Putty

  • Putty
  • Putty
  • Putty
  • Putty
  • Putty
  • Putty
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  • Tissue origin :
    Cortico-cancellous heterologous bone mix
  • Tissue collagen :
    Preserved plus an additional 20% collagen gel
  • Physical form :
    Plastic consistency composed of collagen gel loaded with 80% micronized bone mix
  • Composition :
    80% granulated mix, 20% collagen gel
  • Granulometry :
    Up to 300 µm
  • Re-entry time :
    About 4 months
  • Packaging :
    Syringe: 0.5 cc, 1.0 cc, 3x0.5 cc, 3x0.25 cc
  • Product codes :
    HPT09S | 1 Syringe | 0.5 cc | Porcine
    HPT09E | 1 Syringe | 0.5 cc | Equine
    HPT35S | 3 Syringes | 3x0.5 cc | Porcine
    HPT35E | 3 Syringes | 3x0.5 cc | Equine
    HPT32S | 3 Syringes | 3x0.25 cc | Porcine
    HPT32E | 3 Syringes | 3x0.25 cc | Equine
  • GMDN code : 38746
Characteristics
Putty is a bone paste with at least 80% micronized heterologous bone (granulometry up to 300 µm) and collagen gel. It is made with an exclusive process that provides the product with exceptional malleability and plasticity, making it easy to apply in sockets and peri-implant defects with walls. Thanks to its collagen component, the product facilitates blood clotting and the subsequent invasion of repairing and regenerative cells, showing an osteoconductive behaviour1. Successful grafting needs complete stability of the biomaterial: for this reason Putty must be used only in cavities able to firmly contain it. Therefore, Putty must not be grafted in two wall defects or in lateral access sinus lift procedures.
Handling
Inject the product and adapt it to defect morphology without compression; any non stable residue must be removed before soft tissue suture. An Evolution membrane is recommended to protect Putty grafted in peri-implant defects.
Clinical indications
The exclusive Tecnoss® manufacturing process guarantees an exceptional malleability and plasticity: furthermore the syringe provides Putty extraordinary handling properties making this product the ideal choice for post-extractive sockets2, self-contained peri-implant defects and all defects that present a self-contained cavity. Thanks to the collagen component, Putty facilitates blood clotting and the subsequent invasion of repairing and regenerative cells. Furthermore, the Tecnoss® manufacturing process avoids granules ceramization, allowing a progressive resorption of the biomaterial and, at the same time, a significant new-bone formation rate3. Putty's "soft" consistency also guarantees an easy and healthy soft-tissues healing. Thanks to these unique characteristics, Putty is particularly indicated for peri-implant defects regeneration: following immediate post-extractive implants placement, Putty can be injected between the defect walls and the implant, guaranteeing a perfect filling of the entire defect volume4,5.
The product versatility also makes Putty the ideal solution when bone tissue has been lost due to peri-implantitis as long as the containing walls are present. In fact, the primary condition for gaining a successful regeneration is to achieve the biomaterial initial stability. Therefore, Putty must be used only in self contained defects where the surrounding walls guarantee such condition: for example post-extractive sockets and inside the bone crest when ridge-split technique is adopted6.
Bibliography
1 CALVO GUIRADO JL, GOMEZ MORENO G, GUARDIA J, ORTIZ RUIZ A, PIATTELLI A, BARONE A, MARTÌNEZ GONZÀLEZ JM, MESENGUER OLMO L, LOPEZ MARÌ L, DORADO CB
BIOLOGICAL RESPONSE TO PORCINE XENOGRAFT IMPLANTS: AN EXPERIMENTAL STUDY IN RABBITS
IMPLANT DENT, 2012 APR;21(2):112-7

2 ARCURI C, CECCHETTI F, GERMANO F, MOTTA A, SANTACROCE C
CLINICAL AND HISTOLOGICAL STUDY OF A XENOGENIC SUBSTITUTE USED AS A FILLER IN POSTEXTRACTIVE ALVEOLUS
MINERVA STOMATOL, 2005, 54: 351-362

3 NANNMARK U, AZARMEHR I
SHORT COMMUNICATION: COLLAGENATED CORTICOCANCELLOUS PORCINE BONE GRAFTS. A STUDY IN RABBIT
MAXILLARY DEFECTS
CLIN IMPLANT DENT RELAT RES, 2010 JUN 1; 12(2):161-3

4 BARONE A, AMERI S, COVANI U
IMMEDIATE POSTEXTRACTION IMPLANTS: TREATMENT OF RESIDUAL PERI-IMPLANT DEFECTS. A RETROSPECTIVE ANALYSIS
EUR J IMPLANT PROSTHODONTICS, 2006, 2: 99-106

5 CASSETTA M, RICCI L, IEZZI G, DELL'AQUILA D, PIATTELLI A, PERROTTI V
RESONANCE FREQUENCY ANALYSIS OF IMPLANTS INSERTED WITH A SIMULTANEOUS GRAFTING PROCEDURE: A 5-YEAR
FOLLOW-UP STUDY IN MAN
INT J PERIODONTICS RESTORATIVE DENT, 2012 OCT;32(5):581-9

6 CALVO GUIRADO JL, PARDO ZAMORA G, SAEZ YUGUERO MR
RIDGE SPLITTING TECHNIQUE IN ATROPHIC ANTERIOR MAXILLA WITH IMMEDIATE IMPLANTS, BONE REGENERATION AND
IMMEDIATE TEMPORISATION: A CASE REPORT
J IR DENT ASSOC, 2007 WINTER, 53(4):187-90
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