puros 2009
TRANSCRIPT
![Page 1: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/1.jpg)
1
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
1
Confidence in your hands™
Confidential – Internal Use Only!
Who is Zimmer Dental?
Part # 7140, rev. 12/06
![Page 2: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/2.jpg)
2
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
2
Confidence in your hands™
Confidential – Internal Use Only!
Zimmer Dental Regenerative Products
Biomend® / Biomend® Extend
Puros® Corticocancellous
Block
Puros® Dermis
CollaTM Products
Puros® Pericardium
Puros® Cortical Particles
Puros® Cancellous Particles
Availability: Puros ® – US, Canada, Latin America BioMend ® – Global (with some extensions)Colla™ – Everywhere but EU and AustraliaSocket Repair Membrane – US only (available on Jan. 31, 2007)
![Page 3: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/3.jpg)
3
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
3
Confidence in your hands™
Confidential – Internal Use Only!
Regenerative Products in Europe:
BioMend® Collagen Barrier Membranes:
CollaTape®CollaCoteTM CollaPlug®
BioMend®
BioMend® ExtendTM
Colla® Absorbable Collagen Wound Dressings*:
Zimmer® Socket Repair Membrane*:
*pending CE mark registration
![Page 4: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/4.jpg)
4
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
4
Confidence in your hands™
Confidential – Internal Use Only!
![Page 5: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/5.jpg)
5
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
5
Confidence in your hands™
Confidential – Internal Use Only!
BioMend Specifications
15mm X 20mm
20mm X 30mm
30mm X 40mm
• Packaged in a single blister pack, within a Tyvek envelope
• Two year shelf life
• No special storage requirements
Membrane size selection:
• 15 x 20mm, majority of defects• 20 x 30mm, distal or interproximal defects• 30 x 40mm, multiple defects on one patient
Competitive advantage: AlloDerm® requires refrigeration(Life Cell Corporation Branchburg, New Jersey)
![Page 6: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/6.jpg)
6
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
6
Confidence in your hands™
Confidential – Internal Use Only!
BioMend® Features and Benefits
• Tear-resistant and pliable• Easy-to-handle even when hydrated• May be cut without fraying or fragmenting• Strong enough to be sutured• Adaptable to root surfaces
Excellent Handling
• Type I collagen helps stabilize and maintain clot in defect space
• Enhances healing and improved regeneration
Wound Stabilization
Competitive advantage: ePTFE (GORE) membranes are not hemostatic
Competitive advantage: Bio-Gide® and Alloderm® must be placed “right side up”
![Page 7: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/7.jpg)
February 2006 Part# 6120 Rev. Date 01/06
Knees Confidence in your hands™Dental Confidence in your hands™
Confidential – Internal Use Only!
Absorbable Collagen Wound Dressings
CollaPlug®
CollaTape®
CollaCoteTM
![Page 8: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/8.jpg)
8
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
8
Confidence in your hands™
Confidential – Internal Use Only!
Colla Wound Dressings Features and Benefits
• Controls bleeding and stabilizes blood clots• Covers and protects the wound bed
• Provides matrix for tissue ingrowth• Accelerates healing process
• Fully absorbs within 14 days
![Page 9: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/9.jpg)
9
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
9
Confidence in your hands™
Confidential – Internal Use Only!
CollaTape®
• Part Number 0100• 2.5 cm x 7.5 cm• 10 units per package
• Minor oral wounds:• Closure of osseous grafted
sites• Sinus - Repair of
Schneiderian Membranes (mucous membrane lining nasal chambers)
![Page 10: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/10.jpg)
10
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
10
Confidence in your hands™
Confidential – Internal Use Only!
CollaCoteTM
• Part Number 0101• 2 cm x 4 cm• 10 per package
• Minor oral wounds:• Palatal donor sites• Mucosal flaps• Intraosseous defects• Around implants
![Page 11: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/11.jpg)
11
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
11
Confidence in your hands™
Confidential – Internal Use Only!
Case: Palatal donor site treated with CollaCoteTM
![Page 12: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/12.jpg)
12
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
12
Confidence in your hands™
Confidential – Internal Use Only!
CollaPlug®
• Part Number 0102• 1 cm x 2 cm• 10 per package
• Extraction sites• Biopsy sites• Oral wounds
![Page 13: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/13.jpg)
February 2006 Part# 6120 Rev. Date 01/06
Knees Confidence in your hands™Dental Confidence in your hands™
Confidential – Internal Use Only!
Zimmer® Socket Repair Membrane
Confidential
CONFIDENTIAL - Internal Use Only. Do Not Distribute.
![Page 14: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/14.jpg)
14
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
14
Confidence in your hands™
Confidential – Internal Use Only!
Case 1 Dennis Tarnow, DDS
New York, NY
![Page 15: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/15.jpg)
15
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
15
Confidence in your hands™
Confidential – Internal Use Only!
Case 1 – Dennis Tarnow, DDS
Periapical Radiograph
Dennis Tarnow, DDS
Dennis Tarnow, DDS
![Page 16: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/16.jpg)
16
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
16
Confidence in your hands™
Confidential – Internal Use Only!
Case 1 – Dennis Tarnow, DDS
Membrane Placed in Socket
Dennis Tarnow, DDS
Dennis Tarnow, DDS
![Page 17: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/17.jpg)
17
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
17
Confidence in your hands™
Confidential – Internal Use Only!
Case 1 – Dennis Tarnow, DDS
Puros Particulate Delivered into Socket
Dennis Tarnow, DDS
Dennis Tarnow, DDS
![Page 18: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/18.jpg)
18
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
18
Confidence in your hands™
Confidential – Internal Use Only!
Case 1 – Dennis Tarnow, DDS
Membrane Sutured in Place
Dennis Tarnow, DDS
Dennis Tarnow, DDS
![Page 19: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/19.jpg)
19
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
19
Confidence in your hands™
Confidential – Internal Use Only!
Case 1 – Dennis Tarnow, DDS
2 Weeks Post-Op
Dennis Tarnow, DDS
![Page 20: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/20.jpg)
20
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
20
Confidence in your hands™
Confidential – Internal Use Only!
Case 1 – Dennis Tarnow, DDS
2 Months Post-Op
Dennis Tarnow, DDS
![Page 21: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/21.jpg)
21
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
21
Confidence in your hands™
Confidential – Internal Use Only!
Case 1 – Dennis Tarnow, DDS
Final Esthetic Result
Dennis Tarnow, DDS
Richard Smith, DDS
![Page 22: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/22.jpg)
22
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
22
Confidence in your hands™
Confidential – Internal Use Only!
50,000 sq. ft. administration building
65,000 sq. ft. processing facility
• Tutogen Medical, Inc. founded 1971
• Regeneration Technologies, Inc. founded in
1998
• Merger in February 2008 to form RTI
Biologics, Inc.
• Processing locations: Alachua, FL Neunkirchen, Germany
RTI Biologics Overview
For internal use only- Do not distribute
![Page 23: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/23.jpg)
23
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
23
Confidence in your hands™
Confidential – Internal Use Only!
FAMILIA PUROS
![Page 24: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/24.jpg)
24
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
24
Confidence in your hands™
Confidential – Internal Use Only!
The TUTOPLAST® Process
Tutoplast es el un proceso patentado de esterilización y preservación que consiste principalmente en una serie de baños químicos que aseguran la eficiencia y seguridad de los tejidos sometidos a este.
![Page 25: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/25.jpg)
25
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
25
Confidence in your hands™
Confidential – Internal Use Only!
Delipidización
Bañando los tejidos en
acetona y agitados con
ultrasonido.
La acetona es evaporada.
Elimina grasa para impedir su
interferencia con la
cicatrización.
Inactiva virus
Remueve bacteria
Proceso TUTOPLAST®
![Page 26: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/26.jpg)
26
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
26
Confidence in your hands™
Confidential – Internal Use Only!
Tratamiento Osmótica
Único del Tutoplast
Serie de baños ( altas y bajas
concentraciones de solución salina
y agua destilada)
Expone el material intracelular
permitiendo la eliminación de el
material bacteriano.
Mata bacterias
Destruye y elimina células
Elimina la mayoría de la
antigenicidad
Reduce el volumen viral
Proceso TUTOPLAST®
![Page 27: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/27.jpg)
27
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
27
Confidence in your hands™
Confidential – Internal Use Only!
Tratamiento Oxidativo
Baños con bajas
concentraciones de
peroxido de hidrogeno
Reacciona con las
proteínas
Remueve la antigenicidad
restante
Inactiva los virus
expuestos en el
tratamiento osmótica.
Proceso TUTOPLAST®
![Page 28: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/28.jpg)
28
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
28
Confidence in your hands™
Confidential – Internal Use Only!
Deshidratación con solvente
Baño con agua destilada.
7 baños de acetona.
Elimina el agua del tejido (lo que
permite almacenar el tejido por 5
años)
Inactiva los priones virales
remanentes.
Remueve bacteria
Conserva la estructura del tejido y
su firmeza
Proceso TUTOPLAST®
![Page 29: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/29.jpg)
29
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
29
Confidence in your hands™
Confidential – Internal Use Only!
Asegura la completa esterilidad y 5 años de almacenamiento
Se hace con el producto empacado
NO afecta las propiedades biomecánicas del tejido
Inactiva virus
Un máximo 2.5 mrad
Dosis limitadas de irradiación Gamma
Proceso TUTOPLAST®
![Page 30: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/30.jpg)
30
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
30
Confidence in your hands™
Confidential – Internal Use Only!
Cortical Bone
Dense, rigid bone tissue, cylindrical in shape and hard enough that surgeons must use a saw or drill to cut through it.
![Page 31: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/31.jpg)
31
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
31
Confidence in your hands™
Confidential – Internal Use Only!
Cortical Bone
Bone Structure
Forms the entire outside of the bone
Is very denseIs very strong
Highly resistant to compression and bending
![Page 32: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/32.jpg)
32
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
32
Confidence in your hands™
Confidential – Internal Use Only!
Cancellous Bone
La capa mas interna , también conocida como hueso trabecular o medular
![Page 33: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/33.jpg)
33
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
33
Confidence in your hands™
Confidential – Internal Use Only!
When is Puros fully matured ?What`s left after 6 months ?
(Puros after internal sinus lift, 8 months post op)
Following the recommended re-entry periods and the instructions for use,the following histological findings can be expected:• vital cancellous bone with lamellar structure • fat marrow with areas of collagen connective tissue• visible cement lines of layered bone remodeling and apposition of new bone• conclusive integration of a small amount of transplant residues
Traces of residual Puros are solidly integrated into newly formed, hard bleeding bone,complete turnover is depending on subsequent natural remodeling at the grafted site with respect to stress trajectories and general cellular activity.
![Page 34: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/34.jpg)
34
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
34
Confidence in your hands™
Confidential – Internal Use Only!
![Page 35: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/35.jpg)
35
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
35
Confidence in your hands™
Confidential – Internal Use Only!
Aplicaciones del hueso
CORTICAL.
• RECONSTRUCCION DEL HUESO ALVEOLAR
• SOBRE IMPLANTES
• DEFECTOS PERIODONTALES
• ELEVACION DEL SENO MAXILLAR•
• EXTRACCION DE 3 MOLARES
ESPONJOSO.
• EXTRACCIONES ANTES DE IMPLANTES
• DEFECTOS PERIODONTALES
• ELEVACION DEL SENO MAXILLAR
![Page 36: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/36.jpg)
February 2006 Part# 6120 Rev. Date 01/06
Knees Confidence in your hands™Dental Confidence in your hands™
Confidential – Internal Use Only!
Puros®
J-Block!
Confidential
![Page 37: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/37.jpg)
37
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
37
Confidence in your hands™
Confidential – Internal Use Only!
A = 18 mmB = 10, 15C = 8 mm
5 mm
A
C
2 mm B
Puros Block (J-Block): Uses/Indications
• Taken from Iliac crest – both cortical and cancellous• The J-Block Allograft is specifically designed for surgical ridge augmentation
of mandible or maxilla in patients where bone volume has been reduced due to atrophy in both vertical and lateral dimensions.
![Page 38: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/38.jpg)
38
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
38
Confidence in your hands™
Confidential – Internal Use Only!
![Page 39: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/39.jpg)
39
Knees Confidence in your hands™Dental
39
Confidence in your hands™
Confidential – Internal Use Only!
Puros® Pericardium Clinicals:Case 2- Horizontal and Vertical
Ridge Augmentation with Puros J-Block
By Paul PetrungaroDDS, MS, FICD, FACD, DICOI
![Page 40: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/40.jpg)
40
Knees Confidence in your hands™Dental
40
Confidence in your hands™
Confidential – Internal Use Only!
Pre-Operative View
![Page 41: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/41.jpg)
41
Knees Confidence in your hands™Dental
41
Confidence in your hands™
Confidential – Internal Use Only!
Pre-Operative Defect
![Page 42: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/42.jpg)
42
Knees Confidence in your hands™Dental
42
Confidence in your hands™
Confidential – Internal Use Only!
Block Sizing
Puros Block Allograft
![Page 43: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/43.jpg)
43
Knees Confidence in your hands™Dental
43
Confidence in your hands™
Confidential – Internal Use Only!
Block Re-hydration – Saline First; PRP coating, if desired, afterward
![Page 44: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/44.jpg)
44
Knees Confidence in your hands™Dental
44
Confidence in your hands™
Confidential – Internal Use Only!
Puros Block Fixation
![Page 45: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/45.jpg)
45
Knees Confidence in your hands™Dental
45
Confidence in your hands™
Confidential – Internal Use Only!
Rehydration of Puros Particulate & Pericardium Regenerative Complex
Puros Particulate Puros Pericardium
![Page 46: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/46.jpg)
46
Knees Confidence in your hands™Dental
46
Confidence in your hands™
Confidential – Internal Use Only!
Pericardium Membrane Placed
![Page 47: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/47.jpg)
47
Knees Confidence in your hands™Dental
47
Confidence in your hands™
Confidential – Internal Use Only!
Tension Free Closure
![Page 48: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/48.jpg)
48
Knees Confidence in your hands™Dental
48
Confidence in your hands™
Confidential – Internal Use Only!
6 Week Post Operative View
![Page 49: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/49.jpg)
49
Knees Confidence in your hands™Dental
49
Confidence in your hands™
Confidential – Internal Use Only!
3 Month Post Operative Panorex
![Page 50: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/50.jpg)
50
Knees Confidence in your hands™Dental
50
Confidence in your hands™
Confidential – Internal Use Only!
3 Month Post Operative Clinical View
![Page 51: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/51.jpg)
51
Knees Confidence in your hands™Dental
51
Confidence in your hands™
Confidential – Internal Use Only!
3 Month Re-Entry
![Page 52: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/52.jpg)
52
Knees Confidence in your hands™Dental
52
Confidence in your hands™
Confidential – Internal Use Only!
Site Preparation Implant Placement
![Page 53: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/53.jpg)
53
Knees Confidence in your hands™Dental
53
Confidence in your hands™
Confidential – Internal Use Only!
Re-Shaping RidgeOne Stage Implant Protocol
![Page 54: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/54.jpg)
54
Knees Confidence in your hands™Dental
54
Confidence in your hands™
Confidential – Internal Use Only!
Closure
![Page 55: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/55.jpg)
55
Knees Confidence in your hands™Dental
55
Confidence in your hands™
Confidential – Internal Use Only!
6 Months Post J-Block-Loading
![Page 56: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/56.jpg)
56
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
56
Confidence in your hands™
Confidential – Internal Use Only!
Definición del hueso Puros• Procesado con Tutoplast
• Mineralizado
• Esponjoso, cortical, bloque iliaco
• Alogenetico
• Osteoconductivo
• Conserva el colágeno con toda su pureza
• Estéril
1%
14%0.3%
50%
2%
33%
Cells
Type I Collagen
NoncollagenousproteinsHA
Other Minerals
WaterSTERILE R
![Page 57: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/57.jpg)
57
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
57
Confidence in your hands™
Confidential – Internal Use Only!
Manejo y consistencia
![Page 58: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/58.jpg)
February 2006 Part# 6120 Rev. Date 01/06
Knees Confidence in your hands™Dental Confidence in your hands™
Confidential – Internal Use Only!
Puros® PericardiumResorbable Allograft Membrane
![Page 59: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/59.jpg)
59
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
59
Confidence in your hands™
Confidential – Internal Use Only!
Pricing
Product Description Price Puros Pericardium, 15X20mm $135 Puros Pericardium, 20X30mm $199 Puros Pericardium, 30X40mm $249
![Page 60: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/60.jpg)
60
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
60
Confidence in your hands™
Confidential – Internal Use Only!
Definición del Pericardio Puros
• Alogenetico
• Colágeno permanece intacto
• Procesado con Tutoplast
• Pericardio humano
• 5 años de almacenamiento
• Rígido con fibras multidireccionales.
• Se reabsorve entre 4 a 6 meses
![Page 61: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/61.jpg)
61
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
61
Confidence in your hands™
Confidential – Internal Use Only!
Pericardium
• Tejido conectivo denso que rodea el músculo del corazón
• El pericardium esta compuesto de colágeno tipo I.
• Funciones:
Proteger el corazón. Adhiere el corazón a las paredes
adyacentes. Previene el corazón de llenarse de
sangre. Limita los movimientos del corazón.
![Page 62: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/62.jpg)
62
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
62
Confidence in your hands™
Confidential – Internal Use Only!
Definición del Pericardio Puros
• Alogenetico
• Colágeno permanece intacto
• Procesado con Tutoplast
• Pericardio humano
• 5 años de almacenamiento
• Rígido con fibras multidireccionales.
• Se reabsorve entre 4 a 6 meses
![Page 63: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/63.jpg)
63
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
63
Confidence in your hands™
Confidential – Internal Use Only!
Que hace al Pericardio Puros superior?
• Fácil de hidratar.
• Alta adaptabilidad a los tejidos
• Fácil de manipular
• Predecible absorción.(4 a 6 meses)
• Acepta todo tipo de dispositivos de fijación
• Resistente
![Page 64: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/64.jpg)
64
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
64
Confidence in your hands™
Confidential – Internal Use Only!
Aplicaciones de el Pericardium
• Sobre injertos de bloques
• Sobre injertos de reconstrucción alveolar
• Sobre extracciones
• Sobre defectos periodontales
![Page 65: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/65.jpg)
65
Knees Confidence in your hands™Dental
65
Confidence in your hands™
Confidential – Internal Use Only!
Puros® Pericardium Clinicals:Case 1- Ridge Preservation
By Paul PetrungaroDDS, MS, FICD, FACD, DICOI
![Page 66: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/66.jpg)
66
Knees Confidence in your hands™Dental
66
Confidence in your hands™
Confidential – Internal Use Only!
Pre-Operative View
![Page 67: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/67.jpg)
67
Knees Confidence in your hands™Dental
67
Confidence in your hands™
Confidential – Internal Use Only!
Regenerative Barrier
Puros PericardiumPuros Pericardium
![Page 68: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/68.jpg)
68
Knees Confidence in your hands™Dental
68
Confidence in your hands™
Confidential – Internal Use Only!
Treatment of the Osseous Defects
Puros Particulate
![Page 69: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/69.jpg)
69
Knees Confidence in your hands™Dental
69
Confidence in your hands™
Confidential – Internal Use Only!
PRP Enhanced Graft Complex and Membrane
Pericardium Membrane
![Page 70: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/70.jpg)
70
Knees Confidence in your hands™Dental
70
Confidence in your hands™
Confidential – Internal Use Only!
3 Month Re-entry and Placement of Implants
![Page 71: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/71.jpg)
71
Knees Confidence in your hands™Dental
71
Confidence in your hands™
Confidential – Internal Use Only!
3 Month Re-Entry3 Month Re-Entry
Pre-Op DefectPre-Op Defect
CoreCore
3 Month Re-Entry3 Month Re-Entry
![Page 72: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/72.jpg)
72
Knees Confidence in your hands™Dental
72
Confidence in your hands™
Confidential – Internal Use Only!
![Page 73: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/73.jpg)
February 2006 Part# 6120 Rev. Date 01/06
Knees Confidence in your hands™Dental Confidence in your hands™
Confidential – Internal Use Only!
Puros® Dermis Allograft Tissue Matrix
![Page 74: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/74.jpg)
74
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
74
Confidence in your hands™
Confidential – Internal Use Only!
Dermis
• Skin is the largest organ in the body. It contains 3 layers: Epidermis Dermis Subcutaneous
• Functions: Protection Provides strength Thermoregulation Supports vascular and nerve network Sensation Delivers nutrients
![Page 75: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/75.jpg)
75
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
75
Confidence in your hands™
Confidential – Internal Use Only!
Caracteristicas
• De facil uso Segundos para hidratarla (no
necesita de antibioticos) No necesita de segunda cirugia Excelente respuesta de los tejidos Esteril
• Fuerte , con fibras multidireccionales• No requiere de refrigeracion• 5 años se puede guardar • Biocompatible• Compuesta de Collageno tipo 1• Se reabsorve entre 4 a 6 meses
![Page 76: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/76.jpg)
76
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
76
Confidence in your hands™
Confidential – Internal Use Only!
Hydration using PRP
![Page 77: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/77.jpg)
79
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
79
Confidence in your hands™
Confidential – Internal Use Only!
Puros Dermis in Place and Sutured
![Page 78: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/78.jpg)
83
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
83
Confidence in your hands™
Confidential – Internal Use Only!
Product Positioning - Dermis
Providing an easy-to-use, sterile solution, Puros® Dermis is a natural alternative to autogenous soft tissue grafts.
It can be used for both horizontal and vertical soft tissue augmentation, increasing volume and leading to a highly cosmetic clinical result.
Puros Dermis offers superb soft tissue response and maturation, ideal for aesthetic case requirements.
![Page 79: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/79.jpg)
84
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
84
Confidence in your hands™
Confidential – Internal Use Only!
Congelado-Desecado Vs Tutoplast
Congelado-Desecado (liofilizado)
(Largas vesículas debido a los cristales de hielo áreas densas no uniformes)
Tutoplast processed(Apariencia uniforme)
![Page 80: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/80.jpg)
85
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
85
Confidence in your hands™
Confidential – Internal Use Only!
Mineralizado Vs Desmineralizado
• Mineralizado
― Mejor matriz para el hueso remodelar― Soporte ― Estructura― Arquitectura
• Desmineralizado
― Se remodela mas rápido que el hueso del paciente, así perdiendo volumen
― Osteoinduccion??????
![Page 81: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/81.jpg)
86
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
86
Confidence in your hands™
Confidential – Internal Use Only!
Proj. T15b
• RTI Overview
• DBM Basics
• What Is It?
• How It’s Made
• Puros DBM Putty Product Description
• Competitive DBM Products
RTI & Zimmer
For internal use only- Do not distribute
![Page 82: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/82.jpg)
87
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
87
Confidence in your hands™
Confidential – Internal Use Only!
![Page 83: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/83.jpg)
88
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
88
Confidence in your hands™
Confidential – Internal Use Only!
What Is It?
• 100% processed allograftActive DBM*
Carrier DBM
Water
• Open bore dispensers
*DBM induced bone formation when implanted in an athymic rat assay. Findings from an animal model are not necessarily predictive of human clinical results.
For internal use only- Do not distribute
![Page 84: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/84.jpg)
89
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
89
Confidence in your hands™
Confidential – Internal Use Only!
+ +Carrier DBM
=
For internal use only- Do not distribute
![Page 85: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/85.jpg)
90
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
90
Confidence in your hands™
Confidential – Internal Use Only!
Zimmer® Sinus Lift Balloon
Zimmer Dental has signed an Exclusive Distribution Agreement with Osseous Technologies of America (OTA) for a product line of Sinus Lift Balloons
![Page 86: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/86.jpg)
91
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
91
Confidence in your hands™
Confidential – Internal Use Only!
©2009 Zimmer Dental Inc. All rights reserved. 1289, Rev. 8/09.
Zimmer® Sinus Lift Balloon
![Page 87: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/87.jpg)
92
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
92
Confidence in your hands™
Confidential – Internal Use Only!
FAQsWhat is the Sinus Lift Balloon?Zimmer® Sinus Lift Balloon is a unique device to assist clinicians in performing atraumatic sinus membrane elevation.
What is the price of a Sinus Lift Balloon?$129 each (no discounting)
What are the part numbers?14002 – Straight14003 – Angled14004 – Micro-Mini
Availability?US – October 2009Canada – 2Q10EU/ROW – 1Q10 (APR countries vary based on product registry)
![Page 88: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/88.jpg)
93
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
93
Confidence in your hands™
Confidential – Internal Use Only!
How to use a Sinus Lift Balloon*
Clinical photos ©2009 Dr. Ronald Cardoso. All rights reserved. Individual results may vary.
Step 5 Step 6 Step 7
S5) Insert deflated balloon into osteotomyS6) Slowly and evenly inflate balloon with saline to lift sinus membraneS7) Deflate balloon and remove from osteotomy, inspect sinus membrane. Site is now ready to receive graft material
*Refer to the IFU for further information and detailed steps.
S1) Determine which balloon you need for the indicationS2) Inflate the balloon with air, pump multiple times to expand balloonS3) Create an osteotomy S4) Fill the syringe with saline
![Page 89: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/89.jpg)
94
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
94
Confidence in your hands™
Confidential – Internal Use Only!
LITERATURE
![Page 90: PUROS 2009](https://reader031.vdocument.in/reader031/viewer/2022020714/546fe0c3b4af9fe70b8b4612/html5/thumbnails/90.jpg)
95
Knees
February 2006 Part# 6120 Rev. Date 01/06
Confidence in your hands™Dental
95
Confidence in your hands™
Confidential – Internal Use Only!