Articles

We encourage you to read and reach out to us regarding any of the following posts. We welcome your thoughts and look forward to discussing these topics with you. The better informed we are as a dental community, the better we can truly serve our patients.

SteinerBio bone grafts were developed to be different. The goal was to stimulate mineralization, not just allow it to happen. The unique qualities built into our grafts have given us a pathway to achieving significant clinical advancements. Therefore, it is important to understand the do’s and don’ts of our bone graft products in order to achieve successful bone regeneration. The purpose of this article is to guide our product users and boost implant success rates when the proper steps are followed…
Previously, we presented the following ridge augmentation with a brief description of the surgical procedure. When a dramatic increase in the alveolar ridge is required, it is difficult to create volume without the incision lines opening. Here we discuss a method that allows us to use the periosteum to predictably maintain surgical wound closure…
In tissue engineering and regeneration, most everything of interest happens in the first 4 weeks. This post will discuss the clinical application of 3D-printed bone grafts for ridge augmentation and evaluate what is happening in the graft as it is converted into vital bone. We will discuss the surgical application of 3D-printed βTCP ridges and assess what is happening in the graft material from day of surgery through 4 weeks…
We have been teaching early implant placement as a superior implant methodology for about 2 years and it gives us great pleasure to find our customers refining and expanding the technology. Here we present a case performed by Dr. Matt Bickel, a general dentist in New Jersey who has been using our products for many years…
With the realization that implant complications and implant failures are more common in augmented sites, dentistry is trying to understand why this is the case. Eventually, the profession will understand that implant complications and failures are not caused by augmentation, but by a specific type of graft material…
To augment something is simply to make it larger. To regenerate something is to grow healthy vital tissue equal to the original. We can easily distinguish between the two terms. Bone can be augmented with metal, plastic, or any graft material that does not resorb. To regenerate bone, materials must be biocompatible and fully resorbable, resulting in bone equal to what was lost…
Traditional tooth extraction uses lateral forces to expand the alveolus until the irregularly shaped root can be removed. This expansion causes widespread fracturing of the bone on a microscopic level and creates inflammation which leads to significant bone resorption. The following atraumatic extraction method allows removal of a tooth without damaging the alveolus of the extraction socket…

This is the continuation of a previous article, “Alveolar Bone as the Surgical Guide for Early Implant Placement“. In that post, we demonstrated the case of doing an osteotomy at the time of extraction to facilitate early implant placement. Click the link below to see the rest of the case…

A recent study published in the Journal of Periodontology compared the gingival response to sockets grafted with cadaver bone grafts and non-grafted sites. While the gingiva over cadaver bone grafts was found to be ischemic and inflamed, the gingiva over non-grafted sites resulted in the gingiva returning to normal pre-treatment physiology…

Early implant placement with regenerative grafting materials that stimulate osteoblast formation and proliferation provides us with many advances over delayed implant placement. In our experience, early implant placement provides a superior level of osseointegration and implant stability. The following case demonstrates early implant placement…

Since vitamin D is associated with bone health, bone science is a primary repository of all things vitamin D. This quick summary will cover some of the knowledge we have of vitamin D regarding various diseases and will end with a discussion of vitamin D, bone health, and dental implant integration…
The ability to 3D print exact replacement parts that regenerate into normal functional skeletal tissue has been a goal of academic and industrial research for many years with no products achieving the goal to date. Our team at SteinerBio has been in pursuit of this goal for many years and we are pleased to announce a major breakthrough…
Allografts and Bio-Oss have no long-term studies that support placing implants in sockets grafted with these materials. However, we now have studies that have evaluated bone loss and implant failure for implants in sockets grafted with cadaver bone grafts and the results are damning…
Most clinicians know that a critical size defect study is when defects are created in bone that will not heal without treatment. This type of study allows us to compare the performance of a bone graft material to a site that has had no treatment. However, few clinicians know what a non-clinical GLP study entails…
Immediate implants are a terrific service to the patient. However, achieving ideal esthetics and 100% bone integration to the surface of the implant has been challenging. Immediate implant placement with temporization can produce ideal esthetics, but the production of an esthetic temporary is time-consuming and the incidence of failure to integrate is much higher…
Recent studies have increased our understanding of the etiology of osteonecrosis of the jaw (ONJ) and its prevention. The bisphosphonates are known to precipitate ONJ and because these medications are known to be toxic to osteoclasts, it was assumed that ONJ was a disease of bone. New knowledge now questions that assumption…
Loss of maxillary posterior alveolar bone resulting in the need for sinus augmentation is common and it often occurs rapidly after extraction. To better understand the problem and find a solution, we will look at the factors that contribute to maxillary posterior alveolar bone resorption…
As bone graft technology improves, clinical therapy improves. Quicker completion of treatment, both from a perspective of length of time to complete therapy and length of chair time, benefit both dentist and patient. Elimination of invasive surgical therapy again benefits both dentist and patient…
Our complete skeleton grows and changes throughout life with no physiologic interaction with inflammation. Normal bone formation and remodeling does not share metabolic pathways with inflammation. Acute inflammation is involved in fracture healing…
The following ridge augmentation case is interesting in its own light, but what is more interesting is what it can teach us about bone resorption. We will discuss why buccal resorption occurs and propose treatment that might limit the loss of buccal bone after tooth extraction…
The following patient was referred for implant replacement of his first molar (#3). During the examination, a visible mass was noted on the left sternocleidomastoid muscle. The mass was examined and appeared to be a swollen lymph node…
Sclerotic bone is a common pathological finding in routine radiographs. While there are many different causes of sclerotic bone and each of them have differing clinical characteristics, the most common cause of sclerotic lesions in dentistry are condensing osteitis and cadaver bone grafts…
A subject that has been discussed lately is the high failure rate of reimplantation after an implant is removed. In our clinic, if an implant needs to be removed, we do not experience a high failure rate. The case below showcases how advanced technology can solve many of our most challenging problems…
Dentists want to know how fast a graft material is resorbed. They often think that when they open a graft site and find bone graft granules the graft material has not performed well or has even failed. All of the grafts in this article will be fully resorbed within a few months of loading and only normal healthy bone with the ability to remodel and adapt with changing loads will be the result…
A commonly prescribed medication after implant surgery are one of the non-steroidal anti-inflammatory drugs (NSAIDs). When the mechanism of action of these drugs are evaluated, it is obvious they have an impact on the metabolic pathways responsible for bone formation and resorption…
Gut microflora is important for bone health and bone formation. If the gut microflora is disrupted, skeletal bone loss occurs. Antibiotic therapy has been found to cause long term disruption in the gut microflora in humans. In addition, disruption of gut microflora has been linked to an increase in the risk of developing inflammatory bowel disease, obesity, and diabetes…
The periosteum is a remarkable tissue — very thin, yet remarkably strong in addition to being packed with regenerative cells. The periosteum is responsible for healing all bone fractures, yet periodontics makes no use of this remarkable tissue for healing periodontal lesions…
As we resolve the major reasons for implant failure, we need to look for the less frequent causes of implant failure in order to approach 100% success over time. Residual cement is one of those less frequent but very real causes for implant failure. Any bone loss around an implant is diagnosed as peri-implantitis which is grossly inaccurate, and this routine misdiagnosis leads to ineffective treatment and increased reimplantation failures…
Bone graft breakdown has nothing to do with bacteria. It is simply a mechanical failure of the structure that supports the implant. It is an extension of the process that produces marginal bone loss. The following two studies confirm: when implants are placed in cadaver bone grafts, marginal bone loss occurs…
Sinus Augmentation is a complex but predictable surgery. When implant placement is added, they can become very interesting procedures with multiple moving parts. With science-based regenerative bone graft materials, areas with minimal bone and lost membranes can be successfully treated…
Calcium phosphate in its elemental state is known to stimulate bone formation and Socket Graft™ is the only bone graft on the market that contains calcium phosphate in elemental form which contributes to the bone formation shown in the series of radiographs shown in this article…
The performance of a tissue is solely dependent on the health of that tissue. Bone is one of the most complex tissues in the body and is intimately affected by disease and lack of use or overuse. The maxilla and mandible are subjected to extremes of disease…
We previously presented Simple Ridge Augmentation to show the predictability of ridge augmentation using science-based regenerative materials. The cases were presented not as a step by step surgical procedure, but merely to illustrate the effectiveness of the procedure…
The immune system plays a critical role in determining the success or failure of bone regeneration. Trauma, infection, thermal, or chemical injury results in an immediate, non-antigen specific immune response. This response is controlled by cells of the innate immune system and is called acute inflammation…
Bisphosphonates produce osteonecrosis of the jaw by killing osteoclasts that are required for the bone resorption phase of bone remodeling. When damaged bone cannot be removed by osteoclasts, necrosis persists. TNFα is intricately involved in osteoclast differentiation and function as well as in bone destruction through osteoclast activation…
There have been a number of well done, head to head studies that have compared βTCP to various types of harvested bone grafts and we are unaware of any published human clinical study where autografts, allografts, or xenografts have outperformed βTCP. The studies listed found that βTCP was equal to or better than autografts, allografts or xenografts…
In this case presentation, implants were placed 8 months after grafting. The surgical procedure of this case was identical to a simple ridge augmentation previously presented. The previous ridge augmentation case showed implants placed 4 months after grafting. The time difference of both of these cases will allow us to evaluate the process of bone formation and remodeling when tissue is regenerated using the principals of regenerative medicine…
Have you ever asked yourself why orthopedic groups have no interest in researching PRF and why orthopedic surgeons do not use or put PRF in bone? With their vast knowledge and research of bone and extensive study dedicated to bone, they know this subject very well and they know that using PRF will only delay the healing process and not work for bone regeneration…
Since Dr. Brånemark discovered integration of bone to titanium, the factors that guide successful implant integration have not changed. Good bone, good implant torque, and an optimized titanium surface are still the factors that are considered necessary for successful implant integration and long-term function…
SteinerBio has spent approximately 8 years developing our custom 3D printed OsseoConduct βTCP ridges. We have recently redesigned the structure of the printed ridge with the clinical application in process. To bring you up to speed on our progress, here is a recent case…
Peri-implantitis is a common cause of implant loss. Unfortunately, we do not have an effective, predictable method for treating this disease. We have developed an effective and predictable way of growing bone that fills the defect and integrates to the implant surface. So why is it not possible to treat the same type of defect caused by peri-implantitis?
As clinicians, it is important to offer the best quality of care we possibly can along with using the best materials available. As technology in dentistry advances, it is critical we have a full understanding of the materials we are using and seek the latest scientifically proven materials that will continue to improve our patient’s oral health…
PTFE membranes are textured on one side to provide traction for fibroblasts in the gingiva so they will adhere to the membrane and prevent the incision line from opening. While there may be research on this, we at SteinerBio are interested to find out if that is actually the case…
This patient presented with an unrestorable #19. Follow as this patient is primed for implant placement only 4 weeks after extraction and grafting…
It is common practice to mix various bone graft materials. Using different bone graft materials in order to take advantage of their individual properties is obviously appealing. However, knowledge of the mechanism of producing mineralization is critical for success…
The only way to fully understand how a bone graft is performing is to study various bone grafts growing under controlled conditions. In order to achieve this, the application of bone grafts must be applied to laboratory animals of a specific breed in enough numbers to obtain repeatable findings…
Most ridge augmentations are simple and well within the wheelhouse of any dentist who regularly does bone grafts. The following case illustrates a simple and predictable method of gaining ridge width…
According to new studies, an alarming percentage of patients will refuse what is otherwise a routine grafting procedure because they categorically reject cadaver bone graft materials…
In an effort to better understand single tooth implant replacement and gingival esthetics, we evaluated a number of variables that can affect gingival esthetics. The one surprising negative influencer was suturing…
Histologic studies that have evaluated extraction sockets grafted with mineralized freeze-dried bone allografts have found that the percentage of retained bone graft particles never changes across different time points, indicating that these materials are never resorbed…
Increasing the odds that your patients accept a bone graft is the first step to increasing the odds your patient returns to place an implant. When a patient invests in a bone graft, they have made the decision to have the best possible therapy and are determined to follow through with the implant. Why is it that when some patients are presented with a treatment plan that includes an extraction, bone graft, and implant, they never follow through or simply disappear?…

In your practice, you would never place a filling material in a tooth that has not been cleared by the FDA as safe and effective. You would never prescribe a drug that has not been found to be safe and effective. Still, many are putting materials in patients that have no scientific justification, unlike every other material you use in your dental office…

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American Society for Bone and Mineral Research (ASBMR)

Tissue Engineering and Regenerative Medicine International Society (TERMIS)