0D8334 - Intl 2.pdf 1 11/5/2012 10:41:50 AM The unique solution to predictable bone regeneration NovaBone Dental Putty increases productivity with its ease of use and superlative handling characteristics. It delivers predictable bone fast. Feature Benefit Superlative Handling No mixing is required. Putty can be placed directly into the defect. Completely Resorbable Putty resorbs completely and gets replaced by bone. Re-entry time is about 4-5 months and is dependent on the size and site of the defect Retention & Adaptability Putty stays together after placement and irrigation. It is moldable into different shapes and adapts well to the defects and implant surfaces Osteostimulation Putty exhibits enhanced bone regeneration rates compared to other bone graft substitutes by a unique phenomenon: Osteostimulation Storage & Shelf Life Putty does not require special storage conditions. It can be stored at room temperature. 4-year shelf life. C NovaBone Dental Putty is available in multiple delivery mechanisms including syringes, clam shells and “Centrix-like” cartridge delivery systems to suit various clinical applications. M Y CM MY CY Cartridge Applicator Gun CMY K Clam Shell The “Cartridge” delivery system is unique and an industry first! NovaBone Dental Putty is the only graft material in the world that is available in disposable uni-dose ‘Cartridges’ that will significantly simplify the delivery of graft to the defect site following minimally invasive surgical techniques that will reduce morbidity and enhance healing at the defect site. NovaBone Dental Putty: Cartridge System EU3620 0.5cc Cartridges (blue) 2/pkg EU3640 0.5cc Cartridges (blue) 4/pkg EU3621 1.0cc Cartridges (orange) 2/pkg NA3600 Centrix Applicator Gun each Syringes Cartridges NovaBone Dental Putty: Syringe EU1610 0.5cc Syringe 1/Pack EU1620 0.5cc Syringe 2/Pack NovaBone Dental Putty: Clam Shell EU0610 0.5cc Shell 1/Pack EU0620 0.5cc Shell 2/Pack EU0611 1.0cc Shell 1/Pack Manufactured by: NovaBone Products, LLC "MBDIVB'MPSJEBtXXw.nbputty.com 0D8334 DENTAL PUTTY The Synthetic Solution to Bone Regeneration Making Bone Regeneration Putty In Your Hands 0D8334 - Intl 2b.pdf 1 11/5/2012 10:45:50 AM Uncommon handling. Uncompromised results. NovaBone Dental Putty Case Study (Case Courtesy: Dr. Frederic Joachim) Patient presented with a decayed mandibular premolar that required extraction. Upon extraction, it was noticed that the buccal wall was missing and the area was grafted with NovaBone Dental Putty. The mucosa was sutured to obtain primarily closure without the use of a membrane. A six month post-operative radiograph demonstrates good trabecular pattern and Radiodensity comparable to the adjacent native bone. The mucosa was exposed and upon visual confirmation of the regenerated ridge an implant was placed in the area. Unique Formulation NovaBone Dental putty is the only commercially available non-settable completely synthetic bone graft substitute. Quite simply, it is designed to deliver unprecedented ease-of-handling without compromising on the quality of the outcome. It is not just a ‘bone void filler’; rather, it is a calcium phosphosilicate composed of minerals found naturally in the body that allow for rapid bone regeneration. NovaBone contains a binder that helps maintain space between the particles to allow for vascularization, tissue growth and new bone formation. It is indicated for all periodontal, implant related and craniofacial defects. Osteostimulation NovaBone Dental Putty belongs to the class of bioactive regenerative materials that not only acts as an osteoconductive scaffold but also imparts an osteostimulatory effect. Release of Si from the putty particles is the key in signaling & recruitment of bone precursor cells to the defect site and stimulate osteoblast differentiation and proliferation; the basis for new bone growth. Gaisser DM, Katta SA, Greenspan DC NovaBone Mechanisms of Osteostimulation, White Paper, NovaBone, Alachua, FL. Uncompromised Regeneration C The CPS particles in NovaBone Dental Putty has more than 20 years of international clinical use behind it with over 50 studies on file. Data shows that NovaBone Dental Putty is clinically superior to the granular particulate alternatives with regard to the ultimate end result—the successful regeneration of bone between the implant and the existing bone structure. Yet Putty is dramatically more convenient to use. M Y CM MY CY CMY 3. Regenerated Buccal Ridge 4. 6 month Post-Operative Radiograph Dr. Frederic Joachim, Lille, France Bioactive Healing K After 12 weeks % New Bone Bio-Oss After 6 weeks 2. Suturing – no membrane used NovaBone Dental Putty Testimonial “I have worked with several bone graft substitutes over the years for Socket Preservation surgeries and found NovaBone Dental Putty to be a revelation. I currently am using NovaBone Putty exclusively and love the cartridge system. I find the handling, healing with good clinical & histological results far superior to any bone grafts that I have used.” NovaBone Dental Putty vs. Bio-Oss: Histomorphometry NovaBone Dental Putty was significantly superior to Bio-Oss at both 6 and 12 weeks following implantation. Comparative histological analysis and histomorphometry revealed excellent bone regeneration after use of NovaBone Dental Putty, occurring simultaneously with graft resorption. Also, a reduction in size of putty particles in the histology sections indicated that putty is being absorbed. Sections of Bio-Oss revealed very minimal graft absorption with particles occupying the majority of the graft area at both 6 and 12 weeks. Nova Bone Dental Putty After 6 weeks 1. Extraction and putty placement % Residual Graft Weeks 6 12 6 12 NB Dental Putty 33.78 52.90 30.66 24.42 Bio-Oss 18.06 23.01 66.72 57.98 A Timeline of Bioactive Healing After 12 weeks “Evaluation of Alloplast Putty and Xenograft Particulate as Bone Graft Substitutes in a Sheep Lumbar Spine Model.” Aron Gonshor, Jipin Zhong, David Gaisser Poster presented at the Academy of Osseointegration, Phoenix, March 2012. Making Bone Regeneration Putty In Your Hands Initial burst of NA+ CA+ & Po4- ions from smaller CPS particles Precipitation of calcium phosphate nodules & Clot stabilization Interaction of larger CPS particles Differentiation of the stem cells Within Minutes 6 Hours 20 Hours 100 Hours 1 Hour 10 Hours 50 Hours Initiation of Glycerin/PEG absorption cascade (continues for 3-5 days) Crystallization of Hydroxy carbonate apatite layer Recruitment and fixation of stem cells
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