The Use of the OsteoGen Bone Graft Material
Hi, I’m Dr. Todd Shakin, and welcome to this Monday morning Minute. Today I want to talk to you about the use of the osteogen bone graft material and proper sequencing of placing implants along with the bone grafting and our hemostype safeguards dressing. So what I normally do is when I take out teeth, whether it’s a couple of teeth or a whole set of teeth teeth, I usually place the implants at the same visit. Now, a lot of you may prefer to place a bone graft and wait a few months, and that’s perfectly fine. But I like to place the implants into the available bone when I can visualize it at the time of extractions.
So I’ll take out the teeth, I’ll clean up all the granulation tissue, cure at it all out really well, trim away any excess tissue that’s inflamed, and I will find a purchase point for my pilot drill. Usually if it’s in the upper jaw, that might be toward the palate or the measial or distal and the lower jaw is typically measly or distally into the proximal bone. Sometimes we go right on the crest of the proximal bone, right on the crest, or sometimes it’s in the fircation area, in the molar area.
But we find the available bone to place our pilot hole. We then screw our implant into place. And then what we do once we have the implant in place and keep in mind the depth of the implant because now you don’t have any soft tissue. So what we want to do is bury that implant so the top of the threads are equal to the top of the highest point of the bony crest, the bony ridge. So the top of the thread should be at the top of the bone. And then you allow the tissue to heal and that will cover up the polished collar.
So once you’ve placed that implant into place, okay, then you’re going to take our osteogen bone graft, either the slim or the large, depending on the size of the defect, and pack it into the bony space, the holes and the roots where the roots were. So you’re going to pack that bone all the way into those sockets. Okay? Once you fill the sockets with the bone, then we take our hemostype safe gauze and we pack that over the top. Now that is a resorbable gauze material and it helps to hold the bone in and form a clot over the top.
And then we just suture things up if we can. And if we don’t have any tissue to suture, then we just leave it with a gauze over it. It’ll form a clot. The tissue will heal in a matter of days and over the next several weeks that bone will start to form into normal bone and over many months it will actually turn into solid bone. Now, you can use it with or without PRP. With or without PRF. That’s up to you. I normally do it with just the bone and the safeguards. A lot of you like to mix it with the PRF and the PRP and that’s great. If you want to do that, that’s fantastic.
So that’s how we use the osteogen bone along with the safeguards. It works really well and you’re going to have great results with it. We call it the osteogen with the hemostype gauze dressing and it will work great. And you’ll look back three or four months later at the X ray and you’ll have great bone fill. And initially, what it’ll do is it’ll keep the architecture of that bone and that tissue so that you can build your temporary on there.
And then ultimately, after about four or five weeks, you’ll take the temporary off, take your impression and make the permanent crowns or bridge or roundhouse, whatever the case might be, and it will all be done. In a matter of five or six weeks, you’ll be all done. So that’s what I do with the osteogen. And again, it comes in a slim, a large. It also comes with a sheet. So if you want to build up a ridge, you can put it over the top or a bony defect as a sheet. So thank you very much for being here with us on this Monday Morning minute and we’ll see you next time.