Aliquota IVA applicata: 22%
Putty is a bone paste composed of at least 80% micronized heterologous bone (particle size ≤ 300 µm) and collagen gel. It is manufactured using a proprietary process that ensures exceptional malleability and plasticity, facilitating its application in alveoli and perimplant defects with walls. Thanks to its collagen content, the product facilitates blood clot formation and subsequent invasion of reparative and regenerative cells, proving to be osteoconductive (1) .
The success of the graft requires complete stability of the biomaterial: for this reason, Putty should only be used in cavities capable of stably containing it. Therefore, Putty should not be grafted into two-walled defects or in sinus lift procedures with lateral access. Use: Inject the product and adapt it to the morphology of the defect without compression; any unstable residue must be removed before suturing the soft tissues. The use of an Evolution membrane is recommended to protect the Putty graft in peri-implant defects. Clinical indications: The extraordinary maneuverability of Putty makes this product ideal for containing peri-implant defects (2,3) and in general for all small bone defects that have the morphology of a containing cavity.
Furthermore, the Tecnoss® production process prevents the ceramization of the granules, allowing for a progressive resorption of the biomaterial and, at the same time, an adequate percentage of bone neoformation (4) .
The soft consistency of Putty also facilitates proper healing of soft tissues. Due to its particular characteristics, Putty has been used effectively, especially for the regeneration of peri-implant defects: after immediate placement of a post-extraction implant, Putty can be injected between the bone walls and the implant, thus ensuring perfect filling of the entire defect volume (5) .
The product's versatility makes Putty the ideal solution in cases of bone tissue loss due to peri-implant lesions, provided that bone walls are present to contain it. In fact, the success of the graft requires complete stability of the biomaterial, and for this reason, Putty should only be used in cavities capable of containing it stably: for example, within the bone crest in the case of split-crest (6,7) or in horizontally resorbed crests, in association with OsteoBiol® Lamina® (Bone Layer technique) 8 .
Bibliography (1) ARCURI C, CECCHETTI F, GERMANO F, MOTTA A, SANTACROCE
CLINICAL AND HISTOLOGICAL STUDY OF A XENOGENIC BONE SUBSTITUTE USED AS A FILLER IN POST-EXTRACTION ALVEOLUS
MINERVA STOMATOL, 2005 JUN; 54(6): 351-62
(2) BARONE A, AMERI S, COVANI U
IMMEDIATE POST-EXTRACTION IMPLANTS: TREATMENT OF RESIDUAL PERI-IMPLANT DEFECTS. A RETROSPECTIVE ANALYSIS
EUR J IMPLANT PROSTHODONTICS, 2006, 2: 99-106
(3) ROMASCO T, TUMEDEI M, INCHINGOLO F, PIGNATELLI P, MONTESANI L, IEZZI G, PETRINI M, PIATTELLI A, DI PIETRO N
A Narrative Review on the Effectiveness of Bone Regeneration Procedures with Osteobiol® Collagenated Porcine Grafts: The Translational Research Experience Over 20 Years
J FUNCT BIOMATER, 2022 AUG 18;13(3):121
(4) NANNMARK U, AZARMEHR I
SHORT COMMUNICATION: COLLAGENATED CORTICO-CANCELLOUS PORCINE BONE GRAFTS. A STUDY IN RABBIT MAXILLARY DEFECTS
CLIN IMPLANT DENT RELAT RES, 2010 JUN 1; 12(2):161-3
(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 HUMANS
INT J PERIODONTICS RESTORATIVE DENT, 2012 OCT;32(5):581-9
(6) SANTAGATA M, GUARINIELLO L, TARTARO G
A Modified Edentulous Expansion (MERE) Technique for Immediate Implant Placement: A Case Report
J Oral Implantol, 2011 Mar;37 Spec No.:114-9
(7) MALTAGLIATI A, ANGIERO F, FERRANTE F, BLASI S, OTTONELLO A
ALVEOLAR RIDGE EXPANSION BY IMPLANTS WITH OSTEODISTRACTIVE FUNCTION: A CLINICAL REPORT
DENT ORAL CRANIOFACIAL RES. 2016, VOLUME 2, ISSUE 6
(8) LOPEZ MA, ANDREASI BASSI M, CONFALONE L, CARINCI F, ORMIANER Z, LAURITANO D
THE USE OF RESORBABLE CORTICAL LAMINA AND MICRONIZED COLLAGENATED BONE IN THE REGENERATION OF ATROPHIC CRESTAL RIDGES: A SURGICAL TECHNIQUE. CASE SERIES
J BIOL REGUL HOMEOST AGENTS, 2016 APR-JUN;30(2 SUPPL 1):81-85