Socket Grafting and Ridge Preservation using Bond Apatite

In this case, by David Baranes D.M.D, the two inferiors hopeless molars 37,38 were removed. The socket and the ridge were preserved by augmenting the area with Bond apatite bone graft cement. After teeth removal and complete debridement of the site, the application of the cement was made according to the protocol in 3 consecutive steps: place,press, and close. The cement was ejected directly into the grafted site from “all-in-one” syringe and then press firmly with a dry gauze for 3 seconds, followed by primary soft tissue closure directly above the cement. No membrane was needed. 12 weeks post-op, at reentry bone was formed and the 3D ridge volume was preserved. At this stage implant placement took place. Please share any questions/comments.

Editor’s Note: Bond Apatite is a grafting product that combines biphasic calcium sulfate with a formula of hydroxyapatite granules in a pre-filled syringe to create a self-setting cement for bone graft procedures. Watch Introductory Bond Apatite Videos or Learn More.

6 thoughts on “Socket Grafting and Ridge Preservation using Bond Apatite

  1. Sean R says:

    What a nice case. The implant seems well positioned with lots of bone. Three months seems a little quick for placement but seems much more common today. How long do you like to wait with grafting versus without? Of course this may change based on location and bone quality?

    • Dr .Amos Yahav says:

      in this case due to the graft nature and its ability transform into the patient own bone 3 months are a very reasonable time to place or load the implant .
      when using a graft that integrate with the bone and du not replaced by the new formed bone than you should wait until maturation 5-6 months at least if you like to work on the safe side

    • Dr. Amos Yahav says:

      In socket grafting cases, you don’t need to reflect the flap. However, you need to protect the graft during the healing. You can do so by using any barrier that can last for an average of 10 day for example any collagen dressing (not a Gell temp ) can be used which should be sutured and attached to the surrounding soft tissue ,followed by a criss-cross suture above it.

      In other cases, closing of the flap is not as we are used to doing when we are using granules and membranes, where we need to have tension free and primary closure.With this type of cement, we want that the flap to be with slight tension and primarily closed. Also, if you have exposure during flap closure of 2 mm it is not an issue. But, not more than that, in order not to lose volume. You can see the technique in this video on Lateral Augmentation with Bond Apatite.

  2. Peter Fairbairn says:

    Yes Amos , this is the most efficient route to help the Host to regenerated bone … nice case.
    Peter

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