The cancellous structure allows an optimal revascularization and supply of vital cells and therefore enables a rapid regeneration of vital bone tissue. By adding a compact and dense bone ratio to the cancellous granules (maxgraft® cortico-cancellous granules) a greater volume stability is given, which is useful in cases of for example off-contour augmentations. Depending on the defect size, maxgraft® granules will be stably incorporated within 3–4 months and enable therefore an earlier re-entry in comparison to other grafting material

Due to its high biological regenerative capacity and complete remodeling, maxgraft® represents an alternative to the patient’s own bone. The need for a second surgical site is eliminated, surgical time is shortened, and postoperative pain and morbidity for the patient are significantly reduced.

• Natural mineralized collagen
• Three-dimensional pore network and rough surface
• Osteoconductive scaffold which supports natural and controlled remodeling

IMPLANTOLOGY, ORAL AND CMF SURGERY
• Regeneration of extraction sockets (Socket Preservation)
• Regeneration of missing bone tissue around dental implants
• Sinus augmentation
• Regeneration of periodontal bone defects
• Three-dimensional (horizontal and/or vertical) ridge augmentation
• Bony defects

Rehydration
The processing of maxgraft® products preserves the natural collagen content and a residual moisture of Application
Compression of the particles should be avoided. Looser particles provide more space for blood vessel ingrowth and new bone formation.

Mixing with autologous bone
Mixing maxgraft® granules with autologous bone increases biological activity in the defect site and contributes to a more rapid regeneration and new bone formation.

Mixing with cerabone®
Mixing of maxgraft® granules with cerabone® combines the advantages of both materials. The biological potential of maxgraft® and the long-term volume stability of cerabone® lead to fast regeneration of strong vital bone.

Guided Bone Regeneration – Use of a barrier membrane
maxgraft® granules should be covered with a barrier membrane (e.g. Jason® membrane, collprotect® membrane) for the purpose of controlled bone regeneration; this prevents premature resorption and ingrowth of soft tissue.

Wound closure
Consideration of the soft tissue situation prior to surgery is necessary. The wound must be closed tension-free and saliva-proof. Overlapping mobilization of the soft tissue before suturing should be possible.

Reentry
Depending on the defect morphology, the healing time of maxgraft® granules is 3-4 months (e.g. socket preservation, smaller bone defects, periodontal defects). Following healing, reentry with implant placement should be performed promptly to prevent degradation.