Bond Apatite is a new 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.
• Easy to prepare & Use! Delivered in a dual-chamber,prefilled syringe, containing the granulated powder and physiological saline.
• Self-setting cement, with an ability to attach to and set at the work site and to bond to granular bone substitutes, preventing them from moving.
• Membrane coverage is advisable but not essential
• Convenient to work with and shape – significantly reduces treatment time and makes the clinician’s work easier.
Bond Apatite® is a combination of biphasic calcium sulfate with a formula of hydroxyapatite granules. This is a cement-based osteoconductive composite, synthetic bone substitute that is used for bone reconstruction in a range of dental applications and is intended for filling, augmenting and reconstructing the wide diversity of defects in the maxillofacial bones.
Bond Apatite® is FDA cleared and CE approved. Bond Apatite® is delivered in a dual-chamber,prefilled syringe, containing the granulated powder and physiological saline. Mixing the powder component with the liquid in the driver results in a viscous composite that is suitable for injection into the graft site.
Compared to prior versions of the driver, in which additional accessories had to be used to inject the saline into the driver’s head, this new development of the Bond Apatite® driver ensures easy and more convenient handling by the clinician.
Bond Apatite Clinical Applications
• Sinus floor augmentation
• Periodontal bone defects
• Dehiscence; fenestrations
• Alveolar ridge augmentation
• Horizontal defect (and crest widening)
• Filling bony defects pre implant placement
• Filling of cyst cavities
Bond Apatite: Indication Tips
In cases of four bony walls socket grafting, eject the material into the socket, and press frmly with dry guaze above the material; however, do not use any tool to push the material toward the apex as you are used to when working with granules (doing so will exert pain to the patient).
In case of socket grafting, if you choose not to refect the fap, do not leave the material exposed to the oral cavity. The material should be protected with a collagen sponge or a membrane which must be stitched together with the surrounding tissue (lack of physical graft protection will cause material and volume loss).
In cases of periodontal defects, prior to graft placement, thorough debridement by scaling and root planning should be done. In cases of tooth mobility, the teeth must also be stabilized before graft placement.
Dehiscence and Fenestrations
The cement should be placed above the bone and the exposed threads of the new placed implant or above the exposed root after scaling and root planning. Remember to slightly overfill in order to compensate for graft shrinkage during the healing process. The cement is not indicated in cases when there are implant threads exposure of a previously (old) placed implant. In such cases, the outcome might be compromised as with any other grafts.
Lateral Augmentations & Crest Widening
Hard tissue preparation and soft tissue release should be done before activation of the cement (Decortication is optional). Place the cement into the augmented area and slightly overfll. Then press above frmly with dry gauze for 3 seconds to stabilize the material. You might shape, if required, and press again for 3 seconds. At this point, close the fap. (In large lateral augmentation cases we recommend to use additional horizontal mattress sutures for better soft tissue stabilization above the graft). Membrane coverage is not essential as long as your soft tissue is well stabilized, completely closed, and well sutured.
In your frst few cases, we defnitely do not recommend to use the material for vertical augmentations. After gaining experience with the cement, vertical augmentation can be done only if you are familiar with vertical augmentation techniques. As well, you must remember it is obligatory to use a rigid graft stabilization techniques (such as rigid bariers) to protect the cement from lateral movments during the healing phase. If you place the graft without rigid stabilization, your outcome will be completely compromised.
Open sinus lift
In a small to medium sized sinus cavity, you can use Bond Apatite® for fling the sinus cavity and window closure as well (no need for membrane). In larger sinus cavities, it is less comfortable since you will need to place the material by incremental steps. In such cases, we recommend you to use your prefereable granules to fill 2/3 of the sinus, and the last 1/3 fll with Bond Apatite® cement as a graft enhancer and for window closure. This will save you time, save membrane cost and will enrich the sinus with ions of calcium.
Close sinus lift
Due to the large size of the syringe opening, it is not recommended to eject directly the material from the syringe into the drilled cavity. The graft can be ejected into a dish and should be left for 3 minuets to set, and then can be crushed into small fragments that will be used in such case.
This package includes (1) 1cc Syringe
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