maxgraft® bonebuilder

Patient customized allogenic bone block

maxgraft® bonebuilder is a patient customized allogenic bone block for two-stage alveolar ridge augmentation. With maxgraft® bonebuilder, the harvesting of the autologous bone is no longer required for the treatment of extensive defects. Donor-site morbidity, operation time, and costs may be significantly reduced. Based on CT/CBCT scans of the patient, the bone block is virtually designed using the latest 3D-CAD/CAM technology. The design of the bone implant undergoes a final inspection by the clinical user and is, by individual order, released for production.

Extensive bone defects
Atrophic maxilla/mandibula
Horizontal/vertical augmentation

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.

Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han

Loss of teeth in anterior maxilla caused by periodontitis

Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back

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)

Ridge augmentation in the mandible with maxgraft® bonebuilder in a free-end situation - Dr. Dr. Dr. O. Blume

Situation after teeth extraction due to periodontally damaged teeth

Ridge augmentation with maxgraft® bonebuilder - Dr. M. Jacotti

Virtual planning of the block

Augmentation in the mandible with maxgraft® bonebuilder – PD Dr. Dr. F. Kloss

botiss maxgraft® bonebuilder for mandibular reconstruction - Clinical case

Initial radiological situation

Ridge augmentation in the mandible with maxgraft® bonebuilder – Dr. R. Morger

Initial clinical situation: Free end situation in quadrant three and four

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

Full arch reconstruction of the maxilla with maxgraft® bonebuilder - Dr. M. Erbshäuser

botiss maxgraft® bonebuilder for maxilla reconstruction - Clinical case

Treatment overview – implant planning

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)

Augmentation of an atrophic maxilla with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume

botiss maxgraft® bonebuilder for atrophic maxilla reconstruction - Clinical case

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

Ridge augmentation with maxgraft® bonebuilder - Dr. V. Kalenchuk

Clinical situation before augmentation

Block augmentation with maxgraft® and cerabone® – PD Dr. Dr. F. Kloss

Block augmentation with maxgraft® and cerabone® – Dr. F. Kloss

Initial CBCT scan - Fracture of left maxillary incisor and loss of buccal wall

Horizontal ridge augmentation in the mandible with maxgraft® bonebuilder - Dr. O. Yüksel

Clinical situation – Ridge atrophy in area 45-47

Augmentation in the aesthetic zone with maxgraft® bonebuilder – PD Dr. Dr. F. Kloss

botiss maxgraft® bonebuilder for aesthetic zone reconstruction - Clinical case

Preoperative radiological situation

Augmentation of an atrophic ridge with maxgraft® bonebuilder - Dr. R. Morger

Augmentation of an atrophic ridge - Dr. R. Morger

Initial clinical situation

Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume

botiss maxgraft® bonebuilder aesthetic reconstruction - Clinical case

Pre-operative clinical situation: changed color in the gingiva in the front maxilla

Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas

Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Smile frontal view: the smile is unharmonious due to the missing teeth

Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher

Initial x-ray, ten years post implantationem alio loco, large peri-implant bone loss

Customized allogenic bone block
Significantly reduced operation time

Art.-Nr.	Content
PMIa	Individual planning and production of a bone transplant, max. dimensions 23 x 13 x 13 mm
PMIa2	Additional block(s) for the same patient
32100	Individual 3D-printed model of the patient’s defect and the planned bonebuilder block (for demonstration purposes) made of plastic

For information on your local contact person please email to product-management@botiss.com

Videos

maxgraft® bonebuilder animation

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

Dr. Oliver Blume about the maxgraft® bonebuilder

maxgraft® bonebuilder in the mandible including incisions by Dr Dr O Blume

Bone augmentation in the maxilla with maxgraft® bonebuilder - Surgery by Dr. Michael Kristensen

Dr. Frank Kloss about the maxgraft® bonebuilder

Semi-pillar incisions according to Dr Dr O Blume - maxgraft® bonebuilder

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

maxgraft® bonebuilder - Patientenindividueller Knochenblock

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. The individual design provides a precision fit between local bone and the allogenic bone block, enabling rapid revascularization and fast graft incorporation.

Product Brochure:

maxgraft® - PROCESSED HUMAN ALLOGRAFT

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Please find our free webinars at www.botiss-webinars.com