Socket Preservation Solutions
OraGraft Demineralized Cortical Particulate
OraGraft Demineralized Cortical Particulate is an osteoconductive graft with osteoinductive potential and optimal residual calcium levels. Can be used as an alternative to autogenous grafts and DFDBA has been shown to regenerate the periodontal attachment apparatus.
Use in intact socket when implants will be placed in the next 5 months
Preservation Method: Freeze Dried
Particle Size: 250-1000 microns
A study with LifeNet Health’s Demineralized Ground Cortical demonstrated that DFDBA gives the greatest amount of vital bone and the least amount of residual bone.1 Another study showed that there is more vital bone and less residual bone at 18-20 weeks than at 8-10 weeks.2
1 Wood R et al. Histologic Comparison of Healing After Tooth Extraction With Ridge Preservation Using Mineralized Versus Demineralized Freeze-Dried Bone Allograft. J Periodontol. March 2012.
2Whetman J et al. Effect of Healing Time on New Bone Formation After Tooth Extraction and Ridge Preservation with Demineralized Freeze-Dried Bone Allograft: A Randomized Controlled Clinical Trial. J Periodontol. Sept. 2016.
OraGraft MD 70/30
The combination of 70% mineralized and 30% demineralized allograft bone leverages the benefits of space maintenance with ground cortical with the osteoinductive potential of demineralized ground cortical.
For use when either the buccal or lingual walls are missing
Preservation Method: Freeze Dried
Particle Size: 250-1000 microns
A 70/30 mix has been shown to result in more vital bone and less residual bone than FDBA alone.1 Another study showed that if the buccal and or lingual walls are missing, a graft with more regenerative potential is recommended. The DFDBA component of the 80/20 has the potential to be osteoinductive.2 In a 50-patient study comparing the use of FDBA with FDBA & autologous bone, no added benefit could be found from the addition of autologous bone. 3
1Borg et al. Histologic Healing Following Tooth Extraction with Ridge Preservation Using Mineralized Versus Combined Mineralized-Demineralized Freeze-Dried Bone Allograft: A Randomized Controlled Clinical Trial. J Periodontal. March 2015.
2Miron R, Zhang Y, “Next-Generation Biomaterials for Bone & Periodontal Regeneration.” Chapter 23 Pg. 334 2019 Quintessence Publishing
3Beitlitum I, Artzi Z, Nemcovsky CE. Clinical evaluation of particulate allogeneic with and without autogenous bone grafts and resorbable collagen membranes for bone augmentation of atrophic alveolar ridges. Clin Oral Implants Res. 2010 Nov; 21(11):1242-1250. PMID: 20572833
OraGraft Cortical/Cancellous Mineralized Particulate 50/50 Mix
An osteoconductive graft that is a 50/50 mix of mineralized cortical and mineralized cancellous bone.
For use in an intact socket, if an implant is to be placed in the next 5 months
Preservation Method: Freeze Dried
Particle Size: 250-1000 microns
In a 66 patient study comparing different graft materials, a cortico/cancellous mix was shown to be as effective as ground cortical and cancellous in socket preservation.1
1Demetter RS, Calahan BG, Mealey BL. Histologic Evaluation of Wound Healing After Ridge Preservation With Cortical, Cancellous, and Combined Cortico-Cancellous Freeze-Dried Bone Allograft: A Randomized Controlled Clinical Trial. J Periodontol. 2017;88(9):860-868.
OraGraft Mineralized Cortical Particulate (FDBA)
An osteoconducitve graft that remodels to host bone, has space maintaining properties and increases bone to implant contact in the socket.
For use in an intact socket and for an osteoporotic patient
Preservation Method: Freeze Dried
Particle Size: 250-1000 microns
1A clinical study performed histological analysis of cortical and cancellous freeze-dried bone allograft following tooth extraction and ridge preservation in a non-molar model. After an average follow-up period of 18 weeks, the study reported no significant differences in new bone formation between the two groups. 2In a histomorphometric study, Zhang and Miron recommended that patients suffering from diseases caused by a hyperactivity of osteoclasts (bone re-sorption) would further benefit from the use of grafts like DFDBA and xenografts that are slow resorbing.
1Eskow AJ, Mealey BL. Evaluation of healing following tooth extraction with ridge preservation using cortical versus cancellous freeze-dried bone allograft. J Periodontol. 2014 Apr; 85(4):514-524. 2Zhang et al. Histomorphometric Study of New Bone Formation Comparing Defect Healing with Three Bone Grafting Material: The Effect of Osteoporosis of Graft Consolidation. Feb. 2018.
OraGraft Mineralized Cancellous Particulate
Osteoconductive graft that holds space and provides an open trabecular structure that supports neovascularization.
For use with a missing buccal wall
Preservation Method: Freeze Dried
Particle Size: 250-1000 microns
A clinical study performed histological analysis of cortical and cancellous freeze-dried bone allograft following tooth extraction and reported no significant differences in new bone formation bwteeen the two grafts.1
1Eskow AJ, Mealey BL. Evaluation of healing following tooth extraction with ridge preservation using cortical versus cancellous freeze-dried bone allograft. J Periodontol. 2014 Apr; 85(4):514-524.
Oracell Acellular Dermis
Oracell is an acellular dermal matrix that can be used in conjunction with allograft bone in socket preservation procedures, especially for future implant sites with a thin gingiva.
Used in an intact socket for future implant sites with a thin gingiva
Preservation Method: Preservon
Acellular dermis matrix can generate a thicker biotype, which is desireable around implants, as reports show less width of keratanized gingiva marginal tisue is associated with significantly more gingival inflammation, more plaque accumulation, adverse esthetic appearance, and more gingival recession.1-3
1Wallace SC. Guided bone regeneration for socket preservation in molar extraction sites: histomorphometric and 3D computerized tomography analysis. J Oral Implantol. 2013;39(4):503-509. doi:10.1563/AAID-JOI-D-13-00001
2Linkevicius T, Puisys A, Steigmann M, Vindasiute E, Linkeviciene L; Influence of Vertical Soft Tissue Thickness on Crestal Bone Changes Around Implants with Platform Switching: A Comparative Clinical Study, Clinical Implant Dentistry and Related Research 2014 Dec;17(6):1228-36
3Fu JH, Lee A, Wang H; Influence of Tissue Biotype on Implant Esthetics, The International Journal of Oral & Maxilofacial Implants, Vol. 26 No. 3, 2011