SYMBIOS® Biphasic Bone Graft Material SYMBIOS® Collagen
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SYMBIOS® Biphasic Bone Graft Material SYMBIOS® Collagen
Regenerative Solutions: SYMBIOS® Biphasic Bone Graft Material SYMBIOS® Collagen Membrane SR NEW Scanning electron micrograph (SEM): Longitudinal section of phycogenic biphasic 20% HA/80% ß-TCP granule (x 5000) Scanning electron micrograph (SEM): Cross section of phycogenic biphasic 20% HA/80% ß-TCP granule (x 6000) SYMBIOS® Biphasic Bone Graft Material SYMBIOS Biphasic Bone Graft Material (BGM) is a resorbable inorganic bone forming material in granular form of plant origin derived from red marine algae. The chemical composition of this interconnected porous biological product is similar to the inorganic part of the human bone. SYMBIOS Biphasic BGM is a composition of 20% hydroxyapatite (HA) and 80% β -tricalciumphosphate (ß-TCP). Due to the high tricalciumphosphate content of the product it resorbs significantly faster than pure hydroxyapatite.The biphasic BGM is biocompatible and osteoconductive. It can be used for indications such as treatment/filling of periodontal or peri-implant defects, extraction sockets and for sinus elevation grafting. For optimal tissue regeneration the defect should be covered by a membrane. The selection of the two grain sizes is dependent on the defect. Recommended grain size: • Grain size 0.2 mm to 1.0 mm, e.g. augmentation of small defects • Grain size 1.0 mm to 2.0 mm, e.g. augmentation of lateral defects and sinus floor elevation • Osteoconductive Bone analogous properties and interconnecting pores • Resorption kinetics in the sense of restitutio ad integrum Material degradation and bone remodeling/healing are balanced. Resorbs almost completely • Volume stability The resorption properties enable volume stability during bone formation • Straightforward application Saturation with patient’s blood and addition of autogenous bone chips improve healing Resorption kinetics in a pre-clinical animal study Histomorphometric analysis Bone Graft Material (100% HA) SYMBIOS® Biphasic BGM (20/80% HA/β-TCP) Amount of newly formed bone respectively remaining Bone Graft Material (100% HA) in a specified augmented area % Amount of newly formed bone respectively remaining Bone Graft Material (20/80% HA/β-TCP) in a specified augmented area % HA Bone 50 40 30 30 20 20 10 10 4 8 Time [weeks] Bone 50 40 2 HA/β-TCP 2 4 8 Time [weeks] Percentage of newly formed bone in relation to remaining Bone Graft Material (BGM) 100% HA and biphasic BGM 20 / 80% HA / β-TCP respectively after placement 2, 4 and 8 weeks in cortical / spongious defects in sheep. Data on file. Scanning electron micrograph (SEM): Cross-section of SYMBIOS Collagen Membrane SR consisting of a collagen fiber matrix that is clearly visible (x 5000). SYMBIOS® Collagen Membrane SR SYMBIOS Collagen Membrane SR (slow resorbable) is a bioresorbable, implantable collagen type I originating from bovine Achilles tendon. It is intended for use in dental surgery procedures. The membrane functions as a barrier, aiding in wound healing after dental surgery in cases with a dental implant, a bone defect or ridge reconstruction. Fiber matrix construction allows tissue integration, while preventing direct passage of bacteria and epithelial cells. • Safe for the patient Manufactured from highly purified collagen type I derived from bovine Achilles tendon • Prevents epithelial downgrowth Cell occlusive Pictures in actual size 30 x 40 mm • You can suture or tack the membrane in place without tearing Unique fiber orientation provides high tensile strength • Stiff enough for easy placement, yet easily drapes over ridge Optimized flexibility. Can be placed either dry or hydrated 20 x 30 mm 15 x 20 mm Resorption kinetics In vivo resorption rate of SYMBIOS® Collagen Membrane SR Predictable resorption time: 26 – 38 weeks % of Membrane Remaining 100 80 Highly purified collagen type I derived from bovine Achilles tendon 60 40 20 4 8 12 16 20 24 28 32 Resorption time after placement SYMBIOS Collagen Membrane SR has a resorption time of 26 to 38 weeks. Data on file. Time [weeks] Order Numbers SYMBIOS® Biphasic Bone Graft Material SYMBIOS® Collagen Membrane SR ORDER NO. DESCRIPTION ORDER NO. DESCRIPTION 31 – 0110 0.2 – 1.0 mm, 0.5 ml (for augmentation of small defects) 3290 5270 15 x 20 mm, 2 Membranes/box 3290 5271 20 x 30 mm, 2 Membranes/box 31 – 0111 0.2 – 1.0 mm, 1.0 ml (for augmentation of small defects) 3290 5272 30 x 40 mm, 2 Membranes/box 31 – 0112 1.0 – 2.0 mm, 1.0 ml (for augmentation of lateral defects and sinus floor elevation) 31 – 0113 1.0 – 2.0 mm, 2.0 ml (for augmentation of lateral defects and sinus floor elevation) Key references SYMBIOS® Biphasic Bone Graft Material 1) SYMBIOS® Collagen Membrane SR 2) Schopper C, Ziya-Ghazvini F, Goriwoda W, et al. HA/ TCP compounding of a porous CaP biomaterial improves bone formation and scaffold degradation – a long-term histological study. J Biomed Mater Res B Appl Biomater 2005;74(1):458–67. Behfarnia P, Khorasani MM, Birang R, Abbas FM. Histological and histomorphometric analysis of animal experimental dehiscence defect treated with three bio absorbable GTR collagen membrane. Dent Res J (Isfahan) 2012;9(5):574–81. Spassova E, Gintenreiter S, Halwax E, et al. Chemistry, ultrastructure and porosity of monophasic and biphasic bone forming materials derived from marine algae. Mat.wiss. u Werkstofftech. 2007;38(12):1– 8. Guda T, Walker JA, Singleton BM, et al. Guided bone regeneration in long-bone defects with a structural hydroxyapatite graft and collagen membrane. Tissue Eng Part A 2013;19(17–18):1879–88. Zhou AJ, Clokie CM, Peel SA. Bone formation in algaederived and synthetic calcium phosphates with or without poloxamer. J Craniofac Surg 2013;24(2):354 –9. Tovar N, Jimbo R, Gangolli R, et al. Evaluation of bone response to various anorganic bovine bone xenografts: an experimental calvaria defect study. Int J Oral Maxillofac Surg 2014;43(2):251–60. Zhou AJ, Peel SA, Clokie CM. An evaluation of hydroxyapatite and biphasic calcium phosphate in combination with Pluronic F127 and BMP on bone repair. J Craniofac Surg 2007;18(6):1264 – 75. Schopper C, Moser D, Spassova E, et al. Bone regeneration using a naturally grown HA/TCP carrier loaded with rhBMP-2 is independent of barrier-membrane effects. J Biomed Mater Res A 2008;85(4):954-63. 1) SYMBIOS Biphasic Bone Graft Material is manufactured by AlgOss Biotechnologies GmbH 2) SYMBIOS Collagen Membrane SR is manufactured by Collagen Matrix, Inc. Follow DENTSPLY Implants www.dentsplyimplants.com About DENTSPLY International DENTSPLY International Inc. is a leading manufacturer and distributor of dental and other healthcare products. For over 110 years, DENTSPLY’s commitment to innovation and professional collaboration has enhanced its portfolio of branded consumables and small equipment. Headquartered in the United States, the Company has global operations with sales in more than 120 countries. DENTSPLY Implants does not waive any right to its trademarks by not using the symbols ® or ™. 32670623-USX-1509 © 2015 DENTSPLY. All rights reserved About DENTSPLY Implants DENTSPLY Implants offers comprehensive solutions for all phases of implant therapy, including ANKYLOS®, ASTRA TECH Implant System™ and XiVE® implant lines, digital technologies, such as ATLANTIS™ patient-specific CAD/CAM solutions and SIMPLANT® guided surgery, SYMBIOS® regenerative solutions, and professional and business development programs, such as STEPPS™. DENTSPLY Implants creates value for dental professionals and allows for predictable and lasting implant treatment outcomes, resulting in enhanced quality of life for patients.