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The decision to load implants is case dependent. One of many factors is the amount of presurgical available bone. In general, Bond Apatite bone graft cement on average regenerates bone in lateral sinus lifts in 5 months. Ascertaining appropriate implant stability to accept prosthetic loading in a clinical decision that has to undertaken by the clinician and their particular patient.
There is no limitation. One can add as many syringes as needed one after the other. The second consecutive layer always bonds to the first one, even when the cement has already hardened.
In a crestal approach, after the cement is activated, it is ejected into a sterile dish and left to set for 3 minutes, then crushed into small fragments. During this stage, the particles become sticky. The reason to use this approach is that it is easier to push sticky particles into the osteotomy and to lift the sinus membrane simultaneously.
Yes, Augma bone cement can be used together with osseodensification techniques. The cement can be applied according to the procedure for a crestal approach sinus lift.
If there is a perforation of the sinus membrane during the preparation for a crestal sinus lift, it is recommended to stop the procedure, close the flap, wait a few months, and then try to perform the procedure again.
I used bond apatite today for the first time and it didn’t harden at all at the surgical site, and kept almost flowable about 20 minutes.
How could that be?
In order for the material to harden properly it should be used as follows:
During activation the shaft of the syringe should be advanced until the first piston reaches the blue line. Then the cap is removed, and the material should be injected into the site. Immediately place on it a dry gauze, not too folded, simply in two layers. Then press strongly with a finger on top of the gauze for 3 seconds, and again with a periosteal elevator for an additional 3 seconds. That’s all you need to do and the material will set instantly. It will never be hard like a stone, but it is definitely stable. During suturing, if the material breaks, place a dry gauze on it and press for one second before continuing to suture.
If the material didn’t harden, it’s probably because the pressure with the gauze was not done immediately. As such, the crystals are soaked with blood and it will not set properly, and will be flowable.
Please see our online course for more instructions on proper use.