Granules have surface texture that significantly increases the surface area for osteoblast attachment!
Granules can be visualized on the radiograph as having a denser appearance than the adjacent bone.
Granules exhibit enhanced bone regeneration rates due to osteostimulation phenomenon.
Granules do not require special storage conditions.
Granules are available in vials and are perfect for use with hand instruments and for mixing with blood or PRF. Use of Biomodiers like PRF is suggested when using granules to facilitate faster bone integration into the matrix. Please contact your local distributor for sizes and availability in your region.
XX0805 0.25g (0.5cc) Vial
XX0810 0.5g (1.0cc) Vial
XX0811 1.0g (2.0cc) Vial
XX0822 2 x 1.5g (3.0cc) Vials
Dental Granules give better structural support to the defect than putty devices and hence form a good choice for reconstructive surgeries in esthetic areas.
Guided Bone Regeneration
Lateral Window Sinus Elevations
Osteostimulative calcium phosphosilicate biomaterials partially restore the cytocompatibility of decontaminated titanium surfaces in a peri-implantitis model. Karoussis IK, Kyriakidou K, Papaparaskevas. J, Vrotsos IA1, Simopoulou M, Kotsakis GA. J Biomed Mater Res B Appl Biomater. 2018 Oct;106(7):2645-2652. doi: 10.1002/jbm.b.34081. Epub 2018 Feb 5.
Clinical and Radiographic Evaluation and Comparison of Bioactive Bone Alloplast Morsels When Used Alone and in Combination With Platelet-Rich Fibrin in the Treatment of Periodontal Intrabony Defects – Human Randomized Controlled Trial. Girish H. Bodhare Abhay P. Kolte Rajashri A. Kolte Prerna Y. Shirke. 10.1002/JPER.18-0416. July 2018
Guided Bone Regeneration Using Titanium Mesh with CPS Alloplast in the Esthetic Zone - A Case Report. Lanka Mahesh1, Manesh Lahori2, Rahul Nagrath2, Dipto2. 2014 June; Vol. 3, No. 1: 1-6
Sinus Augmentation Utilizing Calcium Phosphosilicate Biomaterial Followed by Delayed Implant Rehabilitation. Rayapayi D. Kumar, Honey Verna, NT Prashanth, ES Shobha. September-December 2013, 4(3): 102-107
Evaluation of Calcium Phosphosilicate (CPS) Based Graft Substitutes for Guided Bone Regeneration (GBR) Around Dental Implants: A Case Series. Sudhindra Kulkarni+ Srinath Thakur++ Srinivas Katta*. May 2013
Clinical Case #1: Fenestration*
A 58 years old patient presented with a failed endodontic treatment that necessitated extraction of the involved tooth. A fenestration defect in the apical 1/3 was discovered during the sounding of the socket. An implant was placed and a conservative buccal flap was raised to visualize the fenestration (1). Granules were mixed with blood prior to placement at the site (2,3). A PRF membrane was placed over the graft prior to suturing (4). Four month follow-up image (5) shows tissue levels and contours were well maintained. A ten month follow up radiograph (6) demonstrates regenerated area with normal trabecular pattern.
*Case Courtesy of Dr. Narayan TV
Clinical Case #2: Sinus Augmentation*
A 42 years old patient presented with about 3-4 mm residual bone height (1) in the right maxillary posterior region. Sinus was accessed through a lateral window using piezo surgical system (2). The window was carefully removed (2) and the membrane was elevated (3). NovaBone granules mixed with blood was placed in the sinus using a bone carrier (4,5). 8-month postop radiograph revealed about 14mm bone height in the region and the trabecular pattern suggestive of natural bone (6).
*Case Courtesy of Dr. Narayan TV
Clinical Case #3: Ridge Split & GBR*
A 25 years old patient presented with a history of traumatic tooth Avulsion. Visual inspection revealed a narrow ridge (approx. 2mm) in the region (1,2). Ridge Split (3) was performed using Piezo Surgical Tips and an implant was placed (4). Guided bone regeneration with Titanium Mesh and NovaBone (5) was chosen as the best possible option for building buccal bone. A 7-month re-entry to surgery to remove Ti-mesh showed excellent bone regeneration with healthy bleeding bone in the grafted area (6).
*Case Courtesy of Dr. Tarun Kumar
Clinical Case #4: GBR With Collagen*
A 32 years old male patient presented with a sports injury resulting in a fracture of the maxillary right central incisor. The affected tooth was extracted, and the area was allowed to heal for 3 months. A buccal defect was noticed during osteotomy and a flap was reflected for better visualization (1). The implant was placed (2) and huge buccal dehiscence was noticed (3). GBR with NovaBone Granules mixed with blood and a slow resorbing collagen membrane was performed and sutured (4,5). During the second stage (4 months after implant placement), clinical picture (6) demonstrates excellent bone volume and contour.
*Case Courtesy: Dr. Tarun Kumar
Clinical Case #5: Ridge Split + GBR*
A 65 years old patient presented with a history of traumatic tooth extraction and history of endodontic treated lower-left pre-molars. Visual inspection revealed a 3mm narrow ridge (1) in the region. Ridge Split surgery was performed with Piezo Surgical Drills (2) Implants were placed (3), Granules mixed with Blood was used to augment the bone (4) and covered with a Ti-mesh. Re-entry was performed at 8 months to remove the mesh and healthy regenerated bone was noticed in the region of the grafted area.
*Case Courtesy of Dr. Tarun Kumar
Clinical Case #6: Periimplantits
Peri-implantitis on the anterior implant, peri-implant health on the posterio
Lack of KT on that implant as a risk factor
Hockey stick incision to avoid severing the hemidesmosomal-epithelial attachment to the healthy implant
Release of the lingual flap with stripping of the mylohyoid fibers for passing advancement
Note how the lingual flap is coronal to the abutment
Implant surface decontamination.
The most critical part of the entire procedure.
Implant specific cleaning approach
Membrane tacked into place for stability and then packed with 0.5cc Perio Glas morsels
Coronal flap advancement with periosteal release
Primary passive closure
Follow up of the case a couple of months later / Temporary Restoration
Restoration placed. Note how it was recountourned, now we can observe a healthy periodontal tissue around the implant and the restoration.
*Case Courtesy: George Kotsakis, Associate Professor (Perio), UTHSCSA, San Antonio, Texas
Clinical Case #7: Post Implant Extraction Bone Graft
A 46 years old female with non medical pre-existing condition was referred for implant management in tooth 11 due to a non-restorable root fracture. A immediate implant was placed in palatal position.
1. The gap between bucal plate and the implant surface filled with novabone Morsels to preserve the dimensions of the ridge and the profile of the soft tissue.
2. A 3 mm healing cap was used to sal the socket
3. Vestibular view
4. The soft tissue profile was managemed using a temporary crown
5. Vestibular view
6. The case for final restoration three years after the implant was placed
*Case Courtesy: Oscar Ramón. Columbia
Dental Degree - National University of Colombia.
Specialist in Audiovisual Pedagogy - El Bosque University.
Master in Comprehensive Adult Dentistry (Prosthodontics-Periodontics) - University of Antioquia.
Associate Professor Faculty of Dentistry - University of Antioquia.
Active Member Colombian Association of Periodontal and Osseointegration.
Author of scientific articles in Prosthodontics, Periodontics and Dental Implants
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