New concepts in Bone reconstruction in implant rehabilitation
Today, pre-hydrated collagenic xenografts combined with collagen gel and collagenic xenografts combined with a thermosensitive copolymer have successfully replaced autogenous bone. The use of sticky xenograft will allow the surgeon to easily and predictably augment ridges, fill the alveoli, remodel and reconstruct the residual sites in order to obtain a harmonious hard and soft tissue anatomy, a prerequisite for optimal success of the case.
When treating edentulous patients or patients who will go under full arch extractions and implant placement, the surgeon frequently faces major bone defects. Several techniques have been used through the years to reconstruct the ridges, including autogenous bone grafts. For decades, autogenous bone graft has been considered as the gold standard.
These procedures lead to multiple surgeries, multiple surgical sites and complex protocols.
A new biomaterial has been developed several years ago : a pre hydrated porcine xenograft combined with 20% collagen plus 10 % of a copolymer. This copolymer is thermosensitive and the sticky bone will harden within hours after its placement into the patient’s mouth. This will allow the reconstruction of major defects such as extraction sites with the loss of two to three walls, ridge augmentation with a reliable and predictable prognosis. The practitioner will be able to reconstruct major defects and obtain an harmonious soft and hard tissue anatomy, a prerequisite for optimal esthetic and functional success.