SURFACE AREA - Granules have surface texture that significantly increases the surface area for osteoblast attachment.

RADIO-OPAQUE - Granules can be visualized on the radiograph as having a denser appearance than the adjacent bone.

OSTEOSTIMULATION - Granules exhibit enhanced bone regeneration rates due to osteostimulation phenomenon.

STORAGE & SHELF LIFE - Granules do not require special storage conditions. It can be stored at room temperature. 5-year shelf life.

Interconnected Porous Granules for Faster Bone Integration and Remodeling

NovaBone Granules, also known as Dental Morsels, are crystalline and composed of Calcium-Phosphosilicate. 
NovaBone Dental Morsels - Synthetic Bone Graft Particulate is a bioactive material used for alloplastic bone grafting. NovaBone Dental Morsels is composed of elements naturally occurring in bone (Ca, Na, Si, P, O). The material contained in this package is of a macro-porous particulate form, the particle size range being 500-1000 microns, and is gradually absorbed with time.

The material composition used in NovaBone Dental Morsels is one of a number of bioactive glass compositions that have been shown to bond to bone as well as soft tissue. The material undergoes a time-dependent kinetic modification of the surface that occurs when implanted in living tissue. Specifically, the surface reactions result in the formation of a calcium phosphate layer, which is substantially equivalent in composition and structure to the hydroxyapatite in bone mineral. It is this apatite layer that provides the bonding interface with bone and certain types of soft tissue.

NovaBone Dental Morsels is partially radiopaque, which enables the clinician to make immediate, as well as long-term, post-operative evaluation. Positive surgical results are related directly to factors of patient cooperation, diligent home care practices, proper case selection and surgical technique.

Clinical Indications :

Dental Granules give better structural support to the defect than putty devices and hence form a good choice for reconstructive surgeries in esthetic areas.

• Guided Bone Regeneration
• Lateral Window Sinus Elevations
• Fenestration/Dehiscence Defects
• Peri-implantitis
• Ridge Augmentation (sinusotomy, osteotomy, cystectomy)
• Extraction sites (ridge maintenance/augmentation, implant preparation and placement)
• Sinus lifts
• Cystic cavities
• Craniofacial augmentation

Contraindications :

NovaBone Dental Morsels should not be used in patients who:

• Need chronic anticoagulant therapy (e.g. heparin). Prophylactic use of Coumadin or aspirin postoperatively is allowed.
• Are taking immunosuppressant medications, or other medications known to affect the skeleton (e.g. chronic glucocorticoid usage >10mg/day for the previous 3 months). Estrogen replacement therapy is allowed.
• Have had, or are undergoing irradiation treatment of the graft region.
• Have a systemic metabolic disorder known to adversely affect mucosla healing or bone healing and mineralization (e.g. poorly controlled insulin-dependent diabetes, renal osteodystrophy, Paget’s disease), other than primary osteoporosis.
• Have any existing condition or disease that will interfere with good mucosal and bone healing.

Osteostimulation :

NovaBone Granules are osteostimulatory! The granules not only act as an a osteoconductive scaffold but also facilitate release of ions that signal and recruit bone precursor cells to the defect site and stimulate osteobla differentiation and proliferation This phenomenon is unique to NovaBone technology and has be demonstrated in over 25-30 clinical publications.

Sizes & Availability :

Granules are available in vials and are perfect for use with hand instruments and for mixing with blood or PRF. Use of Biomodiers like PRF is suggested when using granules to facilitate faster bone integration into the matrix.

• 1 x Novabone Porous Granules 0.5cc (0.25gm)

Routine surgical procedures should be used to expose the surgical site. Once exposed, eliminate all granulation or necrotic tissue at the defect site. Irrigate the defect with sterile saline or water and evacuate the excess.

Advice: Intra-marrow penetration is useful to ensure some bleeding from the host bone, which provides a supply of osteogenic material to aid in bone regeneration.
All device packaging should be inspected prior to use to insure maintenance of sterility.

1. Remove the NovaBone Dental Morsels device from the outer container. For cup packaging, remove the lid from the cup by slowly peeling back the lid at an acute angle to avoid loss of powder.

2. Mix the NovaBone Dental Morsels with sterile water, saline, or the patient’s blood or marrow before application. For cup packaging - apply 8-12 drops per cc to the NovaBone Dental Morsels in the mixing cup. Do not over wet. Excess solution may be blotted with a corner
of a sterile sponge.

Advice: Do not place NovaBone Dental Morsels in the dry asreceived state. While NovaBone Dental Morsels can be moistened with either sterile water or sterile saline, it is suggested that osseous regeneration can occur more rapidly by using the patient’s osteogenic blood or marrow obtained by scoring the surface or drilling into the cortical bone at the surgical site.

3. If autograft or allograft bone is to be used, ensure that it is fully hydrated prior to mixing with an amount approximately equal to the NovaBone Dental Morsels in the mixing cup. Mixing time is not critical. Typically, the flat end of a sterile spatula can be used for approximately 10-15 seconds to mix the NovaBone Dental Morsels with the solution. The mixed material may be delivered to the surgical site using the spoon end of the spatula or similar instrument. NovaBone Dental Morsels will remain in a moist workable condition for 2-3 minutes following mixing and can be rehydrated if required. NovaBone Dental Morsels does not set like a cement.

4. Gently fill each defect, in small increments, to the highest level of bony defect. Regeneration will occur best when blood and blood vessels can infiltrate the graft material.
SUCCESSFUL PLACEMENT TECHNIQUE ADVICE: When placing the graft material, do not compress the material into the site or blot away the blood /moisture in the placed graft material.

5. After placement of the NovaBone Dental Morsels, ensure primary closure of the soft tissues over the graft site. Resorbable or nonresorbable membranes may also be used to achieve closure. As is the case with any particulate graft procedure, primary closure of the surgical site is essential.

6. Discard any excess material and packaging. Neither the material nor its packaging can be reused or re-sterilized.

7. Appropriate postoperative antibiotic, analgesic and home care regimen should be prescribed. The oral or periodontal patient should be cautioned against chewing on or brushing the area for at least 1 to 2 weeks or as long as the clinician deems necessary. Antibacterial rinses should be used during this period. These instructions are intended as guidelines for the use of NovaBone Dental Morsels as a part of established techniques. They are not intended to replace or change standard grafting techniques associated with instrumental stabilization.

NO WARRANTY

Question) What is the composition of this?

Answer: Novabone Porous Granules, also known as Dental Morsels, are crystalline and composed of Calcium-Phosphosilicate. They facilitate faster bone integration and remodeling and include elements naturally occurring in bone: Calcium (Ca), Sodium (Na), Silicon (Si), Phosphorus (P), and Oxygen (O).