Ridge Augmentation: Thoughts about Bond Apatite synthetic Bone Graft?

Hi. I have been using Bond Apatite over three years, including for lateral ridge augmentation. Most cases done simultaneously with implant placement. Two main things to do are closure WITH tension ( so no large flap release needed) and no removable prosthesis on the surgical site

I think it is safe to say that all materials work it is just a matter of preference. Also when posting on a site like this you will likely get responses from others as if their preferred technique is “the only way”. Personally I still use Allograft sometimes with the addition of xenografts for better space maintenance. Find something that works and stick with it.

Synthetics take longer to resorb. Without perfect closure there is nothing to keep the graft in situ. These materials have been used for a long time and their shortcomings led to the development of alternatives. The success of the graft many times depends on the site it is used. Sometimes no graft produces similar results to placing grafts.

Ask Peter Fairbain .............. ETHOSS ............. https://www.facebook.com/groups/712356385532991/

I usually do not leave any comments, but in this case I will. I used 4matrix and bondbone (which is pure biphasic calcium sulfate) a dozen times in different cases (ridge augmentation, socket preservation, sinus lifts and after I've seen outcomes I'm not using it anymore. Be very careful with these materials, read articles (EBM) and then choose if You want to use them or not.

Calcium sulfate has been around a long time. Like any other grafting material, it has its positives and negatives. On the positive side, in addition to the regenerative properties, it also functions well as a hemostatic and a soft tissue barrier, which is why, depending on the case, and your experience, you don't necessarily need to use a membrane when using calcium sulfate . On the negative side, it requires specific handling techniques, and more importantly Calcium sulfate resorbs rapidly, which is why it is often used in a composite with other graft materials. Bond Apatite/4Matrix, for example, is a composite of HA and Calcium Sulfate. In terms of your question, about ridge augmentation, others may disagree, but due to some of the disadvantages of the Calcium sulfate, I don't think using a calcium sulfate material alone, like Bond apatite or 4Matrix, in ridge augmentation will produce the results you want. Also, due to the handling issues, I think it would also require alot of experience with the material before you could use it successfully in a ridge augmentation. Personally, I think it's good to use alone in simple extraction cases. But for ridge augmentation cases, I think you will see the best results when using calcium sulfate in conjunction with your preferred allograft or xenograft.

Working with Biphasic calciume sulfate Bone cement is different than with conventional grafts, therefore understanding of the concept is important as well respecting the protocols .otherwise, it will compromize the outcome .in the following video, you can see a lateral augmentation procedure when it is done properly . See this video https://www.youtube.com/embed/RZsYtkzXg5o

Having done over 4,500 graft cases over a 15 year period with synthetics with CS involved , there seems to be many benefits for the Patient and Dentist Alike ..for my research just look at Pubmed . Regeneration is the key

Yes. They don't work. Just marketing stunt. They are happy that you buy from them once.

Kay as I said You can look on Pubmed or visit the EthOss website or FB site and see for yourself , if you are a Dentist you will be impressed . Regards

Can Bond Apatite be used for tunnel grafting?