OsteoIntegration 010.CR2

Osteointegraftion-Iogo

 

 

 

 

 

Steiner Biotechnology has dedicated many years of research and development to create a line of bone graft products designed to produce heathy vital bone which has made our technology completely different from all other bone grafts available in today’s market. Therefor, it is extremely important to understand the science behind our bone graft products in order to understand the process of bone regeneration and how this technology creates stronger, healthy, vital bone when treatment planning implants for your patient’s.

Our bone grafts stimulate normal osteoinduction causing mesenchymal stem cells to divide into osteoblasts and osteogenesis that increases the number of osteoblasts and their production of mineralized tissue. Due to this technology, Steiner Biotechnology bone graft materials are the only bone graft materials that the FDA allows to make these claims.

What do we do in cases when faced with poor quality bone that we find when placing our implants? Poor quality bone is commonly found in areas that have not been grafted after tooth extraction.  What do we do with spinners where we don’t want or can’t move up to a larger implant?  Studies have shown that extraction sites grafted with Socket Graft™ resulted in 100% integration rates.

To help facilitate treatment planning when approached with these situations, we have developed a product that allows you to regenerate tissue vitality in low vitality sites. OsteoIntegration™ is a product you can now offer your patients so that they too can have the same integration rates in sites with poor quality bone or poor primary stability for a very economical cost.

OsteoIntegration™ contains SL Factor the osteogenic properties that stimulate osteoblasts to multiply and spread throughout the area which increases vitality and mineralization. It also increases integration rates in areas where poor quality bone exists and in areas where implants have poor to no bone stability.

OsteoIntegration™ has been shown to convert D4 bone to D2 bone during the integration phase. We’ve all had “spinners” and now you have a solution to fix this problem. Due to the technology of OsteoIntegration™ the implant will have an immediate increase in stability but more importantly, OsteoIntegration™ will stimulate the surrounding osteoblasts which will grow through the graft material and integrate to the implant.

When treating poor quality bone, mix OsteoIntegration™ and fill the implant osteotomy prior to placing the implant. The implant will push OsteoIntegration™ into the bone and convert poor bone into stronger, healthier, vital bone as integration occurs.

When you experience a “spinner” remove the implant and fill the osteotomy with OsteoIntegration™.   OsteoIntegration™ will fill the gap between the implant and bone while stimulating the surrounding osteoblasts to grow through OsteoIntegration™ and integrate to the implant surface.

Steiner Biotechnology is constantly working to give you the tools you need to succeed every time.

Understanding SL factor

 

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 Diagnosing and Treating a “Hollow Jaw”

 

hollow jaw 1 hollow jaw 2

 

 

 

 

 

 

 

 

 

Recent concerns have occurred on implant complications relating to the “hollow jaw” highlights the need to diagnose this condition prior to implant surgery.

While the mandible can actually be hollow, as in filled with air, the most common condition is a jaw filled with soft tissue devoid of mineralized tissue. When implants are placed into these areas the implant can literally fall into the mandible due to lack of resistance. Soft tissue in jaw that lacks mineralized tissue has been termed “hollow jaw”.

A hollow jaw can often be diagnosed and treatment planned to avoid complications and provide predictable implant success. The most valuable aid in diagnosing this condition is a high quality digital periapical radiograph. A dental CT scan or non-digital periapical radiograph lacks the image quality to make this diagnosis. When cancellous bone lacks mineralized trabeculae, there is a resulting compensation by the cortical bone and it increases in thickness. The alveolar crest normally does not have cortical bone and when you see cortical bone on the crest of alveolar bone you know there is trouble below in the cancellous bone.

In the two following cases the white and black arrows show thickened crestal cortical bone that is compensating for the poorly mineralized cancellous bone. The cancellous bone lacks radio density as outlined by the red arrows.

 

 

hollow jaw 4 hollow jaw 3

 

 

 

 

 

 

 

 

 

 

Once the diagnosis is made the patient can be informed that there is a problem and can be informed of your approach to their care. The bone needs to be regenerated to provide for proper support and integration. Our approach is to prepare the proper size osteotomy and fill the osteotomy with OsteoIntegration graft material. While screwing the implant into the osteotomy, OsteoIntegration is pressed into the surrounding cancellous bone. This material has a putty consistency and will flow into the surrounding tissue without compromising any vital structures.

The material stimulates regenerative cells and those cells migrate throughout the area to regenerate the mandible producing normal cancellous bone but just as important the stimulation of osteoblasts produces integration to the implant.

Since the collar of the implant will be the only portion of the implant in contact with bone, the collar of the implant needs to be the widest portion of the implant. Care must be taken to monitor the angle of the implant and driver when the implant is being placed because there is no bone to guide the implant and the implant driver must be removed gently from the implant so it is not displaced.

The following two radiographs were taken three months after grafting with OsteoIntegration and implant placement. The radiographs show successful regeneration of the cancellous bone with a good dense trabecular pattern in addition to a remodeling of the thickened crest as the anatomy returns to normal.