Physical form : Semi-rigid dried lamina, flexible after re-hydration
Composition : 100% cortical bone
Thickness : Fine: 0.5 mm (±0.1 mm) Medium: 1.0 mm (±0.1 mm) Standard: 3 mm (±1 mm)
Re-entry time : Fine: about 5 months Medium: about 6 months Standard: about 8 months
Packaging : Fine: 25x25 mm, 25x35 mm (oval) Medium Curved: 35x35 mm Medium: 20x40 mm Standard: 30x30 mm
Product codes : LS25FS | 25x25 mm | Fine | Porcine LS25FE | 25x25 mm | Fine | Equine LS23FS | 25x35 mm (oval)| Fine | Porcine LS23FE | 25x35 mm (oval)| Fine | Equine LS10HS | 35x35 mm | Curved | Porcine LS10HE | 35x35 mm | Curved | Equine LS24LS | 20x40 mm | Medium | Porcine LS03SS | 30x30 mm | Standard | Porcine
GMDN code : 38746
OsteoBiol® Lamina is made of cortical bone of heterologous origin produced with an exclusive Tecnoss® process that avoids the ceramization of hydroxyapatite crystals, thus accelerating physiological resorption. After a process of superficial decalcification, it acquires an elastic consistency, nevertheless maintaining the typical compactness of the bone tissue from which it originates; the margins are soft in order not to cause micro traumas to the surrounding tissues. OsteoBiol® Curved Lamina has a semi-rigid consistency and can be grafted without hydration, provided that it is previously shaped to fit the defect morphology.
OsteoBiol® Lamina can be shaped1 with sterile scissors until the desired size is reached, then it must be hydrated for 3/5 minutes in sterile physiological solution. Once it acquires the desired plasticity, it must be adapted to the grafting site; it should always be immobilized either with titanium microscrews or sutured (fine model) directly to the surrounding tissues with a triangular section non-traumatic needle. OsteoBiol® Curved Lamina should not be hydrated but can also be shaped with sterile scissors, and must be fixated with osteosynthesis screws. In case of exposure, Lamina should only be removed if there is a clear suprainfection, because its consistency is such as to allow it to achieve a complete second intention healing of the wound.
Lamina is made of cortical bone of heterologous origin which undergoes a process of superficial decalcification, nevertheless maintaining the typical consistency of the bone tissue from which it originates. The fine model becomes flexible after hydration and can be shaped1 and adapted to the defect morphology creating, once fixated with osteosynthesis screws, a semi-rigid covering to the underlying graft2. This property is particularly useful when it is necessary to obtain a space making effect in aesthetic areas3, as well as in horizontal augmentation4 of two wall defects and antrostomy covering in lateral access sinus lift procedures5,6,7. Lamina can also be used in regenerations with risks of exposure and for orbital floor restoration1,8,9. The Curved Lamina has a 0.8-1.0 mm thickness and can be directly grafted without hydration: it is particularly indicated in association with OsteoBiol® mp3® for regeneration of ridges with compromised cortical plate.
1 RINNA C, REALE G, FORESTA E, MUSTAZZA MC ORBITAL WALL RECONSTRUCTION WITH SWINE BONE CORTEX J CRANIOFAC SURG, 2009 MAY; 20(3): 881-4
2 PAGLIANI L, ANDERSSON P, LANZA M, NAPPO A, VERROCCHI D, VOLPE S, SENNERBY L A COLLAGENATED PORCINE BONE SUBSTITUTE FOR AUGMENTATION AT NEOSS IMPLANT SITES: A PROSPECTIVE 1-YEAR MULTICENTER CASE SERIES STUDY WITH HISTOLOGY CLIN IMPLANT DENT RELAT RES, 2012 OCT;14(5):746-58. EPUB 2010 OCT 26
3 FESTA VM, ADDABBO F, LAINO L, FEMIANO F, RULLO R PORCINE-DERIVED XENOGRAFT COMBINED WITH A SOFT CORTICAL MEMBRANE VERSUS EXTRACTION ALONE FOR IMPLANT SITE DEVELOPMENT: A CLINICAL STUDY IN HUMANS CLIN IMPLANT DENT RELAT RES, 2011 NOV 14, EPUB AHEAD OF PRINT
4 WACHTEL H, FICKL S, HINZE M, BOLZ W, THALMAIR T THE BONE LAMINA TECHNIQUE: A NOVEL APPROACH FOR LATERAL RIDGE AUGMENTATION - A CASE SERIES INT J PERIODONTICS RESTORATIVE DENT, 2013 JUL-AUG;33(4):491-7
5 SCARANO A, PIATTELLI M, CARINCI F, PERROTTI V REMOVAL, AFTER 7 YEARS, OF AN IMPLANT DISPLACED INTO THE MAXILLARY SINUS. A CLINICAL AND HISTOLOGIC CASE REPORT J OF OSSEOINTEGRATION, 2009
6 HINZE M, VRIELINCK L, THALMAIR T, WACHTEL H, BOLZ W ZYGOMATIC IMPLANT PLACEMENT IN CONJUCTION WITH SINUS BONE GRAFTING: THE "EXTENDED SINUS ELEVATION TECHNIQUE". A CASE-COHORT STUDY ORAL CRANIOFAC TISSUE ENG, 2011;1:188-197
7SCARANO A, PIATTELLI A, IEZZI G, VARVARA G SPONTANEOUS BONE FORMATION ON THE MAXILLARY SINUS FLOOR IN ASSOCIATION WITH SURGERY TO REMOVE A MIGRATED DENTAL IMPLANT: A CASE REPORT MINERVA STOMATOLOGICA, 2014 OCT;63(10):351-9
8 RINNA C, UNGARI C, SALTAREL A, CASSONI A, REALE G ORBITAL FLOOR RESTORATION J CRANIOFAC SURG, 2005, 16(6): 968-972
9OZEL B, FINDIKCIOGLU K, SEZGIN B, GUNEY K, BARUT I, OZMEN S A NEW OPTION FOR THE RECONSTRUCTION OF ORBITAL FLOOR DEFECTS WITH HETEROLOGOUS CORTICAL BONE JOURNAL OF CRANIO-MAXILLO-FACIAL SURGERY, 2015 OCT;43(8):1583-8 EPUB 2015 JUL 4