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Sophisticated Bone Augmentation Techniques

Bone Grafting Advanced technology by KometaBio
1 Silicone Balloon 

A. For use in gum expansion:
A unique, especially successful (!) method in cases of insufficient bone is gingival expansion using a silicon balloon at the first stage, and packing the new bone at the second stages (5-8 weeks later). Thus, the possibility of the exposure of the implanted bone is reduced (infection) and greater control over the procedure is provided. The method is costly and surgically complex.

B. Sinus lift using a balloon:
During the past several years a technique for sinus lifting using a ballon has been implemented for raising the sinus membrane.  The technique is intended to protect the delicate membrane of the sinus during it's separation from the bone, and thus create a "pocket" into which bone substitute can be placed. Natural bone will then slowly replace the artificial bone and integrate with the implants.

Photo 1 - Before - Absence of tooth 16 and sinus lift using balloon
Photo 2 - After - Implantation
Photo 3 - Sinus lift using a balloon
Photo 4 - Sinus lift using a balloon

2 PRF – Cell Concentrate

To increase the success of the implant, the use of a cell concentrate of substances which accelerate healing is common. This is essentially a concentration of substances which exist in the blood. The patient’s blood is taken and placed in a centrifuge; its volume is reduced and the active substances are concentrated to at least 10 times, and then it is returned to the area of the surgery. This encourages the growth of new bone and accelerates quick healing. The use of the patient’s own blood ensures perfect biocompatibility.

PRF – Platelet Rich Fibrin

Platelets are special cells in the body’s bloodstream, which function to create the initial blood clot when an injury is healing, as well as releasing certain proteins which assist in accelerating healing and recuperation in areas where surgery has been performed. PRF is a cell concentrate of platelets taken from a simple blood sample.This cell concentrate serves as an accelerator (by up to 50%) to the healing process of osseous and soft tissue during surgical procedures in the oral cavity.

The tube of blood is drawn from a peripheral vein of a patient (like any blood test) iand s placed into a centrifuge. Layers of red blood cells, a clot of PRF, and platelet-free plasma are separated. The fibrin clot is taken with tweezers and includes cytokines and many natural growth factors such as: IGF-1, TGF- β, PDGF which are present in the platelets at a high concentration (Marx, 1998, Choukroun, 2001). Since this cell concentrate is autologous, i.e. pure biological material taken from peripheral blood of the patient himself, the advantages are: quick and easy preparation of the substance, which is not synthetic and does not cause “allergy” or any other reaction toward it.

In addition, this concentrate encourages the creation of new blood vessels which are crucial for the reception of the bone implant in the area of the implant, i.e. angiogenesis, by encouraging the movement of the endothelium cells. Its use is primarily in situations when we need to use autogenic biological material as part of a surgical procedure whose objective is augmentation of new bone using bone substitutes surrounding dental implants or as preparation of the existing bone for the reception of dental implants.

3 Sonic Weld - Box technique
An innovative system developed by Dr. Menoni A. in Italy. The system is intended to guide bone regeneration both horizontally and vertically in cases of bone augmentation prior to dental implants.
Advantages: Bioresorbable, no need for a second intervention for removal of membranes and screws.

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