GBR: Putty's, Pastes, and composite grafts what are you getting the best results with?

Wed, 01/20/2010 - 20:03 — Oliver Queen DDS

There are so many bone materials on the market (dynagraft, regenaform, pepgen putty, grafton putty, ect), what are you using and what kind of results are you getting?

Guided Bone Regeneration (GBR)

Tue, 11/09/2010 - 06:54 — Tim Grant

Starting to Move away from Putty's. Way to much Shrinkage

I am seeing way to much Shrinkage with putty grafts. Anyone else seeing that? Anyone have any tricks to overcome it?

Tue, 11/09/2010 - 07:24 — N Shumaker DDS MS

Which Putty types have you been unhappy with?

They are not all the same. Like Dr Healy below I have had great results with Regenaform RT in many cases.

Tue, 11/09/2010 - 07:43 — Tim Grant

Putty Problems: Shrinkage

Dr. NShumaker

I have have had problems with both Regenaform and Grafton.

I build it out cover with a collagen membrane but the results are less then stella. What are you doing to get good results?

Tim

Wed, 11/17/2010 - 07:08 — Mike Hollister DMD

Putty Problems: Shrinkage issues

The reason why you have shrinkage is the carrier agent. They typically have way to much glycerol carriers.

The answer is to overbuild the site or use tenting screws.

Zimmer makes a puros putty that has no carrier. Less shrinkage.

Sat, 11/06/2010 - 06:37 — OMFS GUY

I have done 102 dynablast grafts in the past two year and I have been happy with the results. If you just use a collagen membrane uou will get some shrinkage. I tend to use tenting screws or ti-mesh. I been able to place implants in every case without a problem.

Worth the price to me.

Guy

Sat, 08/07/2010 - 12:30 — Dr. Musin Silver

Anyone use Pepgen Putty?

What kind of results do people get with Pepgen Putty?

Sat, 11/06/2010 - 06:34 — OMFS GUY

Pepgen Putty: My opinion

Not a big fan of this material. Have seen some fibrous encapsulation. I would avoid. My opinion.

Fri, 07/02/2010 - 07:04 — bobrodzo21

Dynablast and Grafton Putty for GBR

I fluctuate between grafton and dynablast putty's. Both are equal in results. The dynablast has cortical chips that increase consistency.

I usually use tenting screws and cover with a collagen membrane.

Bob

Fri, 05/21/2010 - 16:45 — shazlovely

Grafton on putty with tenting screws

I have had great results for minor ridge defects using grafton putty and tenting screws.

Bigger defects I use blocks or go to the hip.

Fri, 05/07/2010 - 08:01 — Dr Chace Heatly

Regenaform for GBR latest results

I have done 52 regenaform grafts year to date and have been able to place implants in every case without a problem.

Its not perfect sometimes it is soft, but the majority its pretty solid consolidated graft.

Sun, 04/25/2010 - 10:11 — Dr. X

GBR Dynablast cases: Seeing nice results

I am starting to uncover some case and the bone is nice. I will submit a case to JIACD for the featured case so all can see.

Fri, 03/26/2010 - 08:27 — Dr. Cohen

GBR putty material: What do people like about them?

I have not used any of the putty's. I mostly use freeze dried allograft or a xenograft for GBR. What do people like about the putty's?

Tue, 03/23/2010 - 19:45 — Dr Chace Heatly

Dynablast putty vs Regenaform for GBR

I have not used dynablast so cant comment. I have used regenaform and it can build a nice ridge. There is a learning curve with the water bath and getting the material the right consistency to mold. Once you get the hang of it the results are great.

Fri, 03/19/2010 - 17:59 — Dr90210

Dynablast putty vs Regenaform for GBR?

I am curious has anyone used the two for comparison and which gave you better results?

Wed, 03/03/2010 - 06:28 — Dr. X

PRGF questions

How do you mix it in with you bone graft? I understand that it is like a membrane. How do you mix it within your graft?

Tue, 03/02/2010 - 06:46 — Perioplasticsurgeon

Dr. S: PRGF questions

Has the results you seen just been with soft tissue or are you seeing improved hard tissue results?

Tue, 03/02/2010 - 09:04 — mosalama

Dr. S: PRGF questions. Response

The results with PRGF and autologous fibrin have improved both my hard and soft tissue grafting results tremendously. Let me expand.
1. It has minimized incision line opening and early dehiscence in large graft cases.
2. The sticky nature of the the PRGF acts a great "carrier" for any particulate graft material.
3. It has allowed for a "growth factor" autologous membrane application to protect my grafts.
4. It has allowed me to utilize the fibrin to repair sinus membrane tears thereby reducing sinus complications.
5. I have applied it to different allograft soft tissue materials like alloderm, dermis etc. and it has minimized post op exposure and infection.
6. As for bone healing, I have used PRGF plugs in molar extraction sites by themselves, as proposed by Dr. Anitua, rather than bone graft materials and have compared to those adjacent sites that I grafted with bio-oss and found better "bone fill" results at 3 months....with histology supporting my clinical assessment.
I remind you, I have no experience yet with PRF but had years with PRP where my results were much less than expected.
Dr. S

Sun, 02/28/2010 - 15:24 — OrthoKing

Regenaform for GBR with tenting screw

I have been turned on to regenaform and have been very pleased. I dont use the frozen, I use the room temperature version. Mixes well and packs well. There is a short working time so there is a little learning curve.

I usually use a tenting screw and ossix membrane.

Sun, 02/28/2010 - 12:07 — SL Kang

GBR Bone Putty: Years ago pepgen now I use Puros and Calcium

Years ago I used pepgen 15 putty(not sure its on the market anymore) and had mixed results. Now I will use grafton putty for large defects or I will take puros mixed with calcium sulfate and mix my own putty and pack it into the defect.

I always use a collagen membrane.

Sun, 02/28/2010 - 13:40 — mosalama

Pepgen Putty long gone, grafton ok for extraction sites.

I used Pepgen Putty and got very poor results. The material never resorbs, it just sits there. Grafton good for extraction sites but not so much for ridge defects. It is DFDBA and demineralized bone creates much collagen in the regenerative process. Better to utilize a FDBA that is mineralized. Puros or Mineross is excellent. I prefer to mix with PRGF and create my own "putty" with concentrated growth factors. I am a HUGE PRGF fan and have been using it for the past 5 years! PRF is new and I have not yet tried it but I have seen the articles and will evaluate it for sure.
Dr. S

Sun, 02/28/2010 - 15:15 — OrthoKing

Dr. S what do you like about PRGF?

Dr.S I agree with you that you need mineralized product for gbr.

What do you like about PRGF? Is it difficult to use? What kind of results are you getting soft and hard tissue? Is PRGF the difference?

Thanks

Brooke

Sun, 02/28/2010 - 18:16 — mosalama

Dr. S what do you like about PRGF? Response with links to XP!

Brooke;

Lot's of qualities I like about the material and my results.
Little blood required. Concentrated Growth factors plus several layers
of workable fibrin membranes that seem to be very similar to what you
are seeing with PRF.
Much better info about this can be found on www.dentalxp.com by the creator of the PRGF protocol, Dr. Eduardo Anitua.

See the videos below if you want better info than what you can get on any blog post?? The 1st video link below is FREE!!

http://www.dentalxp.com/video/role-bioactive-modifiers-surgery-11433.aspx
The Role of Bioactive Modifiers in Surgery Part 1
PRGF & Fibrin Membranes in Regenerative Dentistry

Presented By: Michael Sonick, DMD; Eduardo Anitua, DDS, MD; Jack T. Krauser, DMD; Maurice Salama, DMD
Presentation Style: Video
Community Rating:

Watch Now>>

The Role of Bioactive Modifiers in Surgery Part 2
PRGF & Fibrin Membranes in Regenerative Dentistry

Presented By: Michael Sonick, DMD; Eduardo Anitua, DDS, MD; Jack T. Krauser, DMD; Maurice Salama, DMD
Presentation Style: Video
Community Rating:

Watch Now>>

The Role of Bioactive Modifiers in Surgery Part 3
PRGF & Fibrin Membranes in Regenerative Dentistry

Presented By: Michael Sonick, DMD; Eduardo Anitua, DDS, MD; Jack T. Krauser, DMD; Maurice Salama, DMD
Presentation Style: Video
Community Rating:

Watch Now>>

Plasma Rich Growth Factors in Reconstructive Implant Therapy
Dr. Eduardo Anitua describes the keys to utilizing plasma derived growth factors (PRGF) in bone augmentation and implant therapy.

Presented By: Eduardo Anitua, DDS, MD
Presentation Style: Lecture
Community Rating:

Watch Now>>

Fri, 02/26/2010 - 09:51 — Dean Spivey

GBR: Putty's, Pastes, Composite Grafts----Oh MY

For GBR I havent tried any putty's so cant comment. I like to use a Composite graft of FDBA, Mixed with autogenous and a Xenograft. 1/3 each and I tie it togethor with PRP so it packs well.

I let it heal 6 months and its like a rock.

Wed, 02/24/2010 - 09:32 — Perioplasticsurgeon

GBR: Regenaform Putty

Was using FDBA and a Ti-Gortex Membrane for years. Since I switch to regenaform I know use a collagen membrane and I am able to build out a nice ridge anywhere from 3-5mm with the material.

It handles nice but there is a learning curve and I dont think it replaces the need for a block graft from time to time.

Fri, 02/12/2010 - 06:05 — Dr. X

Dynablast for GBR.....Been using it lately

Lately I been using Dynablast for GBR. I get some nice consistent results. Usually cover with a collagen membrane. What nice about it is the handling properties. You can hold a suction on it and it stays.

Sat, 11/13/2010 - 08:02 — Richard Hughes DDS

Putty vs Osteogen w/ PRP

I did use Putty in the past on selected cases. The results were acceptable. Now I use Osteogen alone or mix with PFP and use the fibrin clot as a barrier. I have been getting very nice results. I also have cases with Osteogen alone and have had a 90% turnover to lamellar bone with histology studies from VCU. Osteogen does work nicely and is most cost effective.