Inside Dentistry
November 2018
Volume 14, Issue 11

GUIDOR® easy-graft ® Classic

Increasing predictability and patient comfort

Michael Narodovich, DMD

I began my career in private practice 10 years ago in Sacramento, California. I've always had a passion for surgery, and I love providing implant-based solutions for my patients. Treatments usually begin with extraction of the failing tooth and bone grafting for ridge preservation. For many years, I had used a cortical and cancellous mix of autogenous bone. During this time, I tried a variety of resorbable and non-resorbable membranes, all with the same disappointing results. My patients usually experienced discomfort, and many complained about the odor that resulted from the movement and exposure of the membrane.

I was looking for a bone grafting product that did not require a membrane, and after attending a continuing education event, I found GUIDOR® easy-graft® Classic. The difference was immediately noticeable. After grafting procedures, I followed my patients weekly to monitor the progress of their healing, and in almost all situations, GUIDOR achieved primary closure within 2 weeks. In addition, patients who had previously received  grafts with membranes were now commenting on how much less postoperative pain they were experiencing. The results were incredible.

With so many benefits for my patients, the ease of use and cost-effectiveness were icing on the cake. After the tooth is extracted, I use a curette to scrape the walls and remove any granulation tissue-just like with any other graft material. Then, after opening and mixing the GUIDOR product and expelling the extra monomer, I use the carrier to deliver it directly to the grafting site. Using a condenser, I have one minute to condense and shape the graft material into the site before it hardens and is no longer malleable. After removing any graft material that is above the crest of the bone, I place resorbable sutures to bring the buccal and lingual edges together in a tension free closure.

In my experience, for a large molar, the tissue will close halfway in 1 week and achieve primary closure in 2 weeks. For smaller bicuspids and anterior teeth, I typically see primary closure in 7 to 10 days. After 6 months, I find dense bone that is ready for implant placement. Occasionally, a few granules of the graft material are still present, but the bone is dense enough to place implants with high initial stability.

I also use GUIDOR during immediate implant placement procedures. It works great to fill in bony defects around implants. Often, due to the slope of the buccal bone, there can be a height discrepancy between the buccal and lingual edges of the ridge. This can result in a small buccal bone defect. After the implant is placed, I use the small GUIDOR syringe to place as many granules as needed to cover the part that is exposed, then suture the tissue to cover the graft.

I believe that using GUIDOR easy-graft Classic will enable more dentists to efficiently provide their patients with outstanding bone grafting services.

Key Takeaways

1. A 100% synthetic, fully resorbable material that comes in a unit-dose applicator for ease of use
2. Hardens to a porous scaffold, eliminating the need for a dental membrane in most cases
3. Ideal for filling voids around immediate implant placements and ridge preservation after tooth extraction
4. Enhanced porosity provides increased osteoconductivity and bone formation

Manufacturer Information
Sunstar Americas, Inc.

About the Author

Michael Narodovich,  DMD
Private Practice
Citrus Heights, California

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