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BIORESORB® Macro Pore Augmentation material - Optident

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BIORESORB ® <strong>Macro</strong> <strong>Pore</strong><br />

<strong>Augmentation</strong> <strong>material</strong>


BIORESORB ® <strong>Macro</strong> <strong>Pore</strong><br />

<strong>Augmentation</strong> <strong>material</strong><br />

BIORESORB ® <strong>Macro</strong> <strong>Pore</strong><br />

Helps<br />

create bone<br />

New micro and macro porous 99% ß-Tricalcium phosphate<br />

ceramics as bone regeneration <strong>material</strong><br />

Non-autogenous bone<br />

replacement <strong>material</strong>s for<br />

guided bone regeneration<br />

find increasing acceptance.<br />

The development of these<br />

<strong>material</strong>s have been constantly<br />

adapted to the latest<br />

scientific knowledge, as they<br />

show clear advantages as<br />

compared to other <strong>material</strong>s.<br />

In the meantime, advancements<br />

have progressed<br />

to create a new patented<br />

process for the manufacture<br />

of porous <strong>material</strong>s which are<br />

very similar to bone.


<strong>Augmentation</strong> <strong>material</strong><br />

BIORESORB ® <strong>Macro</strong> <strong>Pore</strong><br />

<strong>Macro</strong> and micro pores<br />

Why Bioresorb<br />

<strong>Macro</strong> <strong>Pore</strong>?<br />

With Bioresorb <strong>Macro</strong> <strong>Pore</strong><br />

you are applying a <strong>material</strong><br />

which derives from pure<br />

synthetic chemicals. This<br />

pure-phase ß-Tricalcium<br />

phosphate (99%) shows a<br />

crystalline structure which<br />

has optimal biological<br />

properties and is 100%<br />

resorbable. The <strong>material</strong><br />

can be easily applied by<br />

any dentist in all indication<br />

situations.<br />

• Synthetic <strong>material</strong>s have<br />

absolutely no remaining<br />

risk of transfer of possible<br />

bacteria or of foreign body<br />

rejection.<br />

• Important: There is no<br />

requirement for patient<br />

information. This saves a<br />

considerable amount of<br />

your time.<br />

• Record result: The macroporous<br />

<strong>material</strong> can be<br />

easily applied similar to<br />

autogenous bone<br />

• The structure of Bioresorb<br />

<strong>Macro</strong> <strong>Pore</strong> is similar to<br />

natural bone. Complete<br />

vascularization is<br />

guaranteed by the optimal<br />

interconnecting porosity<br />

• An extremely high<br />

immediate stability of the<br />

granules in the defect is<br />

secured<br />

Interconnecting porosity<br />

The open and interconnecting<br />

porosity of the granules<br />

enable bone growth over the<br />

complete osteon structures. In<br />

addition, the <strong>material</strong> shows<br />

an exceptional capillary<br />

suction property.<br />

Osteoconductive<br />

Bioresorb <strong>Macro</strong> <strong>Pore</strong> allows<br />

bone to directly grow into the<br />

interconnecting pores prior<br />

to the resorption process.<br />

Bioresorb <strong>Macro</strong> <strong>Pore</strong><br />

functions as guidance for new<br />

bone formation.<br />

Biocompatible<br />

The high biocompatibility<br />

of ß-Tricalcium phosphate<br />

(ß-TCP) was documented<br />

in numerous studies. There<br />

were no unfavorable tissue<br />

reactions nor immunologic<br />

reactive rejections. Bioresorb<br />

<strong>Macro</strong> <strong>Pore</strong> displays a very<br />

high integration within the<br />

natural bone without any<br />

soft tissue encapsulation or<br />

pathological reactions. There<br />

was no evidence of osteoclast<br />

activity.<br />

Complete resorption<br />

The resorption rate of<br />

Bioresorb <strong>Macro</strong> <strong>Pore</strong> is<br />

similar to the rate of new bone<br />

growth. The resorption of the<br />

ß-TCP occurs simultaneously<br />

with the formation of new<br />

natural bone within the<br />

augmentation site, depending<br />

upon the regeneration<br />

dynamics.<br />

Insertion of implants<br />

immediately post-extraction<br />

The prospective success<br />

of the therapy is increased<br />

considerably by the application<br />

of Bioresorb <strong>Macro</strong><br />

<strong>Pore</strong> after immediate implant<br />

insertion or if applied in an<br />

alveolar defect.


BIORESORB ® <strong>Macro</strong> <strong>Pore</strong><br />

<strong>Augmentation</strong> <strong>material</strong><br />

Traces<br />

of the<br />

truth<br />

The percentage of micropores<br />

of an average size of 5 µm and<br />

the percentage of macropores<br />

with an average size of 500 µm<br />

is 30 volume percent each.<br />

The size interval of the micropores<br />

is 0.5 – 10 µm, and that<br />

of the macropores is 50 – 700<br />

µm. The high porosity enhances<br />

an improved dynamic<br />

regeneration as compared<br />

to other bone augmentation<br />

<strong>material</strong>s. The homogenous<br />

structure of macro and micropores<br />

offers a high capillary<br />

function, and the considerably<br />

larger surface can be soaked<br />

with more blood particles and<br />

cells of osteogenous potential.<br />

The pore structure allows<br />

more room for vascularization<br />

than other augmentation<br />

<strong>material</strong>s and provides an<br />

improved nutrition of the<br />

regenerative <strong>material</strong>. The<br />

considerably larger surface<br />

offers more contact for<br />

cellular resorption, resulting<br />

in a shorter resorption time.<br />

The interconnecting micropore<br />

system of the granules<br />

and especially the macropores<br />

are connected by a<br />

collagenous fiber network,<br />

along with sufficient blood<br />

vessels. The collagenous<br />

fibers function as guidance<br />

for the vessels as well as<br />

the newly formed bone, this<br />

stimulating the direct apposition<br />

of bone on the surfaces


<strong>Augmentation</strong> <strong>material</strong><br />

BIORESORB ® <strong>Macro</strong> <strong>Pore</strong><br />

99% phase-free ß-Tricalcium phosphate ceramics<br />

A new generation of pure-phase bioresorbable ß-Tricalcium<br />

phosphate ceramics was created by an innovative manufacturing<br />

process. The <strong>material</strong> consists of an interconnecting<br />

porosity system with macro and micro pores.<br />

SEM magnification x 100 of Bioresorb <strong>Macro</strong> <strong>Pore</strong><br />

SEM magnification x 10,000 of Bioresorb <strong>Macro</strong> <strong>Pore</strong><br />

of the granules prior to the<br />

start of resorption. The macropores<br />

facilitate the ingrowth<br />

of bone into the <strong>material</strong>, the<br />

osteones grow into the upper<br />

layers of the bone augmentation<br />

<strong>material</strong>. The bone regeneration<br />

<strong>material</strong> Bioresorb<br />

<strong>Macro</strong> <strong>Pore</strong> is resorbed<br />

completely, simultaneously<br />

with new bone growth and<br />

allows an accelerated<br />

regeneration of the natural<br />

vital bone at the defect site.<br />

The new ß-Tricalcium phosphate<br />

ceramic <strong>material</strong> has<br />

osteoconductive properties<br />

based on the micro and<br />

macroporous structure which<br />

enable bone defects which<br />

would normally not heal in a<br />

sufficient way, to regenerate<br />

well in good bone quality so<br />

that an immediate or a later<br />

implant insertion is possible.<br />

Despite the high porosity,<br />

Bioresorb <strong>Macro</strong> <strong>Pore</strong> has an<br />

optimal improved stability<br />

and high resistance against<br />

abrasion. The phase-purity<br />

provides a stable structure<br />

and homogenous resorption<br />

ability in time under physio


BIORESORB ® <strong>Macro</strong> <strong>Pore</strong><br />

<strong>Augmentation</strong> <strong>material</strong><br />

With an increasing defect size<br />

the pace of bone regeneration<br />

decreases, since the regeneration<br />

process is not based on<br />

a linear reaction. Therefore,<br />

please note that the defects<br />

with a maximum volume of<br />

less than 1.5 cm require three<br />

months, defects with a size<br />

between 1.5 cm and 2.5 cm six<br />

months, and defects of more<br />

than 2.5 cm nine months for<br />

complete bony regeneration.<br />

Note<br />

Bioresorb <strong>Macro</strong> <strong>Pore</strong> should<br />

be used only by a dentist or<br />

physician who is familiar with<br />

oral implantology and augmentation<br />

techniques. It is recommended<br />

to use Bioresorb<br />

<strong>Macro</strong> <strong>Pore</strong> in a moist state.<br />

The mass of the individual<br />

granules adheres and allows<br />

an easier application into the<br />

defect than in dry state. For<br />

moistening, a sterile isotonic<br />

saline solution can be used,<br />

better is autogenous blood of<br />

the patient or blood plasma<br />

(PRP – platelet rich plasma).<br />

If there is a risk of infection,<br />

combine with antibiotics. If the<br />

defect is larger than 2 cm, we<br />

recommend to use a mixture<br />

of Bioresorb <strong>Macro</strong> <strong>Pore</strong> with<br />

autogenous bone if harvesting<br />

is anatomically possible.<br />

When applying the <strong>material</strong>,<br />

do not compress to save the<br />

interconnecting porosity, but<br />

spread evenly in the defect<br />

and fill completely. The<br />

granule sizes to be used is<br />

depending on the size of the<br />

defect. In general, the larger<br />

the defect, the larger the<br />

granule size. Once the bone<br />

defect has been densely filled<br />

up to the edges by using a<br />

spoon or spatula – depending<br />

on the size – the site is closed<br />

using the usual suture technique.<br />

The covering gingiva<br />

periost flap should achieve primary<br />

closure without<br />

tension so that no granules<br />

can be washed out. If primary<br />

closure is not possible, we<br />

recommend the use of a nonresorbably<br />

Cytoplast membrane,<br />

according to the situation<br />

and following the instructions<br />

for use for membrane technique.<br />

The augmented site<br />

should not be loaded during<br />

the initial healing phase (i.e.<br />

do not use temporary prostheses<br />

or bridges on temporary<br />

implants, etc.).


<strong>Augmentation</strong> <strong>material</strong><br />

BIORESORB ® <strong>Macro</strong> <strong>Pore</strong><br />

Granula sizes<br />

For each indication, Bioresorb <strong>Macro</strong> <strong>Pore</strong> is<br />

available in an optimal granule size:<br />

200 – 500 µm<br />

Periodontal defects and other<br />

defects of small size<br />

500 – 1000 µm<br />

for alveolar defects, small and<br />

medium size cysts<br />

1000 – 2000 µm<br />

for sinus lift of normal<br />

extension<br />

1400 – 3200 µm<br />

for augmentation of large<br />

cysts and extended sinus<br />

elevation<br />

Granule size Vial contents Order No.<br />

200 – 500 µm 1 x 0.5 ml 2105<br />

500 – 1000 µm 1 x 0.5 ml 5105<br />

1 x 1.0 ml 5110<br />

1 x 2.0 ml 5120<br />

1000 – 2000 µm 1 x 0.5 ml 10105<br />

1 x 1.0 ml 10110<br />

1 x 2.0 ml 10120<br />

Set<br />

200 – 500 µm 5 x 0.5 ml 2505<br />

500 – 1000 µm 5 x 0.5 ml 5505<br />

5 x 1.0 ml 5510<br />

5 x 2.0 ml 5520<br />

1000 – 2000 µm 5 x 0.5 ml 10505<br />

5 x 1.0 ml 10510<br />

5 x 2.0 ml 10520<br />

Sinus lift<br />

1400 – 3200 µm 1 x 1.0 ml 14110<br />

1 x 2.0 ml 14120


BIORESORB ® <strong>Macro</strong> <strong>Pore</strong><br />

Sybron Implant Solutions<br />

A World of Implant Solutions<br />

The dental implant platform of Sybron Dental Specialties (SDS)<br />

brings together three (INNOVA – ORALTRONICS – ATTACHMENTS)<br />

organizations that have been leaders in implant manufacturing,<br />

design and development since the inception of implant dentistry.<br />

With our most respected, innovative implant systems – PITT-EASY ® ,<br />

and ENDOPORE ® – we are giving you access to a world of implant<br />

solutions.<br />

BIOVISION GmbH<br />

Am Vogelherd 52<br />

98693 Illmenau<br />

Distributed by:<br />

Sybron Implant Solutions GmbH<br />

Julius-Bamberger-Straße 8a · 28279 Bremen · Germany<br />

Phone +49 421 43939-0 · Fax +49 421 443936<br />

www.sybronimplants.de · info@sybronimplants.de<br />

08-0336: 12/08

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