layer.
  4. Flap Closure
    • Reposition the flap by stretching it directly above the cement for maximal closure (up to 2-3 mm of graft exposure is fine but not more than that).
  1. Activate the syringe and wait 1 minute before application.
  2. Eject the cement into the sinus cavity through the sinus lateral window until 2/3 of the sinus is filled (During cement dispersion in the sinus cavity, if needed tap gently above the material with a sterile dry gauze to absorb the excess of fluid and blood).
  3.  For filling the last 1/3 and closing the sinus window. After activation of the cement (Do not wait 1 minute, eject it immediately into the site, place sterile dry gauze, press firmly for 3 seconds, and close the flap.
  1. Activate the syringe.
  2. After activation, eject the material into a dish and let it set for 3 minutes.
  3. Use the syringe as a carrier (Any other bone carriers can be used as well).

Biphasic CS bone cement radiographic appearance

** Due to the replacement of the cement into the patients own bone, the Radiographic appearance will vary during the healing period.

  • During graft placement – Radiopaque
  • 2-3 weeks post op – Radiolucent
  •  12 weeks post op – Radiopaque