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The initial stability for any implant is due to placement in the residual bone. The purpose of bone graft cement is to regenerate bone around the implant. It has no continuous cementing properties. Bond Apatite has bioactive properties to regenerate bone.
Augma Bone Graft Cement is an excellent and effective way to enlarge the bony width around the implants.
The graft volume is optimum at 3-4 months, but the regenerated bone is immature and is still undergoing mineralization. Waiting longer to place an implant will result in regenerated volume reduction.
Cover the socket and the implant and overfill (1-2 mm).
There are no specific torque indications. Use the same torque as with native bone according to the bone type.
Augma Bone cement is a bone regenerative material. Thus, if an implant is placed in an osteotomy, with a bony defect or gap within the bony frame, Bond Apatite bone graft cement can be placed to augment and regenerate the bone around the implant.
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.