PD VitalOs Cement: Thoughts on this new Synthetic Bone Regeneration Material?

We haven't used it yet, but are studying the use of these types of products. I'd love to hear more feedback.

I think that is important to know if is it porous. If yes, which are the size of the micro-macroporosity? And also if is it stable on the bone surface and for how much time? In which type of bone defects we can use it? and..........

Need. More. Literature. Peer-Reviewed please!

Have used these types of materials for the last 5 years and spoken about them at numerous national forums and study groups. Have written articles as well. Results are very promising both in defect repair and Sinus lift procedures which I have shown. Many benefits much less post op pain, materials fully resorb leaving just patients own bone , no membrane thus increased blood supply to the graft site. I have 300 odd cases using thes materials a great future, but this particular product is new to me , it interesting hows it sets as the other 2 I use "set" using different methods. More info would be great

it sounds too good

Think it is Swiss product not sure if it is entirely a bio-material and what makes it set.The similar products are Fortoss Vital and Easygraft (DS) whic we have used.

i don't know of this particular brand but have used capo4 w/ hardener lots of times.here's a trick which addresses porosity issue; add particulate graft material [ osteogen, alloss, etc.] to it, about 3 to 1....3 parts capo4 to 1 part graft....anymore and it doesn't setup all the way. it'll fill pretty good size defects. dont place implants immediately in conjunction w/ or in same site...you get a false sense of initial stability and when it starts to resorb your implant falls out.

Does not require membrane? Most of the calcium phosphate bone grafts require membrane. Do they have literature that supports the claim that membrane is not needed? I know that calcium sulfate (CaSO4) based bone grafts do not require a barrier as calcium sulfate has barrier properties, but do not think calcium phosphate has barrier properties. I think in the earlier post, Cory meant CaSO4. Please correct me if I am wrong. But if you add calcium sulfate to any particulate based bone grafts, it improved handling characteristics and also performance.

IT sounds good to me , this PD VitalOs Cement can be used here in USA ?

I tried it. It is indeed too good to be true. VitalOS is made from Brushite. Brushite is a mineral with a chemical formula CaHPO4·2H2O. It the precursor of apatite, otherwise known as HA. HA does not ever fully resorb because it is incapable of resorbing...it is too dense. I assume this is why they call it VitalOS Cement. I would not use this anywhere around implants or where GBR is required. Try B-TCP like Cerasorb or Calcium Sulfate.

"a synthetic bone regeneration material that can be injected into a prospective implant site where it stimulates bone production" the truth might be- osseointegration might not happen at all- the way and speed we are told to. Even many prof.shipments have been distributed on a false testemony. It might be true we are bealived to be fools ! The osteonal belts are tightened closer after surgery; e.g. tooth extraction. That is the way resorption is explained to us. Rather to be true is, first osteonal belts do not resorb HA (even from the pharmacy), second in the long term (wich is not our term for implantaion after augmentation) a osseoadaptation will happen. This may be the explanation why sometimes graft is even lost- There is some truth in it - but not in that way industry explains it to us. Nor might this be the explanation for the point of time when we are to load implants. Professors and universities checked in implantology late ! When they took a position it was very dependent-so was it in the direction of developments with a result witch was expected ! (HA/ blasted and etched surfaces than only blasted etc.pp.) By that time it was known already for over 30 years that even bon-structured and non-conditioned titan- nails were far harder to remoove than steel nails). A very banal question is why is the inscrewing rotation direction of implants the same no matter witch jaw side it is ? It is very evident that flexion is not same bilateraly ! Why does bone quality and threads of implant still have no corresponding ratio ? Only augmentation graft seems to neutralize all tasks ! Even ossteonal rebuilt is to be faster than god was allowing it. (who does not bealive should read again how long it takes the osteonal cone to leave osteoid bone behind and how much loger it takes to mineralize: PRP( profit relation for public) and other factors allow us nowerdays to be faster then evolution and even god- thanks to industry ! I think we all should adopt questioning our thinking on this blog. Two things to our favour will then come out- first experience; second experience based treatment: third cheaper implants- as the revelation can not be patented and will therefore be opened to anybody as it was openly issued. It should not matter how stupid our remarks are as we are dikussing pro an cons. We shall try and share our experience and thinking without fear to be disconsidered.

First a fantastic way to fill a defect, the only you need is a washed and dry bone surface. Secondly I was very much surprised that an uncover vitalos area of 7-8 mm2 was covered with gingiva in 2 months time. Really we need more literature for this kind of grafting.