maxgraft® bonebuilder

Patient-customized allogenic bone block

 

[su_dropcap style=”grey”]m[/su_dropcap]The individually designed allogenic bone block enables complex horizontal and vertical augmentation by using the latest 3D-CAD/CAM technology. The perfect three-dimensional precision fit significantly reduces valuable surgery time, making autologous bone harvesting and manual adjustment unnecessary, thus diminishing the donor-site morbidity.

 

Patient’s comfort and satisfaction is considerably increased by the clear reduction of pain, improved wound healing and the good aesthetical result.

 

Achieve a safe, reliable and predictable clinical outcome

 

Due to the stable trabecular structure of the cancellous bone, maxgraft® bonebuilder provides an ideal matrix for predictable and highly effective revascularization, rapid formation of new bone tissue and complete bone remodeling. Simultaneously the excellent biological regeneration capability of maxgraft® is supported by exceptionally good flexibility on the basis of natural collagen content, which will facilitate screw fixation. The processing sequence meets highest quality standards with regard to biomechanical properties and safety, prohibiting infect transmission or antigenic effects. It is storable at room temperature for 5 years. However, it should be used as soon as possible after delivery to provide a precise fit, enabling rapid revascularization and fast graft incorporation.

  • botiss dental - bonebuilder_3d_2
  • botiss dental - bonebuilder_production
  • botiss dental - bonebuilder_3d

INDICATIONS

Implantology, Oral and CMF Surgery

– Horizontal and vertical augmentation

– Extensive bone defects

PROPERTIES

  • Processed human allograft from selected living donors, undergoing a hip replacement (Production: C+TBA, Krems, Austria)
  • Natural mineralized collagen
  • 65-80% porosity, pore size 100-1800 µm (mean 600-900 µm)
  • Maximum size: 23 x 13 x 13 mm
  • Fast graft incorporation and complete remodelling potential
  • No antigenicity
  • No donor site morbidity
  • 5-6 months healing-/integration time
  • 5 years shelf life at room temperature
  • Safe and sterile

DOWNLOADS

Questions to work flow and ordering process?

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CLINICAL APPLICATION
  • Bone defect in area 11-21 due to 2 lost implants (peri-implantitis) after 15 years of function
  • 3D reconstruction of the bone defect and planned maxgraft® bonebuilder
  • Treatment planning
  • Combined vertical and horizontal bone defect in area 21
  • Good fit of maxgraft® bonebuilder
  • Fixation with two osteosynthesis screws
  • Application of Straumann® Emdogain®
  • Covering the block with Jason® membrane
  • Wound closure with 15 sutures
  • Wound healing after 13 days
  • Wound healing after six months
  • Clinical situation after six months
  • Re-entray after six months
  • Insertion of two Straumann BLX implants 3.75 x 14 mm / 3.75x 12 mm
  • Vital tissue for implantation
  • Straumann BLX implants 3.75 x 12 mm
  • Insertion of two Straumann BLX implants 3.75 x 14 mm / 3.75 x 12 mm
  • Insertion of two Straumann BLX implants 3.75 x 14 mm / 3.75 x 12 mm
  • Contouring with cerabone®
  • Soft tissue thickening with mucoderm®
  • Soft tissue thickening with mucoderm® and three sutures
  • Wound closure with 13 sutures
  • Final clinical situation 12 months after augmentation
  • Final clinical situation 12 months after augmentation
  • X-ray at implant installlation six months after augmentation
  • Final x-ray 12 months after augmentation

Dr. Michael Kristensen

Ridge augmentation in the maxilla with maxgraft® bonebuilder in the aesthetic zone
  • Bone defect after tooth loss due to periodontitis
  • Mandibular bone defect in area 35-37
  • 3D reconstruction of the bone defect and planned maxgraft® bonebuilder
  • Clinical situation prior augmentation
  • Fixation with two osteosynthesis screws
  • Radiographic control after augmentation
  • Reentry after six months
  • Insertion of three Straumann implants
  • Radiographic control after implantation
  • Uncovering the implants
  • Radiographic control after uncovering
  • 17 months post-operative: stable situation

Dr. Dr. Oliver Blume

Ridge augmentation in the mandible with maxgraft® bonebuilder in a free end situation
  • Treatment overview – implant planning
  • Preoperative radiological situation – severely atrophic maxilla
  • Preoperative radiological situation – severely atrophic maxilla
  • Preoperative radiological situation – severely atrophic maxilla
  • 3D-Reconstruction of the maxilla including two maxgraft® bonebuilder blocks
  • Milled maxgraft® bonebuilder blocks
  • Preparation of the augmentation area with external sinus floor elevation on both sites using cerabone®
  • Fixation of the first maxgraft® bonebuilder with osteosynthesis screws
  • Tension-free and saliva-proof wound closure
  • Tension-free and saliva-proof wound closure
  • Radiological situation after augmentation
  • Radiological situation after augmentation
  • Radiological situation after augmentation
  • Six weeks follow-up – uneventful wound healing
  • Implant insertion after six months: four Straumann® Bone Level SLA® 4.1 mm implants
  • X-ray after implant placement
  • Six months follow-up – stable situation
  • Six months follow-up – stable situation
  • Final prosthetics – one-year follow-up
  • Final prosthetics – one-year follow-up
  • Telescopic prosthesis
  • Final aesthetic result one year post implantation
  • Final x-ray one year after implantation 12/15/22/25

Dr. Michael Erbshäuser

Full arch reconstruction of the maxilla with maxgraft® bonebuilder
  • Preoperative radiological situation
  • Preoperative radiological situation
  • Preoperative clinical situation
  • Preoperative clinical situation: bone defects in the aesthetic zone
  • Radiological situation after removal of prosthetics
  • Situation after mobilization of mucosal flap showing maxillary ridge atrophy
  • Three-dimensional reconstruction of the defect and design of the maxgraft® bonebuilder
  • Customized maxgraft® bonebuilder
  • Positioning and fixation of maxgraft® bonebuilder with two osteosynthesis screws
  • Contouring with cerabone® and covering with Jason® membrane
  • Radiological situation four months post augmentation
  • Re-entry five months post-OP inserting two implants
  • Radiological situation after re-entry
  • Radiological situation two years after prosthetic treatment

PD Dr. Dr. Frank Kloss

Augmentation in the aesthetic zone with maxgraft® bonebuilder
WEBINARS

Dr. Michael Norton
Webinar: The treatment of complex cases with digitally designed bone blocks – maxgraft® bonebuilder

Dr. Oliver Blume
Webinar: Cutting edge techniques in bone augmentation using a customized allogenic block

Dr. Frank Rudolf Kloss
Webinar: maxgraft® bonebuilder – correct indications and surgical procedures for best clinical outcome

Dr. Hassan Maghaireh
Webinar: Off The Shelf Bone Block Grafting. The Why and how of effective allograft block grafting

SURGERIES
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Dr. Michael Kristensen
Surgery: Bone augmentation in the maxilla with maxgraft® bonebuilder

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Dr. David Furze
Surgery: Bone augmentation in the mandible with maxgraft® bonebuilder

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Dr. Hassan Maghaireh
Surgery: Bone augmentation in the mandible with maxgraft® bonebuilder

More Surgeries, Cases, Webinars and Videos
on botiss-CAMPUS.com

VIDEOS
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Dr. Dr. Oliver Blume about the maxgraft® bonebuilder

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Dr. Frank Kloss about the maxgraft® bonebuilder

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Dr. Dr. Oliver Blume: maxgraft® bonebuilder in mandible including incisions

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Dr. Dr. Oliver Blume: maxgraft® bonebuilder in maxilla including semi-pillar incisions

EDUCATION

Science and clinical expertise are the basis for dental bone and tissue regeneration.
Expertise in tissue regeneration requires constant innovation, training and exchange among specialists.

All Educational trainings and webinars

on botiss-CAMPUS.com

DETAILS

SPECIFIC FACTS

Production process
  • Removal of soft tissue, fat and cartilage; grinding/cutting into final shape
  • Defatting by ultrasonication
  • Complex chemical treatment different steps of diethylether and ethanol
  • Oxidative treatment with hydrogen peroxide
  • Lyophilization
  • Sterilization method: Gamma-sterilization
Ordering Process
  • CT/DVT scan by responsible surgeon/radiologist
  • Transfer of DICOM-data to botiss biomaterials (www.botiss-bonebuilder.com)
  • Planning of the individual maxgraft® bonebuilder by botiss product specialists located in Berlin and final confirmation by responsible surgeon
  • Transfer of the milling file to tissue bank (C+TBA, Austria)
  • Milling of the block from cancellous bone blanks
  • The process takes 4-6 weeks
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Rehydration

maxgraft® bonebuilder should be rehydrated briefly before fixation by creating a vacuum in a disposable syringe filled with sterile saline solution. If possible, mix the saline solution with the exudate serum obtained from preparing autologous platelet-rich fibrin (PRF) matrices. maxgraft® bonebuilder consists of a mineralized collagen matrix with a residual moisture content of <5%, rehydration may be useful especially for blocks of bigger and complex dimensions to enhance the adaptability of the material to the specific defect site.

 

 

Combination with other biomaterials

Additional void volume should be filled with particulate grafting material (maxgraft® or cerabone®) to improve the aesthetic outcome and to protect the soft tissue.

For guided bone regeneration, the augmented site needs to be covered entirely with a barrier membrane, preventing the ingrowth of soft tissue into the bone block (e.g. Jason® membrane).

 

 

Guided Bone Regeneration
  • maxgraft® bonebuilder should be covered by a resorbable barrier forming collagen membrane (e.g. Jason® membrane) for GBR
  • This prevents resorption and ingrowth of soft tissue into the bone graft

 

 

Reentry
  • Depending on the defect size, the graft will be stably incorporated within 5-6 months
  • Product will be degraded when not loaded after healing period

Let us know YOUR COUNTRY and we will provide you with
YOUR right local CONTACT PERSON!

Email to product-management@botiss.com!

Product Specifications

Art.-No. Content
PMIa Individual planning and production of a bone transplant max. dimensions 23 x 13 x 13 mm
PMIa 2 maxgraft® bonebuilder, additional block(s) for this patient
32100 Individual 3D-printed model of the patient’s defect and the planned maxgraft® bonebuilder for demonstration purposes made of plastic

GET IN TOUCH!

Our experts will answer all your questions at maxgraft-bonebuilder@botiss.com

Related Products:

cerabone®

100% PURE BONE MINERAL

botiss dental - maxresorb prod

maxresorb®

Synthetic biphasic calcium phosphate

Jason® membrane

Native pericardium GBR/GTR membrane

maxgraft® blocks

Processed Human Allograft