Este caso destaca a remoção de três grandes quistos, com apicoectomia e preenchimento do defeito.

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.

Periodontite mandibular tratada mas com elevada exposição radicular e mobilidade dentária acentuada. A paciente tem vergonha de sorrir.

Uma grande lesão periapical envolvendo os dentes #22 (10) e #23 (11). Foram realizadas enucleações e apicoectomia de quistos. Fotos pós-operatórias de dois anos mostram todo o defeito cheio de osso verdadeiro.

Homem saudável, 47 anos. As alterações inflamatórias (quisto radicular) não são envolvidas após 3 meses após o tratamento re-endodôntico usando microscopia. Tem dor e desconforto de vez em quando. Fizemos uma ressecção de raiz do dente #36 (19) com enchimento do canal radicular com o MTA, enucleação cisto (confirmada com exame de histopatologia). Preenchemos o defeito osso com Bond Apatite® (1/2 cc).

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.

he patient came with a cyst in the upper, right maxilla. The cyst was removed and apicoectomy performed. The defect was filled using Augma Bond Apatite and a wound dressing was placed to help protect the sutures from the oral environment.

(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.

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.

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

O paciente veio para implantes nos incisivos centrais direito e esquerdo. Ao abrir um defeito foi descoberto. Os implantes foram colocados e o aumento foi feito com Bond Apatite®

O tratamento será feito por etapas. Primeiro, os incisivos centrais falhados serão extraídos. O estreito cume na área do aumento lateral será preparado com decoração e aumento feito usando Bond Apatite.

O molar é extraído e o enxerto de tomada e o aumento da crista lateral são completados com Bond Apatite. Os implantes são colocados 5 meses após a sessão.

O exame revela uma crista alveolar estreita que não acomoda cimento implante na área molar. Foi decidido realizar um aumento de crista inicialmente, e após alguns meses de cura para prosseguir com a cimento implantes.

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.

After clinical and radiographic assessment, it was decided to perform extraction of teeth #22 (10) and #24 (12). This included immediate implant placement and socket preservation with Augma bone cement, and immediate provisional crown loading. Tooth #24 (12) presented an extra challenge with a huge loss of  buccal keratinized tissue. This determined an extra layer of Bond Apatite® and Augma Shield™  to recover the lost keratinized tissue. Four months later, rehabilitation was done on both implants with Zirconia ceramic crowns.

Este vídeo mostra extrações, cimento imediato e aumento com cimento osso .

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.

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).

reconstruir de cume da mandíbula com implantes imediatos.

Extrações e reconstruir do cume da maxila com cimento implante imediato.

paciente saudável. Veio consultar para a dor no nº 11 (8). O raio-X não foi convincente, mas o exame clínico fez-nos pensar numa fratura na raiz. Realizei um retalho de grande espessura total e apercebi-me de um enchimento osso com sulfato de cálcio bifásico (Augma Bond Apatite), na esperança de limitar a perda de largura após uma extração traumática. Uma esponja de colagénio foi usada para cobrir o enxerto .

Neste vídeo, um elevador sinusco fechado é concluído com cimento de implante imediato utilizando Bond Apatite.

Neste vídeo, um elevador sinusco fechado é concluído com cimento de implante imediato utilizando Bond Apatite.

A coroa em #46 (#30) tinha 6 meses de idade, e ainda era dolorosa apesar de semanas de antibióticos. A nossa decisão foi extrair o dente e enxerto sulfato de cálcio bifásico (Augma Bond Apatite®) para recuperar o máximo de volume osso possível. Após 6 meses, e uma restituição completa do volume osso , um implante (Surcam, tipo S, 5x 13) foi colocado num osso verdadeiro.

A raiz de #35 (20) foi ressecada, com um enchimento do canal radicular com MTA. A enucleação do quisto foi confirmada com exame de histopatologia. O defeito osso foi preenchido com Bond Apatite® (0,5 cc).

O paciente é um homem de 62 anos com doença periodontal avançada, grau de mobilidade II, dentes em falta e função comprometida e estética. Aumento e cimento de implantes de trefoil.

Fizemos um tratamento endodôntico de número 14 (5) e uma cirurgia. O quisto radicular foi removido (com histopatologia), ressecção de raiz dos dentes #14 (5) e #15 (4) com enchimento retrógrado de MTA. Preenchemos o defeito osso com Bond Apatite® (1 cc).

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 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.

The patient is a healthy, 46-year-old female. In the area of tooth #15 (4) there was an inflammatory lesion that presented with pain and another clinical symptoms. The tooth had a prosthetic restoration with a crown and was blocked with another crown on tooth #14 (5). CBCT after 4 years confirmed good healing of the bone and stability of regenerated cortical both laminas.

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).

33-year-old male, otherwise healthy, heavy smoker. He was referred due to multiple cysts in the maxilla and mandible. Under general anesthesia: the patient underwent multiple extractions, cyst enucleations and bone augmentation utilizing Augma Bond Apatite®.

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™

Um caso a longo prazo, cinco anos depois de ter aumentado com Bond Apatite. O procedimento de enxerto foi realizado na zona estética, onde faltava uma placa bucal. O paciente tinha mau estado periodontal, e veio para uma consulta. Queixaram-se de uma mobilidade significativa do dente #21 (9), com inflamação.

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.

O paciente apresentou uma ponte falhada, e tem um histórico de bisfosfonato IV e extrações foram concluídas sem retalhos. Foram colocados enxerto e implantes imediatos, e a abertura da tomada foi coberta com uma esponja de colagénio para proteger o material do enxerto e minimizar a probabilidade de exposição osso .

Vídeo do Dr. Baranes a realizar um elevador sinusal intra-crista (fechado) com cimento de implante imediato.

Este caso mostra-nos a evolução do pavimento do seio , um ano depois de um elevador intra-crista do seio através da direção crista. A paciente é uma mulher diabética na casa dos 60 anos, que veio para um tratamento de implante na mandíbula superior e direita. Teve vários anos com um espaço edentulous entre #14 (5) - #16 (3).

A paciente é uma mulher de 65 anos, que veio para os implantes. Decidimos fazer um elevador sinusal aberto usando uma janela lateral, que encheremos com Bond Apatite.

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.

O paciente é um homem de 70 anos com uma ponte de #45 (29) - #47 (31) que é móvel e causa dor.

The patient presented with fractured implants. Explanted and GBR with Augma. Four months later implants are placed with autogenous bone regenerated by Augma was harvested during osteotomy and used as a graft. 3D Bond™ was used to help regrow keratinized gingiva around implant abutments.

Extração e Regeneração óssea com Sulfato de Cálcio Bifásico. 5 meses após a sessão pós-operatória com cimento implante com aumento do elevador sinusco.

Segundo pré-molar inferior direito com processo apical e fistula vestibular; Perda óssea acentuada com perda da tábua externa; O paciente queixa-se de dores e edema.

Uma fêmea saudável de 44 anos apresenta-se com dor constante e moderada no dente tratado endodonticamente #30 (46). Três meses após o re-tratamento de canais MB e ML, a dor persistiu.

O dente não partido nº 13 (6) foi preservado e o caduco #53 (C) foi extraído. GBR com Bond Apatite® foi feito. Um implante foi colocado 4 meses após a operação, período durante o qual um dente temporário foi ligado com aparelho.

O paciente apresentou uma grande área de inflamação em torno do dente #12 (7) com uma lesão completa da lamina cortical externa. Extraímos o dente e removemos a inflamação (com exame de histopatologia). Preenchemos o defeito osso com Bond Apatite® (1 cc). Após 4 meses temos um novo osso jovem na posição de #12 (7), pelo que o implante foi colocado com boa estabilidade primária do implante.

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.

The patient is a 35-year-old male. Tooth #21 (9)  is impacted in a reverse position with a large periapical lesion. The treatment plan included extraction, augmentation of the defect, and implant placement 4 months post-op.

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.

The patient presented with an infected and fractured molar with compromised buccal plate. The extraction was done in segments. Osteotomy prep grafted with Bond Apatite®, uncover osteotomy, immediate implant placement.  Note the keratinized gingiva around the healed implant. The key here was no flap at the time of the extraction.

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.

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

The treatment happened in several stages. The first stage was extraction and socket grafting. Four months later implants were placed and ridge grafting was performed. Preparation of osteotomies with Versah helped to minimize bleeding as well. Restorative four months after implants placement.

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).

Uma mulher de 82 anos apresentava inchaço e dor no lado esquerdo da bochecha e do lábio, e sintoma de Vincent. O quisto foi removido, e o defeito preenchido com Bond Apatite. O seguimento mostrou uma remodelação osso muito boa, e não foram observados sintomas inflamatórios.

The patient is a healthy, 48-year-old female who presented with the absence of tooth #46 (30). Due to the lack of width and keratinized tissue, the treatment plan is divided into stages. The first stage involves horizontal augmentation with Augma Bond Apatite®.  This will help gain keratinized tissue and allow for placement of an immediate implant. In the second stage, rehabilitation is done with a screw retained crown.

e patient was an 18 year old presenting with congenital malformation of #12 (7) & #22 (10). The patient came after opening spaces with orthodontic treatment.

The patient is healthy 60 year-old female. The treatment includes GBR on the area of tooth #33 (22) with implant placement 5 months after augmentation.

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 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 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).

The patient is a 48 years old female, non-smoker, with good general health. She came to the clinic for treatment on the left upper jaw, complaining of discomfort while chewing. Upon clinical examination severe mobility of the dental bridge in the area of #25 (13) - #27 (15) was discovered. There was no bleeding and no pus discharge. CBCT of the site revealed chronic sinusitis and resorption of alveolar bone on both the buccal and palatal cortex, with loss of the left sinus floor.

Os cimento ósseos são usados para reparar uma grande deiscência buccal, e um penso de feridas é colocado sobre as suturas para ajudar a proteger a ferida e ajudar no processo de cura.

Neste vídeo é colocado um implante na área do premolar inferior direito. O aumento lateral com cimento osso ocorre simultaneamente.

O paciente apresentou um incisivo lateral maxilar esquerdo rachado. O tratamento inclui extração, enxerto e implante imediato.

 - Paciente feminina, 44 anos, saudável, comparece na consulta por falta do dente 14. A paciente queria voltar a ter o dente para repor a estética do seu sorriso. Na inspeção intra-oral observou-se um afundamento acentuado da zona vestibular em relação ao volume ósseo dos dentes adjacentes. Depois dos exames complementares, identificamos que a zona óssea da zona era bastante fina e tinha perdido grande parte do seu volume horizontal, não havendo espessura para a colocação de um implante.

Este é um caso de escudo de tomada para o incisivo central direito. Os incisivos centrais esquerdos foram colocados 8 anos antes com a extração completa. Nota-se a diferença com a arquitetura osso e tecido moles entre os dois.

Colocação do implante #12 com carga imediata 1,5 meses depois, colocação imediata do implante #11 com carga imediata (o atraso de 1,5 meses entre implantes é para tentar não perder a papila entre eles) Colocação das coroas finais 6 meses depois

Quad -Zygoma usando Abordagem Maxillary Extra em conjunto com Bond Apatite®, reduzindo o trauma e evitando complicações em casos clínicos de Full Arch.

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).

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 patient is a female, 60 year old, non-smoker. She presented with loss of the lateral plate following an infection on root fracture #25 (13). Implant placement occurs 5 months after bone preservation with Augma Bond Apatite®.

Root resection was performed on both roots of tooth #36 (19), with cyst enucleation (including a histopathology examination) and back fill of all the root canals with MTA. The bone defect was filled with Bond Apatite® (1 cc).

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

No osso de má qualidade, o aumento do diâmetro do implante pode ser a única forma de aumentar a tolerância às forças oclusais, melhorar a estabilidade inicial e proporcionar uma distribuição de stress favorável ao osso circundante. Os implantes mais curtos, aqueles com tapeçaeiros e formas de raiz do planalto, tendem a ter tempos de sobrevivência mais longos usando o sulfato de cálcio bifásico.

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

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.

Após a extração do primeiro molar é observada uma placa bucal em falta. O enxerto é completado com Bond Apatite e o implante é colocado 4 meses após a sessão.

Este vídeo mostra os protocolos para um Elevador Sinuscular Aberto (janela lateral) com implantes imediatos, bem como extrações e deiscência .

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 tumor was removed with peripheral bone curettage to about 1 millimeter deep. The biological structure of the tumor was similar to spongy bone but a little harder. The bone defect was filled with Bond Apatite® (2cc).

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

The tumor was removed. The structure was similar to spongy bone but much softer, with mechanical peripheral bone curettage around the defect up to 1mm. The root of #44 (28) was resected 3mm, with backfill of the canal with MTA. The bone defect was filled with Bond Apatite® (1cc).

nt é uma mulher fumadora de 72 anos com má higiene,. O plano de tratamento inclui uma dentadura completa na mandíbula superior, bem como uma dentadura completa na mandíbula inferior estabilizada por dois implantes anteriores. Uma dentadura provisória será colocada na mandíbula superior e inferior durante o processo de cicatrização.

Diagnóstico: Granuloma e re absorção osso no septuato e raiz palatal.

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.

Este vídeo demonstra a necessidade de preservar o osso disponível ao extrair os dentes na preparação para os implantes.

Neste caso, houve uma fratura vertical e uma fístula. Extração e implante imediato com ligação 3D.

Paciente masculino, 48 anos, saudável, comparece na clínica com queixas de dor na zona posterior do 3 quadrante. Depois da avaliação clinica observamos supuração abundante e inflamação na zona de duas coroas sobre implante (dentes 36 e 37). Os exames complementares mostraram uma situação bizarra, de total perda óssea em redor de 2 implantes (um deles submerso) e perda de 1/3 do osso mesial do 3º implante.

Paciente masculino, saudável, comparece na consulta com ausência dos dente anteriores superiores. O paciente tinha uma ponte antiga de 5 dentes cimentada nos dentes 12,21 e 23 que caiu uns dias antes. O paciente não trazia consigo a ponte antiga. Depois de realizada a avaliação intra-oral/exames complementares entendeu-se que os dentes e raiz remanescentes não tinham resistencia para uma nova ponte sendo que a raiz do dente 21 estava já bastante frágil e destruída. Verificou-se também que a zona óssea dos dentes 11 e 22 tinha grande perda óssea horizontal e a falta de existência de tecido mole queratinizado. Foi decidido fazer o tratamento em várias cirurgias:

Mulher de 60 anos, saudável, comparece na consulta com queixas de dor no 5º sextante. Depois da avaliação intra-oral e dos exames complementares identificamos uma cárie avançada com grande destruição do dente  43 e mobilidade em todo o sector. A paciente também tinha queixas estéticas e queria uma solução fixa. Plano de tratamento:    Extração do 5º sextante, colocação imediata de 2 implantes sem abertura de retalho, enxerto ósseo em todos os alvéolos dentários e carga imediata com uma ponte provisória adaptada em boca. 4 meses depois procede-se à colocação da ponte final zircónia-ceramic

Paciente feminina, 76 anos, comparece na consulta com queixas de falta de dentes mandibulares, dificuldades na mastigação, falta de estética e desconforto. Depois do exame intra-oral e da realização dos exames complementares, verificamos a existência de 4 dentes remanescentes em mau estado, uma raiz com quisto e 2 implantes antigos com um posicionamento pouco indicado para serem usados numa reabilitação total.  Planeamento All-on-4: Extração dos dentes e raiz remanescentes, extração dos dois implantes antigos, nivelamento da plataforma óssea e colocação de 4 implantes com carga imediata.

Mulher de 55 anos, saudável, comparece na consulta com ausência quase total dos dentes maxilares. depois da avaliação dos exames complementares, confirmou-se que havia uma grande perda horizontal de osso, assim como a pneumatização bilateral dos seios maxilares. A paciente utilizava um prótese superior removível e queria passar a usar uma reabilitação fixa.

Extração total de dentes superiores e inferiores; Colocação de 5 implantes inferiores; Carga imediata inferior; Correcção dos defeitos ósseos no maxilar e mandibular; Elevação de seio bilateral superior; All-on-6 superior com carga imediata 6 meses depois das reconstrução óssea.

Extração e enucleação de quisto nos incisivos superiores. A conservação da tomada e o preenchimento do defeito são completados com a Apatite Bond.

The patient presented with a failing restoration of the upper jaw. This included failing root canals, failing crown and bridge and most importantly, failing blade implants. Restoring a case like this, all in one shot with extraction of teeth, removal of blade implants, placing of new implants and immediate loading requires innovative tools and innovative grafting. In this case we used Augma to augment the tissue and to protect and augment the buccal plate. Immediate load was performed. The patient has been functioning for over three years.

The patient is a healthy, 60 year old male. He presented completely asymptomatic, 25 years after apicoectomy on both #25 (13) and #26 (14). There was missing buccal plate in both areas. After aggressive curettage, the defect was filled with 3cc Bond Apatite®. The graft was covered with Augma Shield™.

um caso de perda osso grave em torno de implantes falhados, que serviu durante cerca de 15 anos e foram recentemente agrupados juntamente com uma barra de metal para suportar uma dentadura superior. Toda a moldura foi mantida pelo implante nº 16 (3), os outros implantes estavam apenas em tecido mole, o osso restante foi severamente atrofiado.

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.

Paciente com prótese híbrida maxilar suportada por um sistema All-on-4  Queixas de dor e inchaço no 1º quadrante; Existência de supuração abundante na zona do implante posterior direito  Remoção do implante infectado e antibioterapia; 1,5 meses depois, abertura de retalho, limpeza da loca e reconstrução óssea com Augma Bond Apatite  ;  5 meses depois, colocação de novo implante no local enxertado; 6 meses mais tarde, carga no implante utilizando a prótese antiga Durante todo o tratamento, o paciente usará a sua prótese apenas fixada em 3 implantes.

Intra oral images showing failed bridge in an otherwise healthy 60 year old male. Referred to the surgeon due to recurrent inflammation and discomfort in the upper right maxilla. Periimplantitis signs are evident.

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.

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

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.

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.

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.

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 presented with poorly positioned implants in the area of teeth #13 (6), #12 (7), #22 (10) and #23 (11). He had minimal to no tissue around the implants. The poorly placed implants and surrounding teeth were extracted, and new implants were placed in the available bone with proper spacing.

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.

cimento no maxilar. Os dentes restantes da mandíbula são extraídos, seguidos da preservação da crista e cimento implante imediato.

A lesão periapical e reabsorção da raiz são demonstradas em torno do dente #23 (#11). O dente foi submetido a um tratamento repetido do canal radicular por endodontista e cursos de antibióticos sem melhorias.

A significant percentage of lesions of endodontic origin require surgical management due to the possible diagnosis of odontogenic cysts and tumors in the maxilla and mandible. Ossifying fibroma is a benign fibro-osseous lesion that typically presents as a painless, slow-growing, and expansile lesion that appears as a well-demarcated lesion with a variable degree of internal calcification on radiography. Treatment results in a large osseous defect, utilization of a graft to fill the void accelerates healing and prevents complications that may result from failure to fill by the host response.

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.

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.

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.

Here we have three different cases of the extraction of wisdom teeth (3rd Molars) using Bond Apatite for socket grafting and GBR.