A healthy 55-year-old woman attends the appointment with an almost total absence of maxillary teeth. After evaluation of the complementary exams, it was confirmed that there was horizontal bone loss, as well as bilateral pneumatization of the maxillary sinus. The patient was using a removable upper prosthesis and she wanted to change to a fixed rehabilitation.

Dieser Fall zeigt die Entfernung von drei großen Zysten mit Wurzelspitzenresektion und Füllung des Defekts.

The patient returned for an unscrewing of the crown of #37 (18), which induced an occlusal trauma. This ultimately led to peri-implantitis trauma.

The patient is a 35 year old female, non-smoker and generally healthy. She came to my clinic with an aesthetical problem with the crown on the implant in positioning #44 (28). Implant was inserted in wrong position (too much vestibular) from the alveolar ridge, and crown was unacceptable for the patient. Treatment Planning included extraction, implant and GBR procedure using Bond Apatite®. Insertion new implant (BICON) and anchorage of the new crown.

This case demonstrates the clinical and biological versatility of biphasic calcium sulphate. All digital. The last canine remaining was used for vertical dimension of occlusion. There was no infection and healing was great. The temp was placed 7 days post-op, and the final was placed at 4 months post-op.

The treatment plan starts with the removal of the infected implant and antibiotic therapy. Another surgery will be completed 1.5 months later with flap opening and local cleaning. Bone reconstruction will be done with Augma Bond Apatite®. Five months later a new implant is placed in the grafted site and a month after this the new implant is placed using the old prosthesis. Throughout the treatment the patient will use his prosthesis fixed on the three remaining implants.

zement im Oberkiefer. Die verbleibenden Zähne des Unterkiefers werden extrahiert, gefolgt von zement und sofortiger Implantatinsertion.

This video shows cyst removal and apicoectomy with MTA. The defect was filled with Bond Apatite and the sutures are covered with a wound dressing.

The patient presented with swelling and pain in the apical area of ​​teeth #21 (9) and #22 (10). Additional exams confirmed an apical lesion in both teeth.

Nach Durchführung der intraoralen Bewertung/Ergänzungsuntersuchungen stellte sich heraus, dass die verbleibenden Zähne und die Wurzel keinen Widerstand für eine neue Brücke hatten und die Wurzel von Zahn Nr. 21 (9) bereits ziemlich zerbrechlich und zerstört war. Es wurde auch festgestellt, dass der knochen der Zähne Nr. 11 (8) und Nr. 22 (10) einen großen horizontalen knochen und einen Mangel an keratinisiertem gewebe . Es wurde beschlossen, sich einer Behandlung in mehreren Operationen zu unterziehen.

(11), #24 (12), and #25 (13) are to be extracted at the same time. The flap will not be sufficient to cover the Bond Apatite, so Augma Shield™ was used to cover the exposed material.

In diesem Video wird im Bereich des rechten, unteren Prämolaren ein Implantat gesetzt. zement erfolgt die laterale Augmentation mit knochen .

Der Patient kam für Implantate in den rechten und linken mittleren Schneidezahn. Beim Öffnen wurde ein Mangel festgestellt. Es wurden Implantate gesetzt und die Augmentation mit Bond Apatite®

A 60 years old. Came in to consult for implant treatment from tooth #23 (11) to #27 (15). Scans showed a large bone deficiency in close proximity to the sinus floor.

Die Behandlung erfolgt in Etappen. Zunächst werden die fehlenden mittleren Schneidezähne extrahiert. Der schmale Kieferkamm im Bereich der lateralen Augmentation wird durch Dekortikation und Augmentation mit Bond Apatit präpariert.

30 year old patient presents with pain from an infection in tooth #11 (8) and the decay of tooth #21 (9) beneath the crown.

The patient came with highly pneumatic maxillary sinuses. The treatment plan consists of a bilateral open sinus lift and bone expansion of the residual border (2 mm) with osteotomes.

Der Patient hatte keine Oberkieferzähne und nur noch sehr wenige Zähne im Unterkiefer. Der Patient hatte auch eine große parodontale Läsion an Zahn Nr. 48 (32). Der Patientin fiel das Kauen sehr schwer und sie wollte zum ersten Mal seit vielen Jahren wieder frei lachen und ihr Selbstwertgefühl steigern.

Dieses Video zeigt Extraktionen, zement und Augmentation knochen zement .

In this video see the extraction of the upper, left incisor with immediate implant placement and grafting with Bond Apatite.

The patient was 35 years old and came to the clinic for emergency treatment of tooth #21 (9). The tooth was fractured, mobile and infected. After examination we decided to extract the tooth and graft the bone defect with Bond Apatite® for the future implant.

Ein Langzeitfall, fünf Jahre nach der Augmentation mit Bond Apatite. Das gewebe transplantat wurde in der ästhetischen Zone durchgeführt, wo eine bukkale Platte fehlte. Der Patient hatte einen schlechten parodontalen Zustand und kam zu einem Beratungsgespräch. Sie klagten über eine erhebliche Beweglichkeit des Zahns Nr. 21 (9) mit Entzündung.

Abstract: Calcium sulfate is used as a synthetic graft material in orthopedics, plastic surgery, oncological surgery, and dentistry, and it has been used in a variety of clinical applications, such as the repair of periodontal defects, the treatment of osteomyelitis, maxillary sinus augmentation, and as a complement to the placement of dental implants. To carry out this systematic review, a bibliographic search was carried out. The PICO (Patient, Intervention, Comparison, Outcome) question was: Does Citation: Torrejon-Moya, A.; Apalimova, A.; González-Navarro, B.; Zaera-Le Gal, R.; Marí-Roig, A.; López-López, J. Calcium Sulfate in Implantology (Biphasic Calcium Sul-Fate/Hydroxyapatite, BCS/HA, Bond Apatite®): Review of the Literature and Case Reports. Coatings 2022, 12, 1350. https://doi.org/ 10.3390/coatings12091350 Academic Editor: Jun-Beom Park Received: 14 August 2022 Accepted: 12 September 2022 Published: 16 September 2022 Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). the use of calcium sulfate as a material in guided bone regeneration in dentistry have better results compared to other bone graft materials? Finally, a case series is presented using the calcium sulfate for different procedures. Currently, the available literature on the use of calcium sulfate as a graft material in implant surgery is scarce, and what is available provides low-quality evidence. That is whymoreresearch studies on the subject are necessary to allow more comparisons and meaningful conclusions. After using Bond Apatite® in our case series, we can conclude that it is a useful and easy-to-handle material in implantology practice, but more controlled studies should be carried out in this regard to assess its long-term efficacy, especially in horizontal and/or vertical regeneration.

A distal root resection of tooth #46 (30) was performed with backfill of the root canal with the MTA and cyst enucleation (confirmed with histopathology examination). The bone defect was filled with 1cc Bond Apatite®.

A revision of the lower right molar was made, the tumor was removed (highly mineralized part similar to osteoma and granulation tissue from area around). We made a root resections of tooth #46 (30) with retrograde filling of the root canals using MTA. We filled the bone defect with Bond Apatite (1 cc). Histopathological study showed the presence of a odontogenic fibroma structure in granulation tissue and osteoma in mineralized part. We observed a good healing of bone and soft tissue in 2 years months follow-up.

A root resection of #42 (26) was performed with backfill of the root canal with MTA. The tumor was removed with peripheral bone curettage about one millimeter deep and the bone defect was filled with Bond Apatite® (1cc).

Patient : Male, 60 year old, non-smoker. The extractions of #13 (25) and #14 (26) were realized 5 months before, including bone preservation with Augma Bond Apatite®. The option of a closed sinus lift was preferred to a lateral approach because of the flexibility of the sinus floor due to the bone preservation.

A patient came for implant placement in #14 (5) and #16 (3). An implant in # 14 (5) can be placed easily, but a sinus lift must be performed in #15 (4) and #16 (3). It was decided to avoid a lateral window approach and to perform an intra crestal sinus lift.

A patient in her fifties came for implant treatment in the left maxilla. Dr. Baranes decided to place an implant, 3.75/10 in tooth #24 (12). In #26 (14) bone width was only 1mm, so a crestal sinus floor elevation was completed first to increase the bone height. Three months post-op an implant of 3.75/10 was placed. No additional augmentation was performed as 6 mm of bone was gained.

The patient presented with vertical movement of the 1st quadrant bridge, difficulties in chewing and extreme tooth wear and nerve exposure. Treatment planning involved the extraction of all mandible and maxillary teeth, the placement of 5 implants on the mandible with immediate load. A bilateral sinus lift will be done with maxillary implants planned for 6 months post-op.

The surgical plan included the total extraction of upper and lower teeth. Five implants are placed in the lower jaw with immediate load. The correction of bone defects in the maxilla and mandible. Bilateral superior sinus lift and an All on 6 with immediate loading 6 months after bone reconstruction.

The patient is 67 years old and was referred for the treatment of a fractured tooth with radiolucency. In this case there was no buccal plate and no incisions were made. Due to the lack of buccal plate, the choice was made to use Bond Apatite.

Tooth #45 (29) & #46 (30) were extracted. Tooth #44 (28) is going through an endodontic retreatment procedure.  At the time of extraction, enucleation of a cystic lesion 1 cm in diameter.

We made a root resection of tooth #35 (20) with back-fill with the MTA, cyst enucleation (confirmed with histopathology examination). We filled the bone defect with Bond Apatite (1/2 cc). Good healing and no clinical symptoms after six months was observed.

The cyst appeared 8 months after good endodontic treatment. We did a root resection of tooth #22 (10), followed by a cyst enucleation with histopathology examination. The bone defect was then filled with Bond Apatite (2cc).

The first clinical symptom was a swollen abscess. 6 weeks after the abscess incision, we did a one step endo-surgery treatment with a root resection of tooth #13 (6), cyst enucleation (with histopathology examination) and backfill of the root canal with MTA. In addition, we performed a microsurgery because of little changes around root #22 (10), which included an apicoectomy, backfill and graft with Bond Apatite®. The bone defect was filled with Bond Apatite® (2 cc).

There were long standing carries in the upper left canine, so it was decided not to proceed with a socket shield. The decay extended subgingival and drilling was done at the palatal portion of the root. Once the osteotomy was complete, periotomes were used to deflect the buccal segment to the palatal space to allow for extraction. Bond Apatite® was next followed by placement of noris medical tuff 5x13 implant and a 5mm healing abutments. Vertical mattress nylon at the papillae and 4-0 pga to retain the Augma Shield™

A 20 year old was referred to us to perform an implant in area #22 (10) due to agenesis (after orthodontic preparation.) The doctor wants to perform a screwed crown. This requires us to perform the implant outside the frame of the bone. We will treat the dehiscence with Bond Apatite.

Pain in the apical area of teeth #11 (8) and #12 (7). Complementary exams confirm apical lesion in both teeth. The tooth #11 (8) needs endodontic treatment. The patient wants to keep her teeth. The treatment plan includes removal of apical cysts, apicectomy of teeth #12 (7) and #11 (8). Bone defect reconstruction and saving the two teeth.

The conservative endodontic treatment of the tooth #26 (14) failed. We made a root resection of this buccal mesial root of tooth #26 (14,) backfilling with MTA and cyst enucleation with histopathology examination. We filled the bone defect with Bond Apatite®.

The lower right first molar was atraumatically extracted without any lingual or buccal flap. Immediate implant was placed with >50 N/Cm torque.

Die Wurzel von Nr. 35 (20) wurde reseziert, mit einer Auffüllung des Wurzelkanals mit MTA. Die Zystenenukleation wurde durch eine histopathologische Untersuchung bestätigt. Der knochen wurde mit Bond Apatite® (0,5 cc) gefüllt.

Die Krone an #46 (#30) war 6 Monate alt und schmerzte trotz wochenlanger Antibiotika immer noch. Unsere Entscheidung war, den Zahn zu extrahieren und zweiphasig Calciumsulfat ( gewebe transplantat Bond Apatite® ) zu transplantieren, um so viel knochen wie möglich zurückzugewinnen. Nach 6 Monaten und einer vollständigen Wiederherstellung des knochen wurde ein Implantat (Surcam, S-Typ, 5 x 13) in einen echten knochen eingesetzt .

In this video the second premolar is extracted and 3D Bond is used to repair a sinus communication. Socket grafting is completed with Bond Apatite, and the graft is protected with a collagen plug.

The patient is a healthy 39 year old woman. The crown on tooth #16 (3) broke that day while biting bread. There was no way to rescue the tooth. She has pain and discomfort. Tooth #16 (3) was extracted without flap reflection and the defect was filled with 3D Bond™ 0.5 cc, and a collagen sponge. Bone regeneration was observed both clinically and in radiographic images 3 months post-op, and the ultrashort Bicon implant was placed (D-4.5mm, L -6.0mm). Final prosthetic restoration was done 4 months later with a full ceramic crown. In the next 12 months no inflammatory symptoms were observed.

Tooth #31 (24) presents second level of mobility, pain and the inflammatory changes. Treatment planning involved the extraction of the tooth and GBR procedure with Bond Apatite®. Four months later a Bicon implant was placed, and the final crown was placed 4 months after implant placement.

and after graft placement with Augma Bond Apatite® a 6x11.5mm implant was inserted at 50n-cm final torque.

treatment of #37 (18) and extraction of #36 (19) due to deep periodontal pocket with active secretion and furcation involvement. The tooth was extracted atraumatically, and an implant was placed centrally, relying on the septum.

The patient is a woman in her 50’s, who came a day before a family event for a fixed prothetelic supported by immediate implant placement. Canine in a classic vestibular position, it will be necessary to try to keep the buccal bone wall as much as possible and reconstruct the ridge.

Der nicht durchgebrochene Zahn Nr. 13 (6) wurde erhalten und der Milchzahn Nr. 53 (C) wurde extrahiert. GBR mit Bond Apatite® wurde durchgeführt. 4 Monate nach der Operation wurde ein Implantat eingesetzt, während dieser Zeit wurde ein provisorischer Zahn mit einer Zahnspange verbunden.

Extraktion und Knochenregeneration mit biphasischem Calciumsulfat. 5 Monate postoperative Nachsorge mit Implantatinsertion mit zement -Augmentation.

Der Patient stellte sich mit einem infizierten und gebrochenen Backenzahn mit beeinträchtigter Bukkalplatte vor. Die Extraktion erfolgte in Segmenten. Mit Bond Apatite® gewebe transplantat zement , Osteotomie freilegen, sofortige Implantation. Beachten Sie die keratinisierte Gingiva um das eingeheilte Implantat herum. Der Schlüssel hier war keine Klappe zum Zeitpunkt der Extraktion.

Der Patient stellte sich mit einem großen Entzündungsbereich um den Zahn Nr. 12 (7) mit einer vollständigen Läsion der äußeren kortikalen Lamina vor. Wir haben den Zahn extrahiert und die Entzündung entfernt (mit histopathologischer Untersuchung). Wir füllten den knochen mit Bond Apatite® (1 cc). Nach 4 Monaten haben wir einen neuen jungen knochen an der Position #12 (7), das Implantat wurde also mit guter Primärstabilität des Implantats gesetzt.

Gesunde 44-jährige Frau mit konstanten, mäßigen Schmerzen am endodontisch behandelten Zahn Nr. 30 (46). Drei Monate nach der erneuten Endobehandlung der MB- und ML-Kanäle hielten die Schmerzen an.

Bei knochen von schlechter Qualität kann eine Vergrößerung des Implantatdurchmessers die einzige Möglichkeit sein, die Toleranz gegenüber okklusalen Kräften zu erhöhen, die Anfangsstabilität zu verbessern und eine günstige Spannungsverteilung auf den umgebenden knochen bereitzustellen . Kürzere Implantate, solche mit Locking Tapers und Plateau-Wurzelformen, haben tendenziell längere Überlebenszeiten durch die Verwendung von biphasischem Calciumsulfat.

An 81-year-old woman came to the consultation with complaints of mandibular pain, difficulty in chewing, bad taste and bad breath. The patient had an old mandibular treatment with infected implants with suppuration. The remaining teeth were also in very poor condition. It was decided to extract all teeth and mandibular implants, with placement of 4 immediate implants with immediate loading and mandibular bone reconstruction. Four months later the definitive hybrid prosthesis would be made.

Failing first molar, immediate extraction and implant placement. Flap stretch to achieve primary closure. Graft with Bond Apatite.

The patient is a healthy female, 59 years old. The root of tooth #13 (6) broke without any reason. Prosthetic restoration was not possible.  The patient feels pain and discomfort. Root #13 (6) was extracted with flap opening. After that we saw partial damage of the external cortical lamina, about 5 millimeters. Immediate implant placement is performed, and the bone defect is filled with Bond Apatite® (1 cc). A full restoration of the external lamina was observed clinically 3.5 months post-op. Final prosthetic restoration was done in next 3 weeks. 12 month post-op follow-up no inflammatory symptoms were observed.

The crowns of the teeth were destroyed below the bone level and any type of reconstruction was impossible. Treatment planning includes extraction and socket grafting with Bond Apatite^®. Insertion of three Bicon implants in the areas of teeth #35 (20), 36 (19), 37 (18). Setting three crowns on the implants.

The patient is a healthy 62 old year female non-smoker. She presented 10 years after insertion and reconstruction of teeth #44 (28), #45 (29) & #46 (30). The X-ray shows a huge defect vertical and lateral around implant in position #44 (28) and tooth #43 (27).

Extraction and grafting of lower left and right molars, followed months later by open sinus lift and immediate implant.

45 year old male presented with vertical and lateral atrophy of the bone around the implant head. Implant was placed 15 years prior in tooth #45 (29).

Dieser Fall zeigt uns die Entwicklung des sinusboden ein Jahr nach einem intrakrestalen Sinuslift in krestaler Richtung. Die Patientin ist eine diabetische Frau in den Sechzigern, die wegen einer Implantatbehandlung im rechten Oberkiefer kam. Sie hatte mehrere Jahre mit einer Zahnlücke zwischen Nr. 14 (5) - Nr. 16 (3).

Video von Dr. Baranes bei der Durchführung eines zement (geschlossenen) Sinuslifts mit sofortiger Implantatplatzierung .

Eine 82-jährige Frau stellte sich mit Schwellung und Schmerzen auf der linken Seite der Wange und Lippe und Vincent-Symptom vor. Die Zyste wurde entfernt und der Defekt mit Bond-Apatit aufgefüllt. Die Nachuntersuchung zeigte einen sehr guten knochen , und es wurden keine entzündlichen Symptome beobachtet.

The patient is a healthy 52 year old female. She attends the consultation with the absence of the lower back teeth. In addition, she has a single second left pre-molar with very bad positioning and advanced bilateral horizontal bone loss, especially in the 3rd quadrant. The patient wants a fixed solution.

Der Patient stellt sich mit einem Fehlen von Zahn Nr. 24 (12) und einem Verlust an knochen vor. Die Augmentation erfolgt mit Sofortimplantat- zement .

Der Patient stellt sich mit einer symptomatischen Zyste mit einer aktiven Fistel im Bereich von Nr. 21 (9) und Nr. 22 (10) und einem Fehlen von Zahn Nr. 24 (12) mit starkem knochen vor. Der Patient möchte festsitzende Zähne an Nr. 22 (10) und Nr. 24 (12) haben.

Der Patient war ein 18-jähriger Patient mit angeborener Fehlbildung von Nr. 12 (7) und Nr. 22 (10). Der Patient kam nach Öffnung von Räumen mit kieferorthopädischer Behandlung.

Healthy female, age 52 years. The crown and furcation of tooth #46 (30) was totally damaged. Extraction and immediate implant placement ( D-3.7 mm, L-11.5 mm) were performed and the bone defect around the implant was filled with Bond Apatite® (1 cc).

The patient presented with a crown fracture on the tooth #24 (12). The tooth was extracted and socket grafting was completed with Bond Apatite. A temporary crown was used during healing.

The patient presents a total failure of an old bridge between teeth #21 (9) and #23 (11) with high horizontal/vertical mobility and marked absorption of the buccal bone plate in the area of tooth #23 (11) with active infection.

The patient is a 56 year old female, healthy & nonsmoking. Presented with a mobile bridge in her upper front left region. The distal abutment of the bridge was a broken root with caries, swelling and discharge. Tooth #26 (14) was extracted years prior. The bridge is not aesthetic enough regarding teeth #21 (9) and #22 (10), and not in proper occlusion. Periapical lesion in tooth #22 (10) and PDL widening. The treatment plan started with cutting the bridge distal to #22 (10), extracting root #25 (13) and placing three tilted implants with immediate loading, preserving all the neighboring teeth.

The patient is a healthy, 75 years old female who presented with tooth #11 (8) after a root canal, with mobility and extreme extrusion. The patient complained that she was very dissatisfied with the aesthetics and wanted to correct position of #11 (8) and close the gap between tooth #11 (8) and #21 (9). 

The planning consists of tooth extraction, Augma Bone Cement, implant insertion and a provisional screwed composite crown.  Four months post-op we place a composite restoration on #11 (8) and then final impression for final ceramic crown.

After extraction four implants were placed in positions 34 (21), 32 (23), 42 (26) and 44 (28) with good primary stability (Ires System, D-3.7 mm, L-11.5 mm). The empty alveolars between implants were filled with Bond Apatite®. The temporary overdenture was fixed on temporary abutments. During a follow up visit 3 months later the patient reported a growing pain of the left site (position 34 (21)).

The patient is a healthy, 45 year old female. The mandibular periodontitis was treated but with high root exposure and dental mobility, and the patient is ashamed to smile. The treatment plan includes the complete extraction of mandibular teeth, regularization of the mandibular bony platform, and 5 implants with immediate load.

A healthy 36 year old woman comes to the clinic with pain and swelling in the area of ​​the inferior left molars. In the intraoral observation, a vestibular fistula was identified, and the complementary exams confirmed a bone lesion caused by a root perforation (poorly executed false post) on the first lower left molar #36 (19). It was decided to do antibiotic therapy for a week and then the tooth extraction with immediate implant placement and bone graft. 4 months post-op the definitive zirconia/ceramic crown would be was made.

Extraction of tooth 36 (19) with immediate implant placement and augmentation. Placement of zirconia/ceramic crown 4 months later.

Healthy female patient, 68 years old, attends the consultation with complaints of a lack of aesthetics, and pain and mobility in the 4 lower incisors. The patient wants an aesthetic, fixed solution.

Advanced caries with heavy damage to the #43 (27) and horizontal mobility throughout the sector. Extraction of all the teeth from the 5th sextant, immediate placement of 2 implants without flap opening, bone graft in all dental sockets and immediate loading with a provisional bridge adapted directly in the mouth. The zirconia-ceramic final bridge is placed 4 months post-op.

The patient was referred for an implant after the extraction of tooth #12 (7). According to the CBCT, their was insufficient bone volume due to a bone defect and a residual cyst.

The patient was a young male, after failure of crown on tooth #11 (8).

In diesem Video wird ein geschlossener Sinuslift mit Sofortimplantat- zement mit Bond Apatite abgeschlossen.

ein Fall von schwerem knochen um fehlgeschlagene Implantate herum, die etwa 15 Jahre lang dienten und kürzlich mit einem Metallsteg zusammengefügt wurden, um eine obere Prothese zu stützen. Der gesamte Rahmen wurde von Implantat Nr. 16 (3) gehalten, die anderen Implantate befanden sich nur in gewebe , der verbleibende knochen war stark atrophiert.

The lower left canine is both infected and fractured. Grafting was with autogenous bone and Augma Bond Apatite®. Due to uneven socket wall levels for the canine, and implant was selected with 2mm machined collar. Augma provided bone and soft tissue enhancement. The tissue is holding around the machined collar. The final images are 18 months after restoration.

The implant is placed 11 months after augmentation. At the time of implant placement there are no visible remaining particles of Hydroxyapatite, and the implant is placed in the patient's fully regenerated bone.

(15). In order to avoid lateral sinus lift procedure, the ridge was first reconstructed. Three months later, a minimally invasive intra-crestal sinus lift approach with immediate implant placement was performed.

The surgical treatment of a dentigerous cyst of the maxilla and the use of biphasic calcium sulfate (Bond Apatite®) in bone augmentation. The material was used during the treatment of odontogenic cyst, arising as a result of necrotic changes within the structure of an invaginated tooth #12 (7).

Der Patient stellte sich mit reduzierter Dimension des vertikalen knochen vor, nachdem er 20 Jahre lang eine herausnehmbare Prothese getragen hatte. Der Behandlungsplan umfasste 2 retromolare Implantate, 2 Jochbeinimplantate und 4 konventionelle Implantate.

After nine months of healing the implants were placed and simultaneously used Bond Apatite® to gain keratinized tissue around these implants.

Intraorale Bilder, die eine fehlgeschlagene Brücke bei einem ansonsten gesunden 60-jährigen Mann zeigen. Wegen rezidivierender Entzündung und Beschwerden im Oberkiefer rechts an den Chirurgen überwiesen. Periimplantitis-Zeichen sind offensichtlich.

Extraktionen und rekonstruieren des Oberkiefers mit sofortiger zement .

Extraktion und Zystenenukleation in den oberen Schneidezähnen. Die Socket Preservation und die Defektfüllung werden mit Bond Apatite abgeschlossen.

The patient came to our office complaining of mobility and discomfort of teeth 8,9 (11,21). The clinical and radiographic evaluation confirmed the patient’s complaint. The CBCT demonstrates a large bone deficiency at the apical level with the absence of the buccal plate.

A large cyst is removed from the aesthetic zone, and the gap is filled with Bond Apatite.

We did an enucleation and resection of roots of the upper right incisors, (#11 (8) & #12 (7)) with retrograde fillings (MTA) and augmentation with Bond Apatite® bone cement. Healing was uneventfully and after six months post op the place was asymptomatic and bone was formed.

Male age 40, cyst in the front of the mandible, range of root #31(24) and #32(23). There was pain, swelling and active buccal fistula. Enucleation of the cyst and resection with retrograde and filling (MTA) of roots #31(24) and #32(23). Augmentation was

The cyst appeared 4 years after successful endodontic and prostetic treatment. The first clinical symptom was an abscess. Three weeks after the abscess incision, we completed a one step endosurgery treatment with a root resection of tooth #12 (7), cyst enucleation (with histopathology examination), and backfill of the root canal with MTA. In addition, we used dedicated microtools and then filled the bone defect with Bond Appetite® (2 cc).

The patient reported inflammation, swelling and pain on occasion consistent with Vincent’s symptom in the area of teeth #36 (19), #20 (35), and #34 (21). The surgery was performed under general anesthesia. We removed a radicular cyst (with histopathology), root resection of #35 (20) with retrograde MTA filling, and extraction of #36 (19). The bone defect was grafted with Bond Apatite® (6 cc).

A how-to video in which Dr. Amos Yahav shows the protocols for Lateral Augmentation with Bond Apatite® and the Augma Shield™.

Patient in her sixties come for implant treatment in the maxilla on the right side. The ridge was very thin, about 2 mm. A lateral augmentation to thicken the ridge with Bond Apatite was performed. The implant in tooth #13 (6) is of 3 mm in diameter, the other implants #14 (5), #15 (4) and #17 (2) are of 3.75 mm in diameter.

The patient is a healthy, 60 year old, female with no medical history. She attended the first consultation with a fractured bridge on areas #33 (22) to #38 (17). The patient had a periapical lesion, and the edentulous section from #34 (21) - #37 (18) does not have sufficient bone width to place implants. The treatment plan was lateral augmentation with Bond Apatite® and placing 3 implants 5 months after grafting.

The patient is a 70 year old female with no health problems. Tooth #34 (21) is fractured and must be extracted, and the bridge sliced. Tooth #38 (17) will be kept for the moment.

The right lateral incisor was broken during a meal. There is a false post, difficult to remove, inside the root canal and there seems to be a cyst at the apex. The right lateral incisor was broken during a meal. There is a false post, difficult to remove, inside the root canal and there seems to be a cyst at the apex. The crown was made of resin. Trying to do a crown on the root seems less predictable than to do an immediate implant. The patient as done other implants with great success and she prefers the implant solution.              

The patient is a healthy, 60-year-old female. She came because root #15 (4) can no longer support the metal ceramic crown. A lateral sinus lift is performed fist and then the implant is placed in a second stage.

Der Molar wird extrahiert und die gewebe transplantat sowie die Seitenkammaugmentation mit Bond Apatite abgeschlossen. Implantate werden 5 Monate nach der Operation eingesetzt.

Die Patientin ist weiblich, 60 Jahre alt, Nichtraucherin. Sie stellte sich mit Verlust der lateralen Platte nach einer Infektion bei Wurzelfraktur Nr. 25 (13) vor. Die Implantatinsertion erfolgt 5 Monate nach knochen mit zement Bond Apatite® .

In this live surgery video we see multiple extractions and augmentation in order to prevent bone loss and maintain healthy bone. This case demonstrates the importance of augmentation procedures for preventing bone loss and maintaining healthy bone, regardless of the

Congenitally missing maxillary lateral incisors, and deficient buccal width of alveolar bone in edentulous areas. Simultaneous graft and implant placement.

The patient is a 76-year-old female. She complained of difficulties chewing, a lack of aesthetics and discomfort in the mandible. After the intra-oral examination and the completion of the complementary tests, we verified the existence of 4 remaining mandibular teeth in very poor condition. She had one root with a big cyst, and 2 old implants with a less than ideal position to be used in a total rehabilitation. The treatment plan involved extraction of the remaining teeth and roots. Extraction of the two old implants. Leveling off the bony platform and the placement of 4 implants with immediate load.

The patient came with aesthetical problems, difficulty with chewing and failure of most of his remaining teeth. The treatment plan involved complete maxillary teeth extraction, 7 immediate implants, bone grafting with bone cements and immediate load.

Multiple extractions, cyst removal and the reconstruction of maxillary bone defects. Rehabilitation with a temporary removable prosthesis, and 6 months post-op the final skeletal prosthesis is placed.

62 year old male presents with painful and mobile upper left first premolar tooth. Exam revealed gingival inflammation and mobility. Exploration revealed a missing buccal plate. The plan was to remove the tooth, and graft with Bond Apatite, without flap elevation.

A patient came to the office complaining of the mobility of the old bridges, located in the anterior maxillary segment. With Bond Apatite we were able to fill gaps and large defects. Including the void left after removing the impacted canine. This was done while the site was chronically infected.

Die Patientin möchte zum ersten Mal seit vielen Jahren wieder essen und lachen können und ihr Selbstwertgefühl steigern. Sie möchte auch aufhören, die alten, unansehnlichen und unbequemen herausnehmbaren Prothesen zu verwenden.

Der Patient zeigte Schwierigkeiten beim Kauen und Probleme mit dem Selbstwertgefühl. Sie wollte keine herausnehmbare Prothese mehr verwenden und hatte eine schwere Oberkieferatrophie.

Dieses Video zeigt die Protokolle für einen offenen (seitliches Fenster) Sinuslift mit Sofortimplantaten sowie Extraktionen und dehiszenz .

Die Patientin ist eine 65-jährige Frau, die wegen Implantaten zu uns kam. Wir haben uns für einen offenen Sinuslift über ein seitliches Fenster entschieden, das wir mit Bond Apatite füllen werden.

Medical Background: Breast cancer (30 months ago) Chemotherapy (with bisphosphonates) Radiation Dental Background: Severe pain and decay in tooth 18 (#8), which caused an infection of the Schneider’s membrane.  Because of the severe pain, we must intervene.

The first symptom was pain similar to pulpitis in teeth #41 (25), #42 (26) and #43 (27). After endodontic treatment, the X-rays and CBCT showed a focus of necrotizes with strongly sheading elements in the central area. We did a root resection with backfill of the root canal with MTA in teeth #42 (26) and #43 (27). The tumor was removed with peripheral bone curettage to about 1 millimeter deep. The biological structure of the tumor was similar to spongy bone, but little harder. The bone defect was filled with Bond Apatite® (2cc). The tumor was taken to histopathology. Diagnosis: Osteoid osteoma of the mandible

Periapikale Läsion und resorption werden um den Zahn Nr. 23 (Nr. 11) herum gezeigt. Der Zahn wurde einer wiederholten Wurzelkanalbehandlung durch einen Endodontologen und Antibiotikabehandlungen ohne Besserung unterzogen.

Dies ist ein Fall von Schaftschild für den rechten mittleren Schneidezahn. Die linken mittleren Schneidezähne wurden 8 Jahre zuvor mit vollständiger Extraktion eingesetzt. Man kann den Unterschied mit der knochen und gewebe zwischen den beiden feststellen.

The patient is a healthy, 50 year old male. They presented with a cyst and fistula on the mandible, 2nd left premolar. There was large bone loss which included most of the buccal plate. The patient complained of pain and swelling.

The patient is a 46 year old male, non-smoking and generally healthy. His main complaint was about the pain in two broken teeth, #14 (5), #15 (4). A fracture line below the alveolar bone edge made it impossible to reconstruct the crowns. Treatment planning includes the extraction of two teeth, socket grafting with Bone Apatite®. Two implants are placed 3 months after grafting.

Due to the lack of bony support in the lower jaw, and the mobility of the teeth, it was decided to extract all of the teeth and move to an implant supported bridge which provides posterior occlusal support with immediate loading. On the upper maxilla all remaining teeth are preserved except for tooth #27 (15), using zygomatic and pterygoid implants in order to achieve immediate loads in those areas as well.

nt ist eine 72-jährige Raucherin mit schlechter Hygiene. Der Behandlungsplan beinhaltet eine Totalprothese im Oberkiefer, sowie eine Totalprothese im Unterkiefer, die durch zwei Frontzahnimplantate stabilisiert wird. Während des Heilungsprozesses wird im Ober- und Unterkiefer eine provisorische Prothese eingesetzt.

zement wird verwendet, um eine große bukkale dehiszenz zu reparieren, und ein wundverband wird über die Nähte gelegt, um die Wunde zu schützen und den Heilungsprozess zu unterstützen.

The patient presented with two small cysts. Root resection was performed along with cyst enucleation . The defect was filled with Augma Bond Apatite. 2-year follow-up showed good remodeling of the bone and soft tissue healing.

In this video Bond Apatite is used to fill a defect in the area of the lower, right incisor with a missing buccal plate. Four months post-op an implant is placed in new bone.

In this video see the implant placement in the area of the maxillary incisors, and lateral augmentation using the tunneling technique.

Extraction of hopeless premolars #24 (12) & #25 (13). The treatment plan included extraction and socket grafting, and the placement of two implants during a second stage. A closed sinus lift was performed using Bond Apatite® with the distal implant placement.

A bridge in the lower left molars and premolars is replaced with 4 implants. During the uncovery Biphasic Calcium Sulfate is used to aid in soft tissue growth.

Extraction using a magnetic mallet to avoid the distal implant with flap elevation. Prep at the palatal socket relying on the interradicular bone. Augma Bond Apatite® was placed first and then the osteotomy was uncovered and then the implant is placed. After which the Augma Shield™ was placed with a quick adaptation. It was held in place with 5-0 sutures.

In diesem Fall gab es eine vertikale Fraktur und eine Fistel. Extraktion und Sofortimplantation mit 3D Bond.

Der Patient stellte sich mit einem gebrochenen linken oberen seitlichen Schneidezahn vor. Die Behandlung umfasst Extraktion, gewebe transplantat und Sofortimplantation.

Diagnose: Granulom und knochen im Septum und in der Gaumenwurzel.

Socket grafting of #48 (32) with Augma Bond Apatite® (x 3) following the root treatment of #47 (31) is realized.

Die Untersuchung zeigt einen schmalen Alveolarkamm, der den Implantationszement im zement nicht aufnehmen kann. Es wurde entschieden, zunächst eine zement durchzuführen und nach einigen Monaten der Einheilung mit dem Einsetzen der Implantate fortzufahren.

The patient is a healthy, 67 year old female who presented with a root fracture of tooth #13 (6). The patient complained of dissatisfaction with the color of the tooth, and the inability to chew due to pain and discomfort.

Patient is a 74 year old male, healthy non smoker. Tooth #26 (14) was under follow up after rehabilitation that took place more than 20 years ago, with another clinic. Recently the patient experienced pain and swelling, as well as discharge. Due to the infection and periapical lesions detected we decided to extract.

This video shows a full arch rehabilitation with bilateral open sinus lift.

This is a sinus lift with two windows due to a partial septum. Bond Apatite® was used in the sinus lift, and was placed directly into the chamber.

Der Patient stellte sich mit einem Mangel an Kauzähnen im 2. Quadranten, einem zerstörten Zahn Nr. 24 (12) mit einer apikalen Zyste und einem Mangel an Ästhetik beim Lächeln vor.

Root resection was performed on teeth #12 (7) and #22 (10). At this same time, cyst enucleation with histopathological examination confirmed radicular cysts. The bone defect was filled with Bond Apatite® (1 cc). More Bond Apatite® was used in #12 (7) and #22 (10).

In this case Bond Apatite is used for socket grafting after extraction, and lateral augmentation. The socket is covered with the Augma Shield to protect the material during the initial healing stage.

Discomfort and tooth mobility of the left upper lateral incisor. A fistula was detached buccally near the apex zone of the tooth. Radiographic imagery revealed a large radiolucency in connection with the tooth apex. The tooth was extracted and the lesion removed, followed by augmentation with Bond Apatite.

Der Patient ist ein 70-jähriger Mann mit einer Brücke von Nr. 45 (29) - Nr. 47 (31), die beweglich ist und Schmerzen verursacht.

A how-to video in which Dr. Amos Yahav shows the protocols for Socket Grafting with flap reflection, using bone cements and the Augma Shield™.

Dr. Amos Yahav shows the protocols for Socket Grafting with Bond Apatite® and the Augma Shield™

presented with diffuse palatal swelling and mild pain in the upper left first molar. The tooth was sectioned and removed without any palatal or buccal flap. Augma was placed with sutures and a collagen plug.

The first molar #30 (46) was extracted and augmentation was done with Augma Bond Apatite®. Re-entry for implant placement was 3 months post-op. Radiographic evaluation was done 3 and 6 months post-op. Follow up after 4 years of clinical function illustrates the stability of the bone level, and the process of bone remodeling and maturation.

Eine 43-jährige Frau kam 3 Tage nach dem traumatischen Verlust von Zahn Nr. 11 (8) zur Beratung. Die Patientin hat eine Vorgeschichte von Parodontitis und Zahnbeweglichkeit, und sie brachte ihren Zahn in der Hand mit. Die Patientin wollte nur ihren Zahn zurück haben. Der Patient ist Raucher. Zahn Nr. 13 (6) wurde aus demselben Grund bereits vor etwa 10 Jahren durch ein Implantat ersetzt.

Dr. Stéphane Berg discusses changing dogmas and the evolution of dentistry, first for himself and then for others. His way of confronting dogmas, through the dissonance between periodontology and implantology and later while adopting new bone grafting principles, allowed him to become an expert in his field.

Following the 2nd International Symposium, we had the greatest pleasure to host Dr. Jose Camelo Ferreira in The Bone Cement Podcast. Dr. Ferreira shares the mindset that led him to pursue his professional and personal path over alternative routes, and how he puts himself in a position to show colleagues how to work differently.

The patient is a 40 year old female who came to the clinic with crowns on teeth #21 (9) & #11 (8) that are failing and show signs of infection. CBCT shows missing buccal bone. The treatment plan included extraction and immediate implants with Bond Apatite® to fix the dehiscence.

The patient is a healthy 62-year-old woman. She attended the consultation with complaints of pain and edema in the right, posterior maxilla. The patient complained of pain while chewing, a lack of teeth in the 2nd quadrant and a lack of aesthetics with the old hybrid prosthesis. She also has the constant feeling of having a bad taste in her mouth.

The first surgery will be a full maxillary horizontal bone augmentation, double nasal sinus elevation and extraction of the 6 remaining teeth. The patient will use a fully fixed removable prosthesis supported only on the palate. 6 months later, a guided surgery will be planned and executed  with the placement of 6 implants with immediate load. After another 6 months, the definitive hybrid prosthesis will be made.

The patient is a 19 year old female, coming for implant treatment on #21 (9). Tooth #21 (9) is missing after a fall 10 years earlier. CBCT shows a very thin crest and a need for lateral augmentation. The challenge is to keep the papilla and the gingival contour (aesthetic zone) despite the surgery.

Removal of the old bridge over implants #45 (29)/#47 (31), flap opening, removal of granulation tissue, cleaning and disinfection of the implant surface. The extraction of #44 (28) with immediate implant and immediate load followed by the placement of the old bridge sterilized in the autoclave during the surgery time. 4 months post-op, a final crown will be made on the new implant #44 (28).

Der Patient ist ein 62-jähriger Mann mit fortgeschrittener Parodontitis, Mobilitätsgrad II, fehlenden Zähnen und beeinträchtigter Funktion und Ästhetik. Augmentation und zement von Kleeblattimplantaten.

Placement of the #12 (7) implant with immediate load 1.5 months post-op, placement of the #11 (8) implant with immediate load (to avoid losing the  papilla between the implants) 6 months later, placement of the finals crowns

The patient is a 50 year old male with periodontitis and mandibular teeth in poor condition. The patient has difficulty chewing and a poor aesthetic.

Dieses Video demonstriert die Notwendigkeit, verfügbaren knochen zu erhalten, wenn Zähne zur Vorbereitung auf Implantate extrahiert werden.

Bei der Extraktion des ersten Molaren wird eine fehlende Bukkalplatte beobachtet. Die Transplantation wird mit Bond Apatite abgeschlossen und das Implantat 4 Monate nach der Operation eingesetzt.

Der Patient zeigte Schwierigkeiten beim Kauen und eine schlechte Ästhetik. Sie hatten noch 6 Zähne im Unterkiefer und wollten einen festsitzenden Zahnersatz. Der Behandlungsplan umfasste mehrere Extraktionen und 4 Implantate mit Sofortbelastung und Kieferkammerhaltung.

Augmentation of the maxillary sinus when severe atrophy and/or pneumatization of the sinus has occurred results in minimal crestal height that will not allow simultaneous implant placement has been a clinical challenge. The lateral sinus augmentation approach has been traditionally utilized in these clinical situations, but there are known complications such as membrane tears and increased post-operative issues that follow use of this technique. This article aims to propose a new technique utilizing specific surgical instruments, making it possible to increase the height of the crestal bone under the maxillary sinus in cases of significant atrophy, without complications using a two-stage crestal approach with biphasic calcium sulphate as the graft material. The article will discuss the technique, present a case example and review 51 cases representing initially 1-3 mm sub sinus crestal bone heights that the technique was utilized with.

Extraction of the natural tooth may be a prelude to implant placement. This may be done using an immediate placement protocol or require a delayed approach depending on multiple factors that include residual infection related to the failed tooth being extracted, availability of bone to stabilize the implant at placement, or soft tissue issues. Socket preservation is recommended when the delayed approach is selected to create an osseous bed with adequate height and width that can accommodate the implant that is planned.

Periodontitis, Stage III, Grade C, with molar incisor pattern. They demonstrated bleeding, deep pockets and vertical bone resorption.

Der Patient stellte sich mit einer fehlgeschlagenen Brücke vor und hatte in der Vorgeschichte IV-Bisphosphonat und Extraktionen wurden ohne Lappen durchgeführt. Es wurden Alveolentransplantationen und Sofortimplantate eingesetzt, und die Alveolenöffnung wurde mit einem Kollagenschwamm bedeckt, um das gewebe transplantat zu schützen und das gewebe transplantat einer Freilegung von knochen zu minimieren.

Hier haben wir drei verschiedene Fälle der Extraktion von Weisheitszähnen (3. Molaren) unter Verwendung von Bond gewebe transplantat für die Alveolentransplantation und GBR.

The patient was referred by his treating dentist following repeat acute phases. The decision to extract is done with antibiotics and corticosteroid coverage. GBR will be performed during the surgical stage, with Augma Bond Apatite.

Eine große periapikale Läsion mit Beteiligung der Zähne Nr. 22 (10) und Nr. 23 (11). Zystenenukleation und Wurzelspitzenresektion wurden durchgeführt. Fotos nach zwei Jahren nach der Operation zeigen den gesamten Defekt, der mit echtem knochen gefüllt ist .

Der Patient kam mit einer Zyste im Oberkiefer rechts. Die Zyste wurde entfernt und eine Wurzelspitzenresektion durchgeführt. Der Defekt wurde mit Augma Bond Apatite gefüllt und ein wundverband angelegt, um die Nähte vor der Mundumgebung zu schützen.

Der Patient stellt sich mit einer Fistel am apikalen Teil von Zahn Nr. 22 (10) vor. Der Patient klagte über Schmerzen in der Umgebung. Die Röntgenuntersuchung zeigte eine apikale Läsion an der Spitze von Nr. 21 (9) und Nr. 22 (10).

Gesunder Mann, 47 Jahre alt. Die entzündlichen Veränderungen (radikuläre Zyste) sind 3 Monate nach erneuter endodontischer Behandlung mikroskopisch nicht mehr vorhanden. Er hat von Zeit zu Zeit Schmerzen und Beschwerden. Wir haben eine Wurzelresektion von Zahn Nr. 36 (19) mit Auffüllung des Wurzelkanals mit dem MTA, Zystenenukleation (bestätigt durch histopathologische Untersuchung) durchgeführt. Wir füllten den knochen mit Bond Apatite® (1/2 cc).

gesunder Patient. Er kam, um sich wegen Schmerzen auf #11 (8) zu konsultieren. Das Röntgenbild war nicht überzeugend, aber die klinische Untersuchung ließ uns an einen Wurzelbruch denken. Ich führte einen großen Lappen in voller Dicke durch und realisierte eine knochen mit zweiphasig Calciumsulfat (Augma Bond Apatit), in der Hoffnung, den Breitenverlust nach einer traumatischen Extraktion zu begrenzen. Ein Kollagenschwamm wurde verwendet, um das gewebe transplantat abzudecken.

In diesem Video wird ein geschlossener Sinuslift mit Sofortimplantat- zement mit Bond Apatite abgeschlossen.

rekonstruieren des Unterkiefers mit Sofortimplantaten.

Quad-Zygoma unter Verwendung des extramaxillären Zugangs in Verbindung mit Bond Apatite® , wodurch Traumata reduziert und Komplikationen bei klinischen Fällen des gesamten Bogens vermieden werden.

Wir führten eine endodontische Behandlung von Nr. 14 (5) und eine Operation durch. Die radikuläre Zyste wurde entfernt (mit Histopathologie), Wurzelresektion der Zähne #14 (5) und #15 (4) mit retrograder MTA-Füllung. Wir füllten den knochen mit Bond Apatite® (1 cc).