• 1 x Degranulation Kit

• 1 x Ti-Oss Cancellous Bone (0.5cc)

• 1 x Ti-Oss Guide Collagen Membrane (15 x 20mm)

• 1 x DSI Sponge Graft (for sockets and peri-implant spaces)

• 3 x Periacryl Tissue Adhesive single-use vials. 

• 1 x 24 Monofilament Adsorbing Sutures 4-0 or 5-0. 

DEGRANULATION KIT.  Quickly and easily remove granulation tissue to allow unimpeded bone healing. 

TI-OSS CANCELLOUS BONE. More bone than Bio-oss at 25% less cost.  

TI-OSS GUIDE MEMBRANE. More membrane for less cost than Bio-Gide.

BIPHASIC SPONGE GRAFT. Dense collagen sponge with slow-resorbing basic bone graft for socket preservation when an implant is not scheduled.

PERIACRYL TISSUE ADHESIVE.  Sets in seconds, lasts weeks. Ideal for small open healing sites, wound sealing, soft tissue donor and recipient sites and suture reinforcement. 

PGCL MONOFILAMENT ADSORBING SUTURES. Easy pull through, knotting and minimal inflammation. 70% strength at 7 days and 40% at 14 days. 

Image for reference only and does not show the exact kit you will receive. 

Each blister contains a fully synthetic bone graft embedded in a dense collagen sponge for easy applications in sockets or trimming for smaller graft sites. 

EASY AND COST-EFFECTIVE SOCKET PRESERVATION – Ideal if no implant is scheduled. 

If an implant is delayed beyond 4 months or not planned at the time of extraction, then Biphasic Sponge Graft is ideal. The BetaTCP provides the osteoconductive scaffold to host new bone regeneration and will resorb completely in line with bone healing, leaving the HA component to support the long-term volume preservation due to its resistance to remodelling.  

EASY TO TRIM

Biphasic Sponge Graft can easily be trimmed with scissors or a blade, and placement requires no special surgical skills or instruments.   

TECHNICAL

• Biphasic granule – 60% βeta-TCP (Beta Tri Calcium Phosphate and 40% Hydroxyapatite) 

• Bovine Collagen Haemostatic Sponge.

• 5 (20mm x 10mm) bullet-shaped cones individually packed in sterile blisters.

FEATURES

• Collagen Sponge facilitates haemostasis and initiates the healing cascade.

• Pre-shaped to match socket morphology.

• Easily trim to fill multi-root or other defects. 

• Porous Osteoconductive Graft Scaffold.

• Long Term Volume Maintenance due to the presence of Hydroxyapatite.

BONE HEALING

Sponge CONE contains bovine collagen, which is haemostatic and facilitates the healing cascade, leaving the biphasic graft to host the clot and provide a stable scaffold for new bone regeneration. Hydroxyapatite is resistant to remodelling and provides the regenerated bone with volume stability over the longer term. 

APPLICATION IN A POST-EXTRACTION SITE

• Perform atraumatic extraction and degranulate the site thoroughly with degranulation burrs or similar. 

• Place the Sponge Cone graft into the bleeding site and compress.

• Trim to fit if needed – socket cone can be partially cut along its pointed axis to straddle a multi-rooted site.

• Apply an Ora-Aid self-adhesive dressing under the suture to protect the site. To prolong protection, the suture can be picked up on either side of the socket and tensioned over the top of the Ora-Aid.

• Suture over the Ora-Aid with the stitch picked up in the adjacent soft tissue or close with Periacryl oral adhesive.  

PROTOCOLS

SOCKET GRAFTING – Video

Socket Grafting_Membrane Free Socket Cone Grafts

ONLAY RIDGE AUGMENTATION – Video

Micro graft particles are embedded in a flexible synthetic sponge and presented as a socket-shaped cone for easy placement and self-supporting retention.

Requires no special surgical skills or instruments.   Powerbone Sponge Graft contains zero animal or cadaveric tissue, eliminating the need for material consent.  

TECHNICAL

• 50% *silicate substituted βeta-TCP (0.05-0.1mm) porous granules

• 50% flexible synthetic macroporous matrix of polylactide with caprolactone. 

• Fully resorbing.

• 16mm x 10mm bullet-shaped self-supporting cone (swells on application).

FEATURES

• Pre-shaped to match socket morphology.

• Easily trim to fill multi-root or other defects. 

• Swells on application to enhance retention.

• Contains no animal or cadaver tissue and is fully resorbable.

• Fully resorbed in 4 to 6 months with no residue remaining.

1. Iimori Y, Kameshima Y, Yasumori A, Okada K. Effect of solid/solution ratio on apatite formation from CaSiO3 ceramics in simulated body fluid. J Mater Sci Mater Med 2004;15:1247–1253.
2. Xu S, Lin K, Wang Z, Chang J, Wang L, Lu J, Ning C. Reconstruction of calvarial defect of rabbits using porous calcium silicate bioactive ceramics. Biomaterials 2008;29:2588–2596.
3. Dashnyam, K.; El-Fiqi, A.; Buitrago, J.O.; Perez, R.A.; Knowles, J.C.; Kim, H.-W. A mini-review focused on the proangiogenic role of silicate ions released from silicon-containing biomaterials. J. Tissue Eng. 20
17, 8, 1–13.
4. Registered trade mark of Geistlich Pharma AG, Bahnhofstrasse 40 Wolhusen, Switzerland.

• 1 x Degranulation Kit

• 1 x Powerbone Dental Putty (0.3cc)

• 1 x Powerbone Dental Putty (0.5cc)

• 1 x Biphasic Sponge Graft

• 3 x Ora-Aid self-adhering external wound barriers. 

• 3 x Periacryl Tissue Adhesive single-use vials. 

• 3 x PGCL Monofilament Adsorbing Micro surgical sutures.

Powerbone is shown to regenerate up to 50% new bone in human histology at 12 to 16 weeks.  

DEGRANULATION KIT.  Quickly and easily remove granulation tissue to allow unimpeded bone healing. 

POWERBONE DENTAL PUTTY. Powerbone Dental Putty is a fully resorbing, mouldable, self-hardening, synthetic bone graft.  Supplied pre-mixed in an ergonomic syringe. 

POWERBONE GRANULES.  Powerbone Granules are highly porous, absorbent and fully resorbing. Ideal for larger sites or mixing with blood products and medicines. 

BIPHASIC SPONGE GRAFT. Dense haemostatic sponge with biphasic bone graft for socket preservation when an implant is not scheduled.

ORA-AID.  Self-adhering barrier film accelerates healing in graft and implant wounds, including open sockets, soft tissue donor and recipient sites. 

PERIACRYL TISSUE ADHESIVE.  Sets in seconds, lasts weeks. Ideal for small open healing sites, wound sealing, soft tissue donor and recipient sites and suture reinforcement. 

PGCL MONOFILAMENT ADSORBING SUTURES. Easy pull through, knotting and minimal inflammation. 70% strength at 7 days and 40% at 14 days. 

REFERENCES covering silicate substituted beta tri calcium phophate bone grafts.
1.Iimori Y, Kameshima Y, Yasumori A, Okada K. Effect of solid/solution ratio on apatite formation from CaSiO3 ceramics in simulated body fluid. J Mater Sci Mater Med 2004;15:1247–1253.
2.Xu S, Lin K, Wang Z, Chang J, Wang L, Lu J, Ning C. Reconstruction of calvarial defect of rabbits using porous calcium silicate bioactive ceramics. Biomaterials 2008;29:2588–2596.
3.Hing KA, Wilson LF, Buckland T. Comparative performance of three ceramic bone graft substitutes. Spine J. 2007; 7(4):475-490.
4.Nagineni, Vamsi V., et al. "Silicate-substituted calcium phosphate ceramic bone graft replacement for spinal fusion procedures." Spine 37.20 (2012): E1264-E1272.
5.Dashnyam, K.; El-Fiqi, A.; Buitrago, J.O.; Perez, R.A.; Knowles, J.C.; Kim, H.-W. A mini-review focused on the proangiogenic role of silicate ions released from silicon-containing biomaterials. J. Tissue Eng. 2017, 8, 1–13. 
6.Test Report Bonegraft Biologic, No: 2018-BME-05-1, 2018-BME-05-2, 2018-BME-05-3 and 2018-BME-05-4.
7.Licina et al, Comparison of (SiCAP) with (Infuse) in Posterolateral Instrumented Lumbar Fusion Global Spine J 2015;5:471–478.
9.Wheeler, et al. Efficacy of silicated calcium phosphate graft in posterolateral lumbar fusion in sheep. The Spine Journal 7 (2007) 308–317.

Image for reference only and does not show the exact kit you will receive.