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Table 3 presents the pH values of various alloplastic and xenograft bone substitutes available in Korea. Notable findings include that higher basic pH values correlated with poor new bone formation and severe degradation of fibrous stroma. Surgeons suggest using collagenous materials for better soft tissue profile post-extraction.

Xenograft Bone Substitute (5)

author: Andreas Tjandra | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

 

Table 3 . The pH value of various alloplastic and xenograft bone substitutes which are available in Korea

Product Name (type) Donor Origin Company pH average (pH experimental 1/ experimental 2)
OSTEON (GBG0510) Alloplast Bioactive β-TCP coating (HA:β-TCP=70:30) GENOSS 7.10 (7.09/7.11)
OSTEON II (DTT70G0510200) Alloplast Synthetic bone grafting material (HA:β-TCP=30:70) GENOSS 7.01 (6.90/7.11)
OSTEON III (3G0510050) Alloplast Ca-P coated bone grafting material (HA:β-TCP=60:40) GENOSS 7.28 (7.30/7.28)
OCS-H (4-0210-025) Equine Natural bovine bone Nibec 7.61 (7.63/7.59)
THE Graft (TG-A05(0.5cc) Porcine Porcine base, cancellous granules Purgo 7.28 (7.26/7.29)
InterOss (IOSG050) Bovine Natural bovine bone SigmaGraft 7.99 (7.97/8.01)
Ti-Oss (25-0512) Bovine Natural bovine bone Chiyewon Old (product 2011-09-07): 9.80 (9.79/9.81) New (product 2014-06-27): 7.20 (7.20/7.19)
OssCon-G (REF G5025) Bovine Spongious bone ALLSBIOMED 8.07 (8.02/8.12)
A-Oss (BBS02) Bovine Natural bovine bone Osstem 7.61 (7.67/7.55)
OCS-B (1-0210-025) Bovine Natural bovine bone Nibec 7.74 (7.76/7.71)
InduCera Dual Coat(REF 3201) Bovine Ca-P coated deproteinated bovine bone powder Oscotec 6.79 (6.80/6.77)
BioCera (REF 1106) Bovine Ca-P coated deproteinated bovine bone powder Oscotec 7.01 (7.01/7.01)
Bio-Oss (Geistlich Bio-Oss) Bovine Spongious bone Geistlich 7.75 (7.75/7.75)
Cerabone (REF 1510) Bovine Natural bovine bone Botiss dental 10.32 (10.31/10.33)

There was no sign of new bone formation in biopsy samples taken from clinical cases of bone replacements with comparatively higher basic pH values, and the fibrous stroma was badly degraded without host reaction, or inflammation. The biopsy samples of one example where collagenous foreign material, Gelfoam (Pfizer, USA), was employed to preserve the socket profile immediately after tooth extraction show fascinating bubbling appearances and severely sclerosed fibrous tissue without an inflammatory reaction.

According to some surgeons, it would be preferable to insert collagenous material into the extraction socket in order to maintain the soft tissue profile. This would allow them to implant a dental implant in 4–8 weeks and, if needed, easily complete the bone grafting treatment at the same time. There are many different collagenous materials available on the market, but no research has been done to show how they differ from one another.

 

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