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Упаковка Ivory Dentin Graft с флаконом гранул

Ivory Dentin Graft, glass vial

Coming soon. Price on request.

Resorbable dentine-derived xenograft for guided bone regeneration. Granules in a sterile capped glass vial inside an outer blister.

Pack size

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Specifications

Pack size
0.25 g; 0.5 g; 1 g; 2 g; 5 g
Presentation
Granules in a capped glass vial
Sterilisation
Gamma-irradiated, single use
Device class
Class III, EU MDR 2017/745

Description

Ivory Dentin Graft™ is a resorbable dentine-derived xenograft for rebuilding bone in patients with varying degrees of atrophy. Its structure is close to the mineralised matrix of human bone; the manufacturer states both osteoconductive and osteoinductive properties.

Indications: implant placement, extraction socket preservation, sinus floor elevation, guided bone and tissue regeneration (GBR/GTR), peri-implant and intrabony periodontal defects, defects following root resection, apicoectomy and cystectomy.

Presentation: granules in a sterile capped glass vial inside an outer blister and a single-use carton. Gamma-irradiated, for single use only.

Amounts recommended by the manufacturer

Intrabony periodontal defects0.25–1 g
Defects after root resection, apicoectomy, cystectomy0.25–1 g
Extraction socket preservation0.5–2 g
Guided regeneration (GBR/GTR) and peri-implant defects0.25–1.5 g
Maxillary sinus floor elevation2–5 g

The amount is chosen case by case: patient age, bone quality and density, defect morphology and size, use of barrier membranes and the surgical technique all affect it. The figures above are the manufacturer's general guidance for typical scenarios.

Class III under EU MDR 2017/745. Manufactured by Ivory Graft Ltd., Israel. ISO 13485 quality management system, CE marking.

Material

Dentine is more than a mineral

The material has three components. The inorganic part gives strength, the organic matrix gives biological activity.

ComponentShareRole
Hydroxyapatite65–70 %Mineral phase. Provides strength and volume.
Type I collagen~30 %The same protein structure found in human bone, with growth factors embedded in the matrix: BMP, TGF-β, IGF, PDGF, FGF
Water10 %Bound phase of the matrix.
Particle size300–900 micrometres
Hardness73 HV Vickers
Ca : PO₄1.59–1.67 ratio
Shelf life5 years at +5…+30 °C
Macropores > 100 µmVessel ingrowth and osteoblast migration into the material — vascularisation of the augmented site.
Micropores < 10 µmPlasma protein adsorption and the onset of osseointegration. A diameter of 0.7–1.5 µm gives maximum contact with biological molecules.

Mechanism

How the material behaves in the defect

Four stages, from application to the end of remodelling.

  1. 1

    Application and hydration

    The material is hydrated with saline immediately before placement. No prior preparation is required.

  2. 2

    Ankylosis and volume stability

    Union with the jawbone. Graft volume is held throughout remodelling.

  3. 3

    Vascularisation

    Vessels grow in through the macropores. BMP and TGF-β recruit osteoblasts to the defect.

  4. 4

    Parallel remodelling

    Resorption keeps pace with osteogenesis: the material neither resorbs early nor stays as an inert body.

Literature

Publications on dentine-derived materials

References for further reading. Study conclusions are not reproduced here.

  • Cells 2024, 13:1806

    Review of 89 publications · properties of bone graft materials

  • Sánchez-Labrador et al., 2020

    Prospective RCT · alveolar ridge augmentation

  • Oguić et al., 2023

    Prospective RCT · aesthetic zone

  • Mahendra et al., 2024

    PRISMA systematic review · ridge augmentation

Safety

Source, processing, sterilisation

The manufacturing site is inspected regularly by international and local regulatory bodies.

Source material
Porcine teeth from an isolated colony under veterinary supervision, with systematic analysis of feed, water and animal health.
Viral safety
Chemical processing steps are validated to ISO 22442 for the removal of viral contamination. ICP-MS confirmed no heavy metals at toxicologically relevant concentrations.
Gamma sterilisation
Final sterilisation of the packaged material by cobalt-60 irradiation. Bioburden of at most 220 CFU per device.
Storage
5 years from the date of sterilisation at +5…+30 °C, away from direct sunlight. The packaging is sealed until opening and every batch undergoes final quality control.
Regulatory status
CE MDR 2017/745 · ISO 13485 · ISO 22442 · ISO 9001

Contraindications

Absolute

  • Acute inflammation at the surgical site
  • Immunological disorders

Relative

  • Uncontrolled diabetes mellitus
  • Chemotherapy or radiotherapy within the last 5 years

Class III medical device under EU MDR 2017/745, for use by a clinician. This information is intended for professionals and does not replace the instructions for use.

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Price on request · coming soon

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