Category: Bone Graft

Hyaluronic Acid is a natural occurring substance found in our joints, eyes and neural tissues with the highest concentration in the connective tissue and skin. It plays an important role in tissue repair and regeneration but unfortunately it gets depleted as we age. Extensive research has shown that this can be reproduced and prescribed as a supplement to minimize inflammation and accelerate wound healing. Aside from dental implant placement, its various dental applications are for: gingivitis, periodontitis, tooth extraction and bone grafting.

Titanium Mesh in Dental Implants

Titanium mesh and autogenous bone graft was first introduced by Boyne in 1969, and was re-introduced by Von Arx and others in 1996 as the TIME technique. It is characterized by the use of microtitanium augmentation mesh. Although this technique is widely used for alveolar ridge augmentation, data in the literature regarding the amount of bone gain and the comparison with other augmentation technique is still not sufficient.

In a study of Dr. Tetsu Takahashi, the use of titanium mesh for alveolar ridge augmentation in atrophic jaws was evaluated in the overall success rate, magnitude of ridge augmentation and the rate of complications. Several complication can occur, but most of the trouble are not influenced by the implant treatment results. The results demonstrate that autogenous bone graft with titanium mesh has shown enough alveolar bone reconstruction quantitatively and qualitatively for the implant placement.
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Zimmer Puros Cortical Particulate Allograft

Puros Cortical Particulate Allograft by Zimmer offers the density and strength of a cortical autograft without the need for costly and invasive bone harvesting. It can be used alone or as a composite graft in space maintenance and volume enhancement procedures. It also maintains an open network for the proliferation of bone-forming cells. It is denser than cancellous bone and has been used in applications where cortical particulate is needed. Puros Cortical Particulate retains the natural collagen matrix and mineral structure of human cortical bone

Cortical Particles remodel into a dense lamellar structure without sacrficing ridge contour, and into natural viable bone with similar density to native bone. When used in a sandwich technique for the treatment of localized buccal dehiscence defects, Park and Wang reported an average gain of 1.8 mm in bone thickness. While according to Anoticel Sej Method, an average of 1.9 mm of bone thickness was gained. Combining Puros Cortical Allograft with a combination sandwich and mucogingival puch flap technique, one study achieved 1.5 mm to 3.5 mm gain in mean ridge thickness, and 84% to 100% gain in mean ridge height.
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