EthOss has been designed to be simpler to use than traditional bone grafting products. Its innovative built-in cell occlusive binder removes the need for a collagen membrane.
THE BEST DENTISTS DON’T STAND STILL. THEY’RE ALWAYS GROWING. DEVELOPED BY A DENTIST, FOR DENTISTS, ETHOSS HELPS PATIENTS GROW BACK THEIR BONE FAST, WITH NO GRAFT PARTICLES LEFT BEHIND.
Born from a desire to move beyond traditional “GBR”, donor grafts and artificial scaffolds, EthOss® was created to pioneer True Host Bone Regeneration in dentistry and oral surgery. The initial concept was simple: “the body wants to heal, let’s work with it”. This was key to the development of EthOss – a grafting material which works with the body, upregulating the host healing response to regenerate lost bone. Founded by Dr Peter Fairbairn, a world-renowned clinician, and Dr Paul Harrison, a leading bone regeneration industry expert, the company has grown significantly since being founded in 2013 and is now a global brand.
Surgical Guidelines
EthOss® is recommended to be used with the following published protocol: Protocol for Bone Augmentation With Simultaneous Early Implant Placement: A Retrospective Multi-Centre Clinical Study. — International Journal of Dentistry, 2015, Article ID 589135. Email info@marlettaenterprises.com if you would like a hard copy.
Standard Protocol
Pre-Surgery
1. Tooth extraction should be performed atraumatically to preserve host bone.
2. Leave the site to heal for 3 – 4 weeks post-extraction. This should allow sufficient time for soft tissue
healing over the extraction site.
Site Preparation
1. Raise a papillae-preserving flap to allow sight of the defect/proposed implant site.
2. Allow any excess bleeding to subside before grafting. If the flap will require releasing to obtain tension
free primary closure then perform the releasing incisions at this stage, allowing bleeding to subside
before graft placement.
3. Thoroughly remove all granulation tissue ensuring the graft will be in direct contact with healthy host
bone. EthOss® Degranulation Burs are recommended.
4. Place the implant ensuring primary stability. Alternatively, if it is preferred, the site can be grafted and the
implant placed at a later date (12 weeks is usually suitable).
Note: Thorough and careful degranulation of the site is a prerequisite for successful grafting.
Preparing EthOss®
1. Draw back the plunger to the 1cc mark for 0.5cc syringes, or 2cc mark for 1cc syringes.
2. Holding the syringe horizontally, gently tap it to loosen any compacted EthOss®.
3. Hold the syringe vertically and remove the end cap.
4. Fill to the top of the syringe with sterile saline, replace the cap and tap or shake the syringe for 10 seconds
until the powder is wet through.
5. Remove the end cap, place a sterile gauze over the end of the syringe and express the excess fluid. Firm
pressure is needed. Your EthOss® is now ready to use.
Applying EthOss®
The material will start to harden after 1 minute – so it must be placed into the site quickly after mixing.
1. Ensure any excess bleeding in the site has subsided before grafting.
2. Place the EthOss® with the syringe and shape as required.
3. Do not use suction once the site has been grafted – this may disturb the material.
4. Do not overfill the site with graft material – this may cause bone to grow over the implant.
5. Apply a sterile gauze to the graft for 3-5 minutes. This will accelerate the setting reaction of the Calcium
Sulphate cell occlusive barrier. A separate collagen membrane should not be used.
6. Once EthOss® becomes firm and you feel resistance from the graft, begin suturing. EthOss® does not
need to “set” like bone cement before suturing.
7. Full and passive soft tissue closure is required. It is recommended that the first sutures should be at the
papillae to ensure passive closure which does not disturb the graft.
Note: Careful, tension free suturing is a prerequisite for successful grafting. It is preferable to use a
monofilament suture to reduce the potential wicking effect of bacteria.
Post Surgery
1. EthOss® has no special post-surgical requirements that would not be followed with any other graft
material. We recommend the use of Blue®m implant care products post-surgery.
2. The implant can usually be restored after a 12 week healing phase subject to appropriate ISQ readings.
SOUND CLINICAL JUDGEMENT SHOULD BE USED AT ALL TIMES.
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