maxgraft® cortico

Allogenic cortical bone plate

The proper size of the plate is estimated after the elevation of the mucosal flap or preoperatively using a digital planning software. Using a diamond disc, the plate is then cut extraorally. The plate is positioned within a certain distance by predrilling through the plate and local bone; fixation is performed with osteosynthesis screws to create a fixed compartment. To prevent the perforation of the soft tissue, the sharp edges have to be removed, e.g. by using a diamond ball.

Defect filling

To fascilitate osteosynthesis, allogenic particles (e.g. maxgraft®) can be used to fill the defect. The preserved human collagen provides excellent osteoconductivity and enables complete remodelling. Mixing with autologous chips or particulated PRF-matrizes can support the ossification.

Rehydration

Rehydration of maxgraft® cortico is not necessarily required; however, rehydration in saline solution (ten minutes) can be applied to increase the flexibility of the material, simplify handling and therefore reduce the risk of plate fracture. Due to the composition of 100% cortical mineralized bone, significant liquid uptake is not to be expected.

Fixation

maxgraft® cortico should be positioned within a certain distance to the bone defect by predrilling through the plate and local bone, fixating with screws and therefore creating a compartment/container. The position should enable the placement of a later implant with a distance of at least 1 mm from the cortical strut. Pre-drilling is recommended. It is suggested to use a smaller diameter for the pre-drilling than the diameter of the later placed screws. Screws consisting of surgical steel with a diameter of 1.0–1.2 mm, or titanium with 1.2–1.4 mm and a length of 8–11 mm are appropriate for most defects. The use of flat-headed osteosynthesis screws is strongly recommended.

Flexibility

maxgraft® cortico cannot be bent to follow the ridge contour. It is fully mineralized cortical bone and not flexible. Cutting of the strut can be performed using the cortico trimmer. For the incisor region, it is advised to cut the strut in the middle and fixate the two parts to form the ridge contour.

Defect filling

To fascilitate osteosynthesis, allogenic particles (e.g. maxgraft®) can be used to fill the defect. The preserved human collagen provides excellent osteoconductivity and enables complete remodelling. Mixing with autologous chips or particulated PRF-matrizes can support the ossification.

Defect filling

To fascilitate osteosynthesis, allogenic particles (e.g. maxgraft®) can be used to fill the defect. The preserved human collagen provides excellent osteoconductivity and enables complete remodelling. Mixing with autologous chips or particulated PRF-matrizes can support the ossification.

Defect filling

To fascilitate osteosynthesis, allogenic particles (e.g. maxgraft®) can be used to fill the defect. The preserved human collagen provides excellent osteoconductivity and enables complete remodelling. Mixing with autologous chips or particulated PRF-matrizes can support the ossification.

Defect filling

To fascilitate osteosynthesis, allogenic particles (e.g. maxgraft®) can be used to fill the defect. The preserved human collagen provides excellent osteoconductivity and enables complete remodelling. Mixing with autologous chips or particulated PRF-matrizes can support the ossification.

Defect filling

To fascilitate osteosynthesis, allogenic particles (e.g. maxgraft®) can be used to fill the defect. The preserved human collagen provides excellent osteoconductivity and enables complete remodelling. Mixing with autologous chips or particulated PRF-matrizes can support the ossification.

Defect filling

To fascilitate osteosynthesis, allogenic particles (e.g. maxgraft®) can be used to fill the defect. The preserved human collagen provides excellent osteoconductivity and enables complete remodelling. Mixing with autologous chips or particulated PRF-matrizes can support the ossification.

Rehydration

Rehydration of maxgraft® cortico is not necessarily required; however, rehydration in saline solution (ten minutes) can be applied to increase the flexibility of the material, simplify handling and therefore reduce the risk of plate fracture. Due to the composition of 100% cortical mineralized bone, significant liquid uptake is not to be expected.

Rehydration

Rehydration of maxgraft® cortico is not necessarily required; however, rehydration in saline solution (ten minutes) can be applied to increase the flexibility of the material, simplify handling and therefore reduce the risk of plate fracture. Due to the composition of 100% cortical mineralized bone, significant liquid uptake is not to be expected.

Rehydration

Rehydration of maxgraft® cortico is not necessarily required; however, rehydration in saline solution (ten minutes) can be applied to increase the flexibility of the material, simplify handling and therefore reduce the risk of plate fracture. Due to the composition of 100% cortical mineralized bone, significant liquid uptake is not to be expected.

Rehydration

Rehydration of maxgraft® cortico is not necessarily required; however, rehydration in saline solution (ten minutes) can be applied to increase the flexibility of the material, simplify handling and therefore reduce the risk of plate fracture. Due to the composition of 100% cortical mineralized bone, significant liquid uptake is not to be expected.

Rehydration

Rehydration of maxgraft® cortico is not necessarily required; however, rehydration in saline solution (ten minutes) can be applied to increase the flexibility of the material, simplify handling and therefore reduce the risk of plate fracture. Due to the composition of 100% cortical mineralized bone, significant liquid uptake is not to be expected.

Fixation

maxgraft® cortico should be positioned within a certain distance to the bone defect by predrilling through the plate and local bone, fixating with screws and therefore creating a compartment/container. The position should enable the placement of a later implant with a distance of at least 1 mm from the cortical strut. Pre-drilling is recommended. It is suggested to use a smaller diameter for the pre-drilling than the diameter of the later placed screws. Screws consisting of surgical steel with a diameter of 1.0–1.2 mm, or titanium with 1.2–1.4 mm and a length of 8–11 mm are appropriate for most defects. The use of flat-headed osteosynthesis screws is strongly recommended.

Fixation

maxgraft® cortico should be positioned within a certain distance to the bone defect by predrilling through the plate and local bone, fixating with screws and therefore creating a compartment/container. The position should enable the placement of a later implant with a distance of at least 1 mm from the cortical strut. Pre-drilling is recommended. It is suggested to use a smaller diameter for the pre-drilling than the diameter of the later placed screws. Screws consisting of surgical steel with a diameter of 1.0–1.2 mm, or titanium with 1.2–1.4 mm and a length of 8–11 mm are appropriate for most defects. The use of flat-headed osteosynthesis screws is strongly recommended.

Fixation

maxgraft® cortico should be positioned within a certain distance to the bone defect by predrilling through the plate and local bone, fixating with screws and therefore creating a compartment/container. The position should enable the placement of a later implant with a distance of at least 1 mm from the cortical strut. Pre-drilling is recommended. It is suggested to use a smaller diameter for the pre-drilling than the diameter of the later placed screws. Screws consisting of surgical steel with a diameter of 1.0–1.2 mm, or titanium with 1.2–1.4 mm and a length of 8–11 mm are appropriate for most defects. The use of flat-headed osteosynthesis screws is strongly recommended.

Fixation

maxgraft® cortico should be positioned within a certain distance to the bone defect by predrilling through the plate and local bone, fixating with screws and therefore creating a compartment/container. The position should enable the placement of a later implant with a distance of at least 1 mm from the cortical strut. Pre-drilling is recommended. It is suggested to use a smaller diameter for the pre-drilling than the diameter of the later placed screws. Screws consisting of surgical steel with a diameter of 1.0–1.2 mm, or titanium with 1.2–1.4 mm and a length of 8–11 mm are appropriate for most defects. The use of flat-headed osteosynthesis screws is strongly recommended.

Fixation

maxgraft® cortico should be positioned within a certain distance to the bone defect by predrilling through the plate and local bone, fixating with screws and therefore creating a compartment/container. The position should enable the placement of a later implant with a distance of at least 1 mm from the cortical strut. Pre-drilling is recommended. It is suggested to use a smaller diameter for the pre-drilling than the diameter of the later placed screws. Screws consisting of surgical steel with a diameter of 1.0–1.2 mm, or titanium with 1.2–1.4 mm and a length of 8–11 mm are appropriate for most defects. The use of flat-headed osteosynthesis screws is strongly recommended.

Flexibility

maxgraft® cortico cannot be bent to follow the ridge contour. It is fully mineralized cortical bone and not flexible. Cutting of the strut can be performed using the cortico trimmer. For the incisor region, it is advised to cut the strut in the middle and fixate the two parts to form the ridge contour.

Flexibility

maxgraft® cortico cannot be bent to follow the ridge contour. It is fully mineralized cortical bone and not flexible. Cutting of the strut can be performed using the cortico trimmer. For the incisor region, it is advised to cut the strut in the middle and fixate the two parts to form the ridge contour.

Flexibility

maxgraft® cortico cannot be bent to follow the ridge contour. It is fully mineralized cortical bone and not flexible. Cutting of the strut can be performed using the cortico trimmer. For the incisor region, it is advised to cut the strut in the middle and fixate the two parts to form the ridge contour.

Flexibility

maxgraft® cortico cannot be bent to follow the ridge contour. It is fully mineralized cortical bone and not flexible. Cutting of the strut can be performed using the cortico trimmer. For the incisor region, it is advised to cut the strut in the middle and fixate the two parts to form the ridge contour.

Flexibility

maxgraft® cortico cannot be bent to follow the ridge contour. It is fully mineralized cortical bone and not flexible. Cutting of the strut can be performed using the cortico trimmer. For the incisor region, it is advised to cut the strut in the middle and fixate the two parts to form the ridge contour.

Please Contact us for Literature.

maxgraft® cortico animation
maxgraft® cortico animation
Shell technique with maxgraft® cortico - live surgery by Dr. Jan Kielhorn
Shell technique with maxgraft® cortico - live surgery by Dr. Jan Kielhorn
Handling maxgraft® cortico
Handling maxgraft® cortico

maxgraft® granules

Processed allograft

For experienced oral and maxillofacial surgeons, allograft bone is  the only real alternative to harvesting the patient’s own autologous bone. This helps preventing well known risks such as donor-site morbidity, infection, post-operative pain, and bone-stability loss. The excellent biological regeneration capability of maxgraft® results in a predictable clinical outcome.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory. However, rehydration in blood or saline solution can facilitate the handling and application of maxgraft® granules due to better sticking together.

Particle application

Avoid compressing the particles excessively during application; less packed particles leave more space for blood vessel ingrowth and formation of new bone matrix.

Mixing with autologous bone

Mixing of maxgraft® granules with autologous bone adds a biological activity (osteoinductive and osteogenetic properties of autologous bone) and supports faster regeneration and formation of new bone.

Mixing with cerabone®

Mixing of maxgraft® granules with xenogenic materials (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® and the long-term volume stability of cerabone® lead to fast regeneration of strong vital bone.

Re-entry

Depending on the defect size, the graft will be incorporated stable within 3-4 months (usage of maxgraft® granules in socket preservation, smaller bone defects, periodontal defects).

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory. However, rehydration in blood or saline solution can facilitate the handling and application of maxgraft® granules due to better sticking together.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory. However, rehydration in blood or saline solution can facilitate the handling and application of maxgraft® granules due to better sticking together.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory. However, rehydration in blood or saline solution can facilitate the handling and application of maxgraft® granules due to better sticking together.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory. However, rehydration in blood or saline solution can facilitate the handling and application of maxgraft® granules due to better sticking together.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory. However, rehydration in blood or saline solution can facilitate the handling and application of maxgraft® granules due to better sticking together.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory. However, rehydration in blood or saline solution can facilitate the handling and application of maxgraft® granules due to better sticking together.

Particle application

Avoid compressing the particles excessively during application; less packed particles leave more space for blood vessel ingrowth and formation of new bone matrix.

Particle application

Avoid compressing the particles excessively during application; less packed particles leave more space for blood vessel ingrowth and formation of new bone matrix.

Particle application

Avoid compressing the particles excessively during application; less packed particles leave more space for blood vessel ingrowth and formation of new bone matrix.

Particle application

Avoid compressing the particles excessively during application; less packed particles leave more space for blood vessel ingrowth and formation of new bone matrix.

Particle application

Avoid compressing the particles excessively during application; less packed particles leave more space for blood vessel ingrowth and formation of new bone matrix.

Particle application

Avoid compressing the particles excessively during application; less packed particles leave more space for blood vessel ingrowth and formation of new bone matrix.

Mixing with autologous bone

Mixing of maxgraft® granules with autologous bone adds a biological activity (osteoinductive and osteogenetic properties of autologous bone) and supports faster regeneration and formation of new bone.

Mixing with autologous bone

Mixing of maxgraft® granules with autologous bone adds a biological activity (osteoinductive and osteogenetic properties of autologous bone) and supports faster regeneration and formation of new bone.

Mixing with autologous bone

Mixing of maxgraft® granules with autologous bone adds a biological activity (osteoinductive and osteogenetic properties of autologous bone) and supports faster regeneration and formation of new bone.

Mixing with autologous bone

Mixing of maxgraft® granules with autologous bone adds a biological activity (osteoinductive and osteogenetic properties of autologous bone) and supports faster regeneration and formation of new bone.

Mixing with autologous bone

Mixing of maxgraft® granules with autologous bone adds a biological activity (osteoinductive and osteogenetic properties of autologous bone) and supports faster regeneration and formation of new bone.

Mixing with autologous bone

Mixing of maxgraft® granules with autologous bone adds a biological activity (osteoinductive and osteogenetic properties of autologous bone) and supports faster regeneration and formation of new bone.

Mixing with cerabone®

Mixing of maxgraft® granules with xenogenic materials (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® and the long-term volume stability of cerabone® lead to fast regeneration of strong vital bone.

Mixing with cerabone®

Mixing of maxgraft® granules with xenogenic materials (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® and the long-term volume stability of cerabone® lead to fast regeneration of strong vital bone.

Mixing with cerabone®

Mixing of maxgraft® granules with xenogenic materials (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® and the long-term volume stability of cerabone® lead to fast regeneration of strong vital bone.

Mixing with cerabone®

Mixing of maxgraft® granules with xenogenic materials (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® and the long-term volume stability of cerabone® lead to fast regeneration of strong vital bone.

Mixing with cerabone®

Mixing of maxgraft® granules with xenogenic materials (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® and the long-term volume stability of cerabone® lead to fast regeneration of strong vital bone.

Mixing with cerabone®

Mixing of maxgraft® granules with xenogenic materials (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® and the long-term volume stability of cerabone® lead to fast regeneration of strong vital bone.

Re-entry

Depending on the defect size, the graft will be incorporated stable within 3-4 months (usage of maxgraft® granules in socket preservation, smaller bone defects, periodontal defects).

Re-entry

Depending on the defect size, the graft will be incorporated stable within 3-4 months (usage of maxgraft® granules in socket preservation, smaller bone defects, periodontal defects).

Re-entry

Depending on the defect size, the graft will be incorporated stable within 3-4 months (usage of maxgraft® granules in socket preservation, smaller bone defects, periodontal defects).

Re-entry

Depending on the defect size, the graft will be incorporated stable within 3-4 months (usage of maxgraft® granules in socket preservation, smaller bone defects, periodontal defects).

Re-entry

Depending on the defect size, the graft will be incorporated stable within 3-4 months (usage of maxgraft® granules in socket preservation, smaller bone defects, periodontal defects).

Re-entry

Depending on the defect size, the graft will be incorporated stable within 3-4 months (usage of maxgraft® granules in socket preservation, smaller bone defects, periodontal defects).

[1] Tilaveridis I. et al, The use of mineralized bone allograft (C+TBA) as a single grafting material in maxillary sinus lifting with severely atrophied alveolar ridge (1–3mm) and immediately inserted dental implants. A 3- up to 8-year retrospective study, 2018 Oral and Maxillofacial Surgery, Sep;22(3):267-273.
[2] Simonpieri A. et al. Four-year post-loading results of full-arch rehabilitation with immediate placement and immediate loading implants: A retrospective controlled study. Quintessence Int. 2017;48(4):315-324.
C+TBA Allografts: Presenting the Allotec® process
C+TBA Allografts: Presenting the Allotec® process

maxgraft® blocks

Processed allograft

For experienced oral and maxillofacial surgeons, allograft bone blocks for block augmentation are the only real alternative to harvesting the patient’s own autologous bone. This helps preventing well known risks such as donor-site morbidity, infection, post-operative pain, and bone-stability loss. The excellent biological regeneration capability of maxgraft® results in a predictable clinical outcome.

Contact to local bone

Avoid larger gaps between graft and defect, because a close contact between transplant and local bone ensures block incorporation and faster regeneration.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory, but it is recommended. Rehydration in saline solution results in a bit more flexibility of the block, therefore it is less prone to crumble or break and can be more easily adapted to the defect area.

Combination with cerabone® oder maxresorb®

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

Healing time

The average healing period is about 4 months for smaller defects and 6 months for larger defects.

Avoiding soft tissue perforation

Use flat-headed screws for fixation and avoid sharp edges that might cause a perforation of the overlying soft tissue.

Contact to local bone

Avoid larger gaps between graft and defect, because a close contact between transplant and local bone ensures block incorporation and faster regeneration.

Contact to local bone

Avoid larger gaps between graft and defect, because a close contact between transplant and local bone ensures block incorporation and faster regeneration.

Contact to local bone

Avoid larger gaps between graft and defect, because a close contact between transplant and local bone ensures block incorporation and faster regeneration.

Contact to local bone

Avoid larger gaps between graft and defect, because a close contact between transplant and local bone ensures block incorporation and faster regeneration.

Contact to local bone

Avoid larger gaps between graft and defect, because a close contact between transplant and local bone ensures block incorporation and faster regeneration.

Contact to local bone

Avoid larger gaps between graft and defect, because a close contact between transplant and local bone ensures block incorporation and faster regeneration.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory, but it is recommended. Rehydration in saline solution results in a bit more flexibility of the block, therefore it is less prone to crumble or break and can be more easily adapted to the defect area.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory, but it is recommended. Rehydration in saline solution results in a bit more flexibility of the block, therefore it is less prone to crumble or break and can be more easily adapted to the defect area.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory, but it is recommended. Rehydration in saline solution results in a bit more flexibility of the block, therefore it is less prone to crumble or break and can be more easily adapted to the defect area.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory, but it is recommended. Rehydration in saline solution results in a bit more flexibility of the block, therefore it is less prone to crumble or break and can be more easily adapted to the defect area.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory, but it is recommended. Rehydration in saline solution results in a bit more flexibility of the block, therefore it is less prone to crumble or break and can be more easily adapted to the defect area.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, a rehydration is not mandatory, but it is recommended. Rehydration in saline solution results in a bit more flexibility of the block, therefore it is less prone to crumble or break and can be more easily adapted to the defect area.

Combination with cerabone® oder maxresorb®

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

Combination with cerabone® oder maxresorb®

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

Combination with cerabone® oder maxresorb®

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

Combination with cerabone® oder maxresorb®

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

Combination with cerabone® oder maxresorb®

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

Combination with cerabone® oder maxresorb®

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

Healing time

The average healing period is about 4 months for smaller defects and 6 months for larger defects.

Healing time

The average healing period is about 4 months for smaller defects and 6 months for larger defects.

Healing time

The average healing period is about 4 months for smaller defects and 6 months for larger defects.

Healing time

The average healing period is about 4 months for smaller defects and 6 months for larger defects.

Healing time

The average healing period is about 4 months for smaller defects and 6 months for larger defects.

Healing time

The average healing period is about 4 months for smaller defects and 6 months for larger defects.

Avoiding soft tissue perforation

Use flat-headed screws for fixation and avoid sharp edges that might cause a perforation of the overlying soft tissue.

Avoiding soft tissue perforation

Use flat-headed screws for fixation and avoid sharp edges that might cause a perforation of the overlying soft tissue.

Avoiding soft tissue perforation

Use flat-headed screws for fixation and avoid sharp edges that might cause a perforation of the overlying soft tissue.

Avoiding soft tissue perforation

Use flat-headed screws for fixation and avoid sharp edges that might cause a perforation of the overlying soft tissue.

Avoiding soft tissue perforation

Use flat-headed screws for fixation and avoid sharp edges that might cause a perforation of the overlying soft tissue.

Avoiding soft tissue perforation

Use flat-headed screws for fixation and avoid sharp edges that might cause a perforation of the overlying soft tissue.

Reconstruction of maxillary ridge with maxgraft® block -Amit Patel

Initial situation with severe maxillary atrophy

Block augmentation with maxgraft® in the maxilla - PD Dr. Dr. F. Kloss

Initial situation - bone defect in maxilla after loosing right canine

Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts

Initial situation: 40 year old female patient with extensive scar tissue after several surgeries restored with a Rochette bridge

Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski

Initial situation before surgery. Patient lost central incisors 1 month ago due to endodontic failures

Please Contact us for Literature.

Live surgery maxgraft® bone block augumentation -Dr. Haqan
Live surgery maxgraft® bone block augumentation -Dr. Haqan
Fixation maxgraft® block
Fixation maxgraft® block

maxgraft® bonering

One-stage bone augmentation and implantation

Compared to the classical two-stage augmentation with bone blocks, this technique reduces the entire treatment period by several months and saves the re-entry. maxgraft® bonering is suitable for vertical and horizontal augmentation and promotes new bone formation, therefore simplifying the surgical treatment. With the maxgraft® bonerig surgical kit, botiss biomaterials provides all necessary instruments to apply the maxgraft® bonering technique. The kit includes two convenient sizes of trephines, which precisely match the maxgraft® bonering diameters.

Wound closure

Carefully consider the soft tissue situation prior to surgical intervention! Please keep in mind that a tension-free closure of the flap is essential for the success of the procedure.

Rehydration

The processing of maxgraft® products preserves the natural collagen content of the bone tissue and a residual water content of <10%. Thus, maxgraft® bonering does not need to be rehydrated, but it is recommended. Rehydration enhances the flexibility of the ring, therefore it is less prone to crumble or break and can be more easily adapted to the defect area. Above that, preparation of the ring bed using the maxgraft® bonering surgical kit ensures close contact of the bone ring to the vital bleeding bone, leading to the supply of blood to the ring. Thus, enabling fast bony integration of implant and bone graft.

Re-entry

Once maxgraft® bonering is fixed with a suitable implant, it provides great primary stability. Implant loading should be performed 6 months after transplantation to avoid resorption of the bone graft caused by a lack of mechanical stimulus.

Combination with cerabone®

The combination of maxgraft® bonering with a xenogenic material (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® bonering induces fast incorporation of graft and implant, the volume-stable cerabone® acts as a barrier against resorption and improves the esthetic outcome.

Graft exposure

Wound dehiscence and graft exposure can be common complications of augmentation. After removal of necrotic soft tissue and infected hard tissue (use rotating instruments if necessary) the augmented area should be rinsed with chlorhexidine. Subsequently, the graft has to be covered again, if necessary, by harvesting a palatal soft tissue transplant.

Wound closure

Carefully consider the soft tissue situation prior to surgical intervention! Please keep in mind that a tension-free closure of the flap is essential for the success of the procedure.

Wound closure

Carefully consider the soft tissue situation prior to surgical intervention! Please keep in mind that a tension-free closure of the flap is essential for the success of the procedure.

Wound closure

Carefully consider the soft tissue situation prior to surgical intervention! Please keep in mind that a tension-free closure of the flap is essential for the success of the procedure.

Wound closure

Carefully consider the soft tissue situation prior to surgical intervention! Please keep in mind that a tension-free closure of the flap is essential for the success of the procedure.

Wound closure

Carefully consider the soft tissue situation prior to surgical intervention! Please keep in mind that a tension-free closure of the flap is essential for the success of the procedure.

Wound closure

Carefully consider the soft tissue situation prior to surgical intervention! Please keep in mind that a tension-free closure of the flap is essential for the success of the procedure.

Rehydration

The processing of maxgraft® products preserves the natural collagen content of the bone tissue and a residual water content of <10%. Thus, maxgraft® bonering does not need to be rehydrated, but it is recommended. Rehydration enhances the flexibility of the ring, therefore it is less prone to crumble or break and can be more easily adapted to the defect area. Above that, preparation of the ring bed using the maxgraft® bonering surgical kit ensures close contact of the bone ring to the vital bleeding bone, leading to the supply of blood to the ring. Thus, enabling fast bony integration of implant and bone graft.

Rehydration

The processing of maxgraft® products preserves the natural collagen content of the bone tissue and a residual water content of <10%. Thus, maxgraft® bonering does not need to be rehydrated, but it is recommended. Rehydration enhances the flexibility of the ring, therefore it is less prone to crumble or break and can be more easily adapted to the defect area. Above that, preparation of the ring bed using the maxgraft® bonering surgical kit ensures close contact of the bone ring to the vital bleeding bone, leading to the supply of blood to the ring. Thus, enabling fast bony integration of implant and bone graft.

Rehydration

The processing of maxgraft® products preserves the natural collagen content of the bone tissue and a residual water content of <10%. Thus, maxgraft® bonering does not need to be rehydrated, but it is recommended. Rehydration enhances the flexibility of the ring, therefore it is less prone to crumble or break and can be more easily adapted to the defect area. Above that, preparation of the ring bed using the maxgraft® bonering surgical kit ensures close contact of the bone ring to the vital bleeding bone, leading to the supply of blood to the ring. Thus, enabling fast bony integration of implant and bone graft.

Rehydration

The processing of maxgraft® products preserves the natural collagen content of the bone tissue and a residual water content of <10%. Thus, maxgraft® bonering does not need to be rehydrated, but it is recommended. Rehydration enhances the flexibility of the ring, therefore it is less prone to crumble or break and can be more easily adapted to the defect area. Above that, preparation of the ring bed using the maxgraft® bonering surgical kit ensures close contact of the bone ring to the vital bleeding bone, leading to the supply of blood to the ring. Thus, enabling fast bony integration of implant and bone graft.

Rehydration

The processing of maxgraft® products preserves the natural collagen content of the bone tissue and a residual water content of <10%. Thus, maxgraft® bonering does not need to be rehydrated, but it is recommended. Rehydration enhances the flexibility of the ring, therefore it is less prone to crumble or break and can be more easily adapted to the defect area. Above that, preparation of the ring bed using the maxgraft® bonering surgical kit ensures close contact of the bone ring to the vital bleeding bone, leading to the supply of blood to the ring. Thus, enabling fast bony integration of implant and bone graft.

Rehydration

The processing of maxgraft® products preserves the natural collagen content of the bone tissue and a residual water content of <10%. Thus, maxgraft® bonering does not need to be rehydrated, but it is recommended. Rehydration enhances the flexibility of the ring, therefore it is less prone to crumble or break and can be more easily adapted to the defect area. Above that, preparation of the ring bed using the maxgraft® bonering surgical kit ensures close contact of the bone ring to the vital bleeding bone, leading to the supply of blood to the ring. Thus, enabling fast bony integration of implant and bone graft.

Re-entry

Once maxgraft® bonering is fixed with a suitable implant, it provides great primary stability. Implant loading should be performed 6 months after transplantation to avoid resorption of the bone graft caused by a lack of mechanical stimulus.

Re-entry

Once maxgraft® bonering is fixed with a suitable implant, it provides great primary stability. Implant loading should be performed 6 months after transplantation to avoid resorption of the bone graft caused by a lack of mechanical stimulus.

Re-entry

Once maxgraft® bonering is fixed with a suitable implant, it provides great primary stability. Implant loading should be performed 6 months after transplantation to avoid resorption of the bone graft caused by a lack of mechanical stimulus.

Re-entry

Once maxgraft® bonering is fixed with a suitable implant, it provides great primary stability. Implant loading should be performed 6 months after transplantation to avoid resorption of the bone graft caused by a lack of mechanical stimulus.

Re-entry

Once maxgraft® bonering is fixed with a suitable implant, it provides great primary stability. Implant loading should be performed 6 months after transplantation to avoid resorption of the bone graft caused by a lack of mechanical stimulus.

Re-entry

Once maxgraft® bonering is fixed with a suitable implant, it provides great primary stability. Implant loading should be performed 6 months after transplantation to avoid resorption of the bone graft caused by a lack of mechanical stimulus.

Combination with cerabone®

The combination of maxgraft® bonering with a xenogenic material (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® bonering induces fast incorporation of graft and implant, the volume-stable cerabone® acts as a barrier against resorption and improves the esthetic outcome.

Combination with cerabone®

The combination of maxgraft® bonering with a xenogenic material (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® bonering induces fast incorporation of graft and implant, the volume-stable cerabone® acts as a barrier against resorption and improves the esthetic outcome.

Combination with cerabone®

The combination of maxgraft® bonering with a xenogenic material (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® bonering induces fast incorporation of graft and implant, the volume-stable cerabone® acts as a barrier against resorption and improves the esthetic outcome.

Combination with cerabone®

The combination of maxgraft® bonering with a xenogenic material (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® bonering induces fast incorporation of graft and implant, the volume-stable cerabone® acts as a barrier against resorption and improves the esthetic outcome.

Combination with cerabone®

The combination of maxgraft® bonering with a xenogenic material (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® bonering induces fast incorporation of graft and implant, the volume-stable cerabone® acts as a barrier against resorption and improves the esthetic outcome.

Combination with cerabone®

The combination of maxgraft® bonering with a xenogenic material (cerabone®) combines the advantages of both materials; the biological potential of maxgraft® bonering induces fast incorporation of graft and implant, the volume-stable cerabone® acts as a barrier against resorption and improves the esthetic outcome.

Graft exposure

Wound dehiscence and graft exposure can be common complications of augmentation. After removal of necrotic soft tissue and infected hard tissue (use rotating instruments if necessary) the augmented area should be rinsed with chlorhexidine. Subsequently, the graft has to be covered again, if necessary, by harvesting a palatal soft tissue transplant.

Graft exposure

Wound dehiscence and graft exposure can be common complications of augmentation. After removal of necrotic soft tissue and infected hard tissue (use rotating instruments if necessary) the augmented area should be rinsed with chlorhexidine. Subsequently, the graft has to be covered again, if necessary, by harvesting a palatal soft tissue transplant.

Graft exposure

Wound dehiscence and graft exposure can be common complications of augmentation. After removal of necrotic soft tissue and infected hard tissue (use rotating instruments if necessary) the augmented area should be rinsed with chlorhexidine. Subsequently, the graft has to be covered again, if necessary, by harvesting a palatal soft tissue transplant.

Graft exposure

Wound dehiscence and graft exposure can be common complications of augmentation. After removal of necrotic soft tissue and infected hard tissue (use rotating instruments if necessary) the augmented area should be rinsed with chlorhexidine. Subsequently, the graft has to be covered again, if necessary, by harvesting a palatal soft tissue transplant.

Graft exposure

Wound dehiscence and graft exposure can be common complications of augmentation. After removal of necrotic soft tissue and infected hard tissue (use rotating instruments if necessary) the augmented area should be rinsed with chlorhexidine. Subsequently, the graft has to be covered again, if necessary, by harvesting a palatal soft tissue transplant.

Vertical augmentation and sinus lift with maxgraft® bonering - Dr. O. Yüksel and Dr. B. Giesenhagen

Vertical augmentation: Preparation of ring bed in atrophic mandibula (third quadrant)

Restoration of buccal layer with maxgraft® bonering - A. Patel

Initial situation: missing incisor with loss of buccal wall

Guided bone ring procedure in aesthetic zone - Dr. K. Chmielewski & Dr. O. Yükse

Planning the surgery with CoDiagnostix® for Straumann® Guided Surgery

Sinus Floor Elevation with maxgraft® bonering - Dr. B. Giesenhagen

X-ray scan reveals initial situation with maxillary bone height in regio 15 of 1.5 mm

Restoration of buccal bone lamella in aesthetic zone with maxgraft® bonering - Dr. A. Patel

Initial situation: bone loss due to lack of physical load of bridge retained region 11

Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen

Initial situation pre-op: Central incisors with mobility 3

Periimplantitis treatment with maxgraft® bonering - Dr. B. Giesenhagen

Severe periimplantitis at tooth 15 with bone loss up to 1/3 of the implant

Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus - Dr. K. Chmielewski

Initial situation: X-ray scan reveals eggshell thin sinus floor (1-3 mm) on both sites of the maxilla; green areas indicate the planned maxgraft® bonerings and red areas the planned implants

Advanced vertical augmentation in posterior maxilla with maxgraft® bonering - Dr. A. Isser

Initial situation 57-year old female patient. X-ray scan reveals severe bone loss due to inflammation in region 13. Treatment plan was extraction of teeth 13 and 14 and augmentation after healing.

Augmentation of buccal and lingual bone lamella with maxgraft® bonering - Dr. B. Giesenhagen

X-ray scan: initial situation loss of two wall bony defect with loss of buccal and lingual lamella

[1] Flanagan D. (2016). Cylindrical Ringbone Allograft to Restore Atrophic Implant Sites: A Pilot Study. Journal of Oral Implantology 2016;42(2):159-163.
[2] Miller at el. (2017). Use of the Straumann® AlloGraft Ring With Simultaneous Implant Placement: A Novel Approach. Compendium of Continuing Education in Dentistry Nov/Dec 2017, Vol 38, Issue 11 https://www.aegisdentalnetwork.com/cced/2017/11/use-of-the-straumann-allograft-ring-with-simultaneous-implant-placement-a-novel-approach
[3] Giesenhagen G, Martin N, Donkiewicz P, Kacarević ZP, Smeets R, Jung O, Schnettler R, Barbeck M (2018). Vertical bone augmentation in a single-tooth gap with an allogenic bone ring: Clinical considerations. J Esthet Restor Dent. 2018;1–4. https://doi.org/10.1111/jerd.12392
[4] Benlidayi E, Salimov F, Tukel C, Yüksel O (2018). Comparison of autogenous and allograft bone rings in surgically created vertical bone defects around implants in a sheep model. Clin Oral Implants Res. 2018. https://www.ncbi.nlm.nih.gov/m/pubmed/30281857/
[5] Giesenhagen B, Martin N, Jung O, Barbeck M (2019). Bone Augmentation and Simultaneous Implant Placement with Allogenic Bone Rings and Analysis of Its Purification Success. Materials 2019 9 12, 1291; https://doi.org/10.3390/ma12081291
maxgraft® bonering technique animation
maxgraft® bonering technique animation
Live OP vertikale Augmentation mit maxgraft® bonering Dr. A. Vossenberg
Live OP vertikale Augmentation mit maxgraft® bonering Dr. A. Vossenberg
Bone Ring Technique surgery performed by Dr. Orcan Yüksel and Dr. Kris Chmielewski
Bone Ring Technique surgery performed by Dr. Orcan Yüksel and Dr. Kris Chmielewski
Live-surgery maxgraft® bonering Dr. Bernhard Giesenhagen
Live-surgery maxgraft® bonering Dr. Bernhard Giesenhagen
Live surgery maxgraft® bonering Dr. Bernhard Giesenhagen
Live surgery maxgraft® bonering Dr. Bernhard Giesenhagen
maxgaft® bonering surgery David Furze
maxgaft® bonering surgery David Furze
Live surgery maxgraft® bonering Dr. Bernhard Giesenhagen & Dr. Orcan Yüksel
Live surgery maxgraft® bonering Dr. Bernhard Giesenhagen & Dr. Orcan Yüksel
Dr. Orcan Yüksel about the maxgraft® bonering
Dr. Orcan Yüksel about the maxgraft® bonering
maxgraft® bonering surgery by Dr. Bernhard Giesenhagen
maxgraft® bonering surgery by Dr. Bernhard Giesenhagen

Jason® membrane

Native pericardium membrane for GBR/GTR

Due to the unique production process, the superior properties of the native pericardium are preserved during the extensive cleaning procedure that is applied for the production of Jason® membrane. Therefore, Jason® membrane shows a natural honeycomb-like, multilayered collagen structure with an increased content of collagen type III leading to a remarkable tear resistance to and a slow degradation of Jason® membrane. This ensures a natural long barrier function, making the Jason® membrane our recommended choice particularly for large augmentative procedures.

Rehydration

The Jason® membrane can be applied dry or pre-hydrated in sterile saline solution or blood from the defect. The initial placement of the dry membrane with subsequent application of the graft material is particularly advantageous for lateral augmentations. After rehydration the membrane can be folded over the defect.

Fixation

Jason® membrane exhibits a remarkable multi-directional tear resistance. Therefore, it can easily be pinned, sutured or even screwed without rupturing.

Exposure

Exposure of Jason® membrane should be avoided, since fast bacterial resorption significantly reduces the barrier function of the thin Jason® membrane. In case of an unstable soft tissue situation or if you expect a wound dehiscence to occur, it is recommended to cover the membrane with a Jason® fleece (where applicable, soaked in antibiotics) to protect the healing area. In case of a dehiscence the wound usually heals without complications by formation of free granulation tissue.

Shaping

Jason® membrane can be cut to the desired shape and size with a pair of scissors - while maintaining sterility. It may be helpful to use appropriate templates for defining the required size of the membrane.

Placement

Jason® membrane has one rough and one slightly smoother surface. The smoother, fine structured side is marked „G“ at the top right corner and should be placed towards the gingiva. The rougher side should face the bone. However, there is no problem if the membrane is placed the other way around, since the long-term barrier function of the membrane will still provide sufficient protection for the regeneration site.

Rehydration

The Jason® membrane can be applied dry or pre-hydrated in sterile saline solution or blood from the defect. The initial placement of the dry membrane with subsequent application of the graft material is particularly advantageous for lateral augmentations. After rehydration the membrane can be folded over the defect.

Rehydration

The Jason® membrane can be applied dry or pre-hydrated in sterile saline solution or blood from the defect. The initial placement of the dry membrane with subsequent application of the graft material is particularly advantageous for lateral augmentations. After rehydration the membrane can be folded over the defect.

Rehydration

The Jason® membrane can be applied dry or pre-hydrated in sterile saline solution or blood from the defect. The initial placement of the dry membrane with subsequent application of the graft material is particularly advantageous for lateral augmentations. After rehydration the membrane can be folded over the defect.

Rehydration

The Jason® membrane can be applied dry or pre-hydrated in sterile saline solution or blood from the defect. The initial placement of the dry membrane with subsequent application of the graft material is particularly advantageous for lateral augmentations. After rehydration the membrane can be folded over the defect.

Rehydration

The Jason® membrane can be applied dry or pre-hydrated in sterile saline solution or blood from the defect. The initial placement of the dry membrane with subsequent application of the graft material is particularly advantageous for lateral augmentations. After rehydration the membrane can be folded over the defect.

Rehydration

The Jason® membrane can be applied dry or pre-hydrated in sterile saline solution or blood from the defect. The initial placement of the dry membrane with subsequent application of the graft material is particularly advantageous for lateral augmentations. After rehydration the membrane can be folded over the defect.

Fixation

Jason® membrane exhibits a remarkable multi-directional tear resistance. Therefore, it can easily be pinned, sutured or even screwed without rupturing.

Fixation

Jason® membrane exhibits a remarkable multi-directional tear resistance. Therefore, it can easily be pinned, sutured or even screwed without rupturing.

Fixation

Jason® membrane exhibits a remarkable multi-directional tear resistance. Therefore, it can easily be pinned, sutured or even screwed without rupturing.

Fixation

Jason® membrane exhibits a remarkable multi-directional tear resistance. Therefore, it can easily be pinned, sutured or even screwed without rupturing.

Fixation

Jason® membrane exhibits a remarkable multi-directional tear resistance. Therefore, it can easily be pinned, sutured or even screwed without rupturing.

Fixation

Jason® membrane exhibits a remarkable multi-directional tear resistance. Therefore, it can easily be pinned, sutured or even screwed without rupturing.

Exposure

Exposure of Jason® membrane should be avoided, since fast bacterial resorption significantly reduces the barrier function of the thin Jason® membrane. In case of an unstable soft tissue situation or if you expect a wound dehiscence to occur, it is recommended to cover the membrane with a Jason® fleece (where applicable, soaked in antibiotics) to protect the healing area. In case of a dehiscence the wound usually heals without complications by formation of free granulation tissue.

Exposure

Exposure of Jason® membrane should be avoided, since fast bacterial resorption significantly reduces the barrier function of the thin Jason® membrane. In case of an unstable soft tissue situation or if you expect a wound dehiscence to occur, it is recommended to cover the membrane with a Jason® fleece (where applicable, soaked in antibiotics) to protect the healing area. In case of a dehiscence the wound usually heals without complications by formation of free granulation tissue.

Exposure

Exposure of Jason® membrane should be avoided, since fast bacterial resorption significantly reduces the barrier function of the thin Jason® membrane. In case of an unstable soft tissue situation or if you expect a wound dehiscence to occur, it is recommended to cover the membrane with a Jason® fleece (where applicable, soaked in antibiotics) to protect the healing area. In case of a dehiscence the wound usually heals without complications by formation of free granulation tissue.

Exposure

Exposure of Jason® membrane should be avoided, since fast bacterial resorption significantly reduces the barrier function of the thin Jason® membrane. In case of an unstable soft tissue situation or if you expect a wound dehiscence to occur, it is recommended to cover the membrane with a Jason® fleece (where applicable, soaked in antibiotics) to protect the healing area. In case of a dehiscence the wound usually heals without complications by formation of free granulation tissue.

Exposure

Exposure of Jason® membrane should be avoided, since fast bacterial resorption significantly reduces the barrier function of the thin Jason® membrane. In case of an unstable soft tissue situation or if you expect a wound dehiscence to occur, it is recommended to cover the membrane with a Jason® fleece (where applicable, soaked in antibiotics) to protect the healing area. In case of a dehiscence the wound usually heals without complications by formation of free granulation tissue.

Exposure

Exposure of Jason® membrane should be avoided, since fast bacterial resorption significantly reduces the barrier function of the thin Jason® membrane. In case of an unstable soft tissue situation or if you expect a wound dehiscence to occur, it is recommended to cover the membrane with a Jason® fleece (where applicable, soaked in antibiotics) to protect the healing area. In case of a dehiscence the wound usually heals without complications by formation of free granulation tissue.

Shaping

Jason® membrane can be cut to the desired shape and size with a pair of scissors - while maintaining sterility. It may be helpful to use appropriate templates for defining the required size of the membrane.

Shaping

Jason® membrane can be cut to the desired shape and size with a pair of scissors - while maintaining sterility. It may be helpful to use appropriate templates for defining the required size of the membrane.

Shaping

Jason® membrane can be cut to the desired shape and size with a pair of scissors - while maintaining sterility. It may be helpful to use appropriate templates for defining the required size of the membrane.

Shaping

Jason® membrane can be cut to the desired shape and size with a pair of scissors - while maintaining sterility. It may be helpful to use appropriate templates for defining the required size of the membrane.

Shaping

Jason® membrane can be cut to the desired shape and size with a pair of scissors - while maintaining sterility. It may be helpful to use appropriate templates for defining the required size of the membrane.

Shaping

Jason® membrane can be cut to the desired shape and size with a pair of scissors - while maintaining sterility. It may be helpful to use appropriate templates for defining the required size of the membrane.

Placement

Jason® membrane has one rough and one slightly smoother surface. The smoother, fine structured side is marked „G“ at the top right corner and should be placed towards the gingiva. The rougher side should face the bone. However, there is no problem if the membrane is placed the other way around, since the long-term barrier function of the membrane will still provide sufficient protection for the regeneration site.

Placement

Jason® membrane has one rough and one slightly smoother surface. The smoother, fine structured side is marked „G“ at the top right corner and should be placed towards the gingiva. The rougher side should face the bone. However, there is no problem if the membrane is placed the other way around, since the long-term barrier function of the membrane will still provide sufficient protection for the regeneration site.

Placement

Jason® membrane has one rough and one slightly smoother surface. The smoother, fine structured side is marked „G“ at the top right corner and should be placed towards the gingiva. The rougher side should face the bone. However, there is no problem if the membrane is placed the other way around, since the long-term barrier function of the membrane will still provide sufficient protection for the regeneration site.

Placement

Jason® membrane has one rough and one slightly smoother surface. The smoother, fine structured side is marked „G“ at the top right corner and should be placed towards the gingiva. The rougher side should face the bone. However, there is no problem if the membrane is placed the other way around, since the long-term barrier function of the membrane will still provide sufficient protection for the regeneration site.

Placement

Jason® membrane has one rough and one slightly smoother surface. The smoother, fine structured side is marked „G“ at the top right corner and should be placed towards the gingiva. The rougher side should face the bone. However, there is no problem if the membrane is placed the other way around, since the long-term barrier function of the membrane will still provide sufficient protection for the regeneration site.

Placement

Jason® membrane has one rough and one slightly smoother surface. The smoother, fine structured side is marked „G“ at the top right corner and should be placed towards the gingiva. The rougher side should face the bone. However, there is no problem if the membrane is placed the other way around, since the long-term barrier function of the membrane will still provide sufficient protection for the regeneration site.

botiss cerabone® & Jason® membrane for GBR - Clinical case by Prof. Dr. Dr. D. Rothamel

Instable bridge situation with abscess formation at tooth #15 after apicoectomy

botiss cerabone® & Jason® membrane for GBR - Clinical case by Dr. S. Kovalevsky

Implant insertion in atrophic alveolar ridge

Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen

Initial situation pre-op: Central incisors with mobility 3

Ridge augmentation in the maxilla with maxgraft® bonebuilder in the aesthetic zone - Dr. M. Kristensen

Bone defect in area 11-21 due to two lost implants (periimplantitis) after 15 years of function

Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger

Model of the initial defect computed from a CBCT scan - buccal view

Augmentation with maxgraft® cortico - Dr. K. Chmielewski

Preparation of a single tooth defect with severely resorbed vestibular wall

Immediate implant placement and regeneration of ridge using an allograft bone ring and Jason® membrane - Drs. Miller and Korn

60-year-old female patient presented with a chronic infection on tooth #11.
Since she has a high lip line matching the gingival margins of the adjacent central incisor and creating a root eminence is extremely important. For these reasons, the treatment of choice was an allograft bone ring enabling immediate placement of the dental implant with simultaneous regeneration of her ridge.

Full bone regeneration in extraction socket augmented with maxgraft® and Jason® membrane – Dr. C. Landsberg

Initial clinical situation: 9 mm pocket depth associated with root fracture

GBR with cerabone® and Jason® membrane in the front tooth region - Dr. H. Maghaireh

Initial clinical situation with gum recession and labial bone loss eight weeks following tooth extraction

botiss maxgraft® bonebuilder for atrophic maxilla reconstruction - Clinical case

Pre-operative clinical situation: severe atrophy of the maxillary bone

bone augmentation in the aesthetic zone with maxgraft® bonering -Dr. R. Cutts

Clinical situation: 71-old patient with atrial fibrillation and Warfarin medication

botiss maxgraft® bonebuilder and vestibuloplasty with mucoderm® for ridge augmentation - Clinical case

Preoperative situation – Maxillary defect in area 14-16 (loss of implant 16 due to periimplantitis, tooth 14 extracted recently and area 15 already edentulous for a while)

botiss cerabone® & Jason® membrane for horizontal augmentation - Clinical case by Dr. M. Steigmann

Three implants placed in a narrow posterior mandible

botiss cerabone® & Jason® membrane for block augmentation with autologous bone blocks - clinical case by Dr. S. Stavar

Initial clinical situation with single tooth gap in regio 21

botiss cerabone® & Jason® membrane for GBR - clinical case by Dr. S. Stavar

Initial clinical situation with broken bridge abutment in regio 12 and tooth 21 not worth preserving

Advanced vertical augmentation in posterior maxilla with maxgraft® bonering - Dr. A. Isser

Initial situation 57-year old female patient. X-ray scan reveals severe bone loss due to inflammation in region 13. Treatment plan was extraction of teeth 13 and 14 and augmentation after healing.

GBR with Jason membrane® and cerabone® - D. Fontana

Lateral view of the defect in the posterior right maxilla.

botiss maxresorb®, Jason fleece® and collprotect® membrane for sinus lift and simultaneous implantation - case by Dr. F. Kistler

DVT image demonstrating horizontal and vertical amount of bone available

Immediate implantation with maxresorb® inject - Dr. D. Jelušić

Preoperative Ortopantomogram of the teeth planned for extraction

Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus - Dr. K. Chmielewski

Initial situation: X-ray scan reveals eggshell thin sinus floor (1-3 mm) on both sites of the maxilla; green areas indicate the planned maxgraft® bonerings and red areas the planned implants

Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn

The patient presented with pathologic mobility of upper left central incisor. Radiographic examination revealed significant circumferential attachment loss with an unfavorable crown to root ratio.

Please Contact us for Literature.

Immediate implantation and augmentation by Dr. Derk Siebers
Immediate implantation and augmentation by Dr. Derk Siebers
Lateral sinus lift one-stage by Dr. Derk Siebers
Lateral sinus lift one-stage by Dr. Derk Siebers
Lateral sinus lift with maxresorb®
Lateral sinus lift with maxresorb®
Immediate tissue augmentation technique with application of cerabone® and Jason® membrane
Immediate tissue augmentation technique with application of cerabone® and Jason® membrane
Lateral sinus lift one-stage by Dr. Derk Siebers
Lateral sinus lift one-stage by Dr. Derk Siebers
Lateral augmentation on pig jaw by PD Dr. Dr. D. Rothamel
Lateral augmentation on pig jaw by PD Dr. Dr. D. Rothamel
GBR with cerabone® and Jason® membrane – Dr. Alfonso Caiazzo (Italy)
GBR with cerabone® and Jason® membrane – Dr. Alfonso Caiazzo (Italy)
Ridge preservation by Dr. Derk Siebers
Ridge preservation by Dr. Derk Siebers
Augmentation of dehiscence defect by Dr. Marius Steigmann
Augmentation of dehiscence defect by Dr. Marius Steigmann
Lateral one-stage sinus lift with cerabone® and Jason® membrane – Dr. Massimo Frosecchi (Italy)
Lateral one-stage sinus lift with cerabone® and Jason® membrane – Dr. Massimo Frosecchi (Italy)

collacone® max

Calcium phosphate collagen cone

collacone® max is designed to fit perfectly into the void of the extraction socket and does not require rehydration before application. collacone® max may be applied both as a protective medium and temporary void filler in the extraction socket when performing an early implantation, or as a regenerative material that assists new bone formation in the case of delayed implantation.

Re-entry

To ensure integration of the material, it is recommended to wait about 6 months before re-entry.

Covering

It is recommended to cover the collacone® max, i.g. with a mucoderm® matrix, to prevent migration of granules.

Re-entry

To ensure integration of the material, it is recommended to wait about 6 months before re-entry.

Re-entry

To ensure integration of the material, it is recommended to wait about 6 months before re-entry.

Re-entry

To ensure integration of the material, it is recommended to wait about 6 months before re-entry.

Re-entry

To ensure integration of the material, it is recommended to wait about 6 months before re-entry.

Re-entry

To ensure integration of the material, it is recommended to wait about 6 months before re-entry.

Re-entry

To ensure integration of the material, it is recommended to wait about 6 months before re-entry.

Covering

It is recommended to cover the collacone® max, i.g. with a mucoderm® matrix, to prevent migration of granules.

Covering

It is recommended to cover the collacone® max, i.g. with a mucoderm® matrix, to prevent migration of granules.

Covering

It is recommended to cover the collacone® max, i.g. with a mucoderm® matrix, to prevent migration of granules.

Covering

It is recommended to cover the collacone® max, i.g. with a mucoderm® matrix, to prevent migration of granules.

Covering

It is recommended to cover the collacone® max, i.g. with a mucoderm® matrix, to prevent migration of granules.

Covering

It is recommended to cover the collacone® max, i.g. with a mucoderm® matrix, to prevent migration of granules.

Please Contact us for Literature.

maxgraft® bonebuilder

Patient customized allogenic bone block

The botiss biomaterials partner Cells+Tissuebank Austria (C+TBA) receives a *.stl milling file and the customized allogenic bone block is produced under clean room conditions. maxgraft® bonebuilder may be  applied directly onto the defect. After placement, the maxgraft® bonebuilder block is fixed with osteosynthesis screws. Any residual defect volume should be filled with bone substitute material and the augmentation site covered with a barrier membrane for guided bone regeneration.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, maxgraft® bonebuilder does not need to be rehydrated, but it is recommended. maxgraft® bonebuilder should be rehydrated 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. Rehydration may be useful especially for blocks of bigger dimensions to enhance the adaptability of the material to the specific defect site.

Combination with cerabone® or maxgraft®

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

Guided Bone Regeneration

maxgraft® bonebuilder should be covered by a resorbable barrier forming collagen membrane for GBR (guided bone regeneration)- e.g. Jason® membrane - to prevent ingrowth of soft tissue into the bone graft.

Re-entry

Depending on the defect size, the graft will be stably incorporated within approximately 6 months.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, maxgraft® bonebuilder does not need to be rehydrated, but it is recommended. maxgraft® bonebuilder should be rehydrated 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. Rehydration may be useful especially for blocks of bigger dimensions to enhance the adaptability of the material to the specific defect site.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, maxgraft® bonebuilder does not need to be rehydrated, but it is recommended. maxgraft® bonebuilder should be rehydrated 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. Rehydration may be useful especially for blocks of bigger dimensions to enhance the adaptability of the material to the specific defect site.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, maxgraft® bonebuilder does not need to be rehydrated, but it is recommended. maxgraft® bonebuilder should be rehydrated 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. Rehydration may be useful especially for blocks of bigger dimensions to enhance the adaptability of the material to the specific defect site.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, maxgraft® bonebuilder does not need to be rehydrated, but it is recommended. maxgraft® bonebuilder should be rehydrated 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. Rehydration may be useful especially for blocks of bigger dimensions to enhance the adaptability of the material to the specific defect site.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, maxgraft® bonebuilder does not need to be rehydrated, but it is recommended. maxgraft® bonebuilder should be rehydrated 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. Rehydration may be useful especially for blocks of bigger dimensions to enhance the adaptability of the material to the specific defect site.

Rehydration

The processing of maxgraft® products preserves the natural collagen content and a residual water content of <10%. Thus, maxgraft® bonebuilder does not need to be rehydrated, but it is recommended. maxgraft® bonebuilder should be rehydrated 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. Rehydration may be useful especially for blocks of bigger dimensions to enhance the adaptability of the material to the specific defect site.

Combination with cerabone® or maxgraft®

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

Combination with cerabone® or maxgraft®

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

Combination with cerabone® or maxgraft®

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

Combination with cerabone® or maxgraft®

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

Combination with cerabone® or maxgraft®

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

Combination with cerabone® or maxgraft®

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

Guided Bone Regeneration

maxgraft® bonebuilder should be covered by a resorbable barrier forming collagen membrane for GBR (guided bone regeneration)- e.g. Jason® membrane - to prevent ingrowth of soft tissue into the bone graft.

Guided Bone Regeneration

maxgraft® bonebuilder should be covered by a resorbable barrier forming collagen membrane for GBR (guided bone regeneration)- e.g. Jason® membrane - to prevent ingrowth of soft tissue into the bone graft.

Guided Bone Regeneration

maxgraft® bonebuilder should be covered by a resorbable barrier forming collagen membrane for GBR (guided bone regeneration)- e.g. Jason® membrane - to prevent ingrowth of soft tissue into the bone graft.

Guided Bone Regeneration

maxgraft® bonebuilder should be covered by a resorbable barrier forming collagen membrane for GBR (guided bone regeneration)- e.g. Jason® membrane - to prevent ingrowth of soft tissue into the bone graft.

Guided Bone Regeneration

maxgraft® bonebuilder should be covered by a resorbable barrier forming collagen membrane for GBR (guided bone regeneration)- e.g. Jason® membrane - to prevent ingrowth of soft tissue into the bone graft.

Guided Bone Regeneration

maxgraft® bonebuilder should be covered by a resorbable barrier forming collagen membrane for GBR (guided bone regeneration)- e.g. Jason® membrane - to prevent ingrowth of soft tissue into the bone graft.

Re-entry

Depending on the defect size, the graft will be stably incorporated within approximately 6 months.

Re-entry

Depending on the defect size, the graft will be stably incorporated within approximately 6 months.

Re-entry

Depending on the defect size, the graft will be stably incorporated within approximately 6 months.

Re-entry

Depending on the defect size, the graft will be stably incorporated within approximately 6 months.

Re-entry

Depending on the defect size, the graft will be stably incorporated within approximately 6 months.

Re-entry

Depending on the defect size, the graft will be stably incorporated within approximately 6 months.

Ridge augmentation in the maxilla with maxgraft® bonebuilder in the aesthetic zone - Dr. M. Kristensen

Bone defect in area 11-21 due to two lost implants (periimplantitis) after 15 years of function

Ridge augmentation with maxgraft® bonebuilder and sinus floor elevation – Dr. K.P. Schiechl

Initial clinical situation: Bone defect in the upper right maxilla (teeth #14-16)

botiss maxgraft® bonebuilder for atrophic maxilla reconstruction - Clinical case

Pre-operative clinical situation: severe atrophy of the maxillary bone

botiss maxgraft® bonebuilder and vestibuloplasty with mucoderm® for ridge augmentation - Clinical case

Preoperative situation – Maxillary defect in area 14-16 (loss of implant 16 due to periimplantitis, tooth 14 extracted recently and area 15 already edentulous for a while)

Please Contact us for Literature.

maxgraft® bonebuilder animation
maxgraft® bonebuilder animation
Bone augmentation in the mandible with maxgraft® bonebuilder – Surgery by Dr. David Furze
Bone augmentation in the mandible with maxgraft® bonebuilder – Surgery by Dr. David Furze
maxgraft® bonebuilder in the mandible including incisions by Dr Dr O Blume
maxgraft® bonebuilder in the mandible including incisions by Dr Dr O Blume
Dr. Oliver Blume about the maxgraft® bonebuilder
Dr. Oliver Blume about the maxgraft® bonebuilder
Semi-pillar incisions according to Dr Dr O Blume - maxgraft® bonebuilder
Semi-pillar incisions according to Dr Dr O Blume - maxgraft® bonebuilder
Bone augmentation in the maxilla with maxgraft® bonebuilder - Surgery by Dr. Michael Kristensen
Bone augmentation in the maxilla with maxgraft® bonebuilder - Surgery by Dr. Michael Kristensen

maxresorb® inject

Synthetic injectable bone paste

The highly viscous maxresorb® inject paste allows the perfect shaping, molding, fitting, and complete bone bonding to the surrounding bone surface of the defect. maxresorb® inject is a non-hardening synthetic bone paste.

Membrane coverage

maxresorb® inject must always be covered with a membrane in order to stabilize the material.

Material stability

maxresorb® inject is not the material of choice for larger augmentations due to insufficient stability. The nano-HA component, composing about 80% of the material, is resorbed within ~3-4 months. The material is non-hardening i.e. does not harden upon application.

Material application

maxresorb® inject can be injected directly into the defect through the syringe. It is also possible to form it before application onto the defect, or to insert it by the help of a spatula.

Mixing of material

The paste is ready to use, but it can also be mixed with blood, autologous bone or bone substitute materials.

Storage temperature

Please make sure that maxresorb® inject is stored at the recommended storage temperature (5-30°C). The paste is mainly composed of a hydrous nano-HA gel. Elevated temperatures will cause water evaporation, resulting in drying of the paste. Likewise, freezing of the water component may result in changes of the material properties that cannot be reversed.

Membrane coverage

maxresorb® inject must always be covered with a membrane in order to stabilize the material.

Membrane coverage

maxresorb® inject must always be covered with a membrane in order to stabilize the material.

Membrane coverage

maxresorb® inject must always be covered with a membrane in order to stabilize the material.

Membrane coverage

maxresorb® inject must always be covered with a membrane in order to stabilize the material.

Membrane coverage

maxresorb® inject must always be covered with a membrane in order to stabilize the material.

Membrane coverage

maxresorb® inject must always be covered with a membrane in order to stabilize the material.

Material stability

maxresorb® inject is not the material of choice for larger augmentations due to insufficient stability. The nano-HA component, composing about 80% of the material, is resorbed within ~3-4 months. The material is non-hardening i.e. does not harden upon application.

Material stability

maxresorb® inject is not the material of choice for larger augmentations due to insufficient stability. The nano-HA component, composing about 80% of the material, is resorbed within ~3-4 months. The material is non-hardening i.e. does not harden upon application.

Material stability

maxresorb® inject is not the material of choice for larger augmentations due to insufficient stability. The nano-HA component, composing about 80% of the material, is resorbed within ~3-4 months. The material is non-hardening i.e. does not harden upon application.

Material stability

maxresorb® inject is not the material of choice for larger augmentations due to insufficient stability. The nano-HA component, composing about 80% of the material, is resorbed within ~3-4 months. The material is non-hardening i.e. does not harden upon application.

Material stability

maxresorb® inject is not the material of choice for larger augmentations due to insufficient stability. The nano-HA component, composing about 80% of the material, is resorbed within ~3-4 months. The material is non-hardening i.e. does not harden upon application.

Material stability

maxresorb® inject is not the material of choice for larger augmentations due to insufficient stability. The nano-HA component, composing about 80% of the material, is resorbed within ~3-4 months. The material is non-hardening i.e. does not harden upon application.

Material application

maxresorb® inject can be injected directly into the defect through the syringe. It is also possible to form it before application onto the defect, or to insert it by the help of a spatula.

Material application

maxresorb® inject can be injected directly into the defect through the syringe. It is also possible to form it before application onto the defect, or to insert it by the help of a spatula.

Material application

maxresorb® inject can be injected directly into the defect through the syringe. It is also possible to form it before application onto the defect, or to insert it by the help of a spatula.

Material application

maxresorb® inject can be injected directly into the defect through the syringe. It is also possible to form it before application onto the defect, or to insert it by the help of a spatula.

Material application

maxresorb® inject can be injected directly into the defect through the syringe. It is also possible to form it before application onto the defect, or to insert it by the help of a spatula.

Material application

maxresorb® inject can be injected directly into the defect through the syringe. It is also possible to form it before application onto the defect, or to insert it by the help of a spatula.

Mixing of material

The paste is ready to use, but it can also be mixed with blood, autologous bone or bone substitute materials.

Mixing of material

The paste is ready to use, but it can also be mixed with blood, autologous bone or bone substitute materials.

Mixing of material

The paste is ready to use, but it can also be mixed with blood, autologous bone or bone substitute materials.

Mixing of material

The paste is ready to use, but it can also be mixed with blood, autologous bone or bone substitute materials.

Mixing of material

The paste is ready to use, but it can also be mixed with blood, autologous bone or bone substitute materials.

Mixing of material

The paste is ready to use, but it can also be mixed with blood, autologous bone or bone substitute materials.

Storage temperature

Please make sure that maxresorb® inject is stored at the recommended storage temperature (5-30°C). The paste is mainly composed of a hydrous nano-HA gel. Elevated temperatures will cause water evaporation, resulting in drying of the paste. Likewise, freezing of the water component may result in changes of the material properties that cannot be reversed.

Storage temperature

Please make sure that maxresorb® inject is stored at the recommended storage temperature (5-30°C). The paste is mainly composed of a hydrous nano-HA gel. Elevated temperatures will cause water evaporation, resulting in drying of the paste. Likewise, freezing of the water component may result in changes of the material properties that cannot be reversed.

Storage temperature

Please make sure that maxresorb® inject is stored at the recommended storage temperature (5-30°C). The paste is mainly composed of a hydrous nano-HA gel. Elevated temperatures will cause water evaporation, resulting in drying of the paste. Likewise, freezing of the water component may result in changes of the material properties that cannot be reversed.

Storage temperature

Please make sure that maxresorb® inject is stored at the recommended storage temperature (5-30°C). The paste is mainly composed of a hydrous nano-HA gel. Elevated temperatures will cause water evaporation, resulting in drying of the paste. Likewise, freezing of the water component may result in changes of the material properties that cannot be reversed.

Storage temperature

Please make sure that maxresorb® inject is stored at the recommended storage temperature (5-30°C). The paste is mainly composed of a hydrous nano-HA gel. Elevated temperatures will cause water evaporation, resulting in drying of the paste. Likewise, freezing of the water component may result in changes of the material properties that cannot be reversed.

Storage temperature

Please make sure that maxresorb® inject is stored at the recommended storage temperature (5-30°C). The paste is mainly composed of a hydrous nano-HA gel. Elevated temperatures will cause water evaporation, resulting in drying of the paste. Likewise, freezing of the water component may result in changes of the material properties that cannot be reversed.

Internal sinus lift with maxresorb® inject - case Dr. Frank Kistler

<p>Endodontically treated tooth 26 with apical cyst formation</p>

Internal Sinus lift - Dr. Frank Kistler

Endodontically treated tooth 26 with apical cyst formation

Immediate implantation with maxresorb® inject - Dr. D. Jelušić

Preoperative Ortopantomogram of the teeth planned for extraction

Please Contact us for Literature.

Sinus lift one-stage with maxresorb® inject
Sinus lift one-stage with maxresorb® inject