Neobiotech

GBR Kit

Cover big bone defect with Tent screw

instead of Block Bone techinque

Introduction

* What to do with Neo GBR Kit

- With Tent Screw, primary vertical and horizontal formation is possible without placing the implant

- By utilizing the Cover Screw, fixation of membrane to the Tent Screw is done with ease

- Secondary stabilization of the membrane is completed with Fixing Screw

- With Tent Screw space for bone formation on the vast defect area can be maintained

- Bone formation utilizing Spacer, Membrane and Cover Screw after placing Implant

* Vertical Augmentation with Neo GBR Kit

By utilizing Neo GBR kit, Tent Screw, Cover Screw and Fixing Screw, vertical and horizontal bone level can be augmented.

Advantages

- Without implant, using tent screw that make primary horizontality and verticality osteogenesis.

- Membrane can be easily fixed to Tent Screw with Cover Screw.

- Fixing Screw can fix the Membrane secondary without movement.

- Tent Screw can maintain Space for osteogenesis to extensive Defect.

- After placing an implant, Verticality and Horizontality osteogenesis are possible using the Screw, Spacer, and Membrane.

Components

* Key Components

		Tent Screw bone level augmentation for vertical, horizontal and wide area maintaining space for bone formation to ease the fixing of membrane
		Cover Screw To stabilize and submerge Tent Screw, Spacer and Membrane
		Fixing Screw screw to secondarily stabilize the membrane
		IS Spaer to fixate Membrane using Cover Screw after connecting Spacer to Fixture directly

* Instruments in Neo GBR Kit

Procedure

● Drilling Guide for Tent Screw & Fixing Screw

[While fastening Tent Screw]

• Neo GBR kit’s Tent Screw is a Temporary Screw that works as a prop to procure space to enable vertical and horizontal bone formation on large defected area.
1 Insert 3mm or more into the bone and needs primary stability of 15~25Ncm
2. Tent Screw could break when 30Ncm is exceeded
3. Insert to the level of bone grafting


Fix Tent Screw with Dual Hex Driver after drilling with 1.5.	Fix Tent Screw with Dual Hex Driver after drilling with 1.3.	Fix Tent Screw with Dual Hex Driver after drilling with 1.0.	Insert by Self Tapping.

[While fastening Fixing Screw]

• Neo GBR kit’s Fixing Screw secondarily stations Membrane and maintains the desirable volume of bone formation.


Fixate Fixing Screw with Phillips Driver after drilling with 1.3.	Fixate Fixing Screw with Phillips Driver after drilling with 1.0.	Self Tapping.	Self Tapping with 5~7mm Screw.

● Surgical Procedure for Vertical Augmentation

	Connect stopper to Drill
	Drill at least 3mm depending on the bone density
	Insert Tent Screw leaving space for augmentation (15~25Ncm)
	Decortificated surroundings after Tent Screw insertion
	Choose appropriate CTi-mem
	Tighten Fixing Screw in to Fixing Hole
	Create matching hole for Cover Screw on CTi-mem with tweezers
	Prior to Bone grafting, to avoid bone material from entering Tent Screw, insert material after tightening Cover Screw. Check for orrespondence with Cover Screw Hole
	After removing Cover Screw apply CTi-mem, fixate Tent Screw on CTi-mem with Cover Screw(10~15Ncm)
	Adapt the remaining part of CTimem to the tissue and cover up

Clinical cases

Clinical cases
	GBR with Cti-mem in the periodontally compromized narrow ridge of #14 10 December 2015
	GBR procedure with a CTi-mem and a combination of Bio-Oss and auto bone 16 August 2015
	GBR technique using autogenous bones and titanium mesh 22 August 2015 This case presents how to augment the narrow ridge with the autogenous bone harvested with an Auto Chip Maker (ACM) and CTi-mem Titanium Mesh. 12 weeks follow-up shows verification of the volumetric stability of the graft.
	#22 Immediate implant placement with GBR 26 June 2015