Redefining Regeneration

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1 Redefining Regeneration

2 Taking Volume to the MAX

3 One Product, One Treatment, Real VOLUME Buccal Bone Loss Socket Preservation Lateral / Vertical Augmentation Grafting Material Scaffold Barrier (4-6 months) Real Volume in Aesthetic Zone One stop shop for Dehiscence Defects Supports Tissue Healing Collagen Scaffold Rapid Ossification Multifunctional GBR Ossification Scaffold Soft Tissue Augment-ation Restores Biotype Features & Benefits Facilitates New Bone Growth Bone Volume Tissue Volume Proven Technology (>100 publications) Bio-compatible Resistant to Degradation when Exposed *Please see the IFU for the information on the indications for use and contraindications

4 OSSIX VOLUMAX SCAFFOLD 2017 Dental Excellence Award Winner Best New Restorative Material DrBicuspid.com readers and expert panel

5 What is OSSIX VOLUMAX? OSSIX VOLUMAX is a thick (multilayer) cross-linked collagen scaffold It is ~2 mm thick and expands when wet It is less condensed than OSSIX PLUS It undergoes rapid ossification (starts in CT scans and histology after one month) It adapts and adheres to the bone It may be folded for extra volume Please read OSSIX VOLUMAX IFU for full indications and contraindications. ~2 mm

6 Why OSSIX VOLUMAX? The Need for Volume Dense layers Gel like layer

7 What is OSSIX VOLUMAX? Scaffold 2 Dense Layers + Gel-Like Layer in the middle Dense layers Gel-like layer

8 OSSIX PLUS GLP Dog Study - Micro CT 1 month 3 months 6 months 1.5 mm 1.5 mm 1.5 mm

9 OSSIX VOLUMAX GLP Dog Study - Micro CT 1 month 3 months 6 months 1.0 mm 1.5 mm 2.5 mm

10 OSSIX VOLUMAX GLP Dog Study - Histology 1 month 3 months 6 months 1.0 mm 2.0 mm 4.0 mm

11 GLP Dog Study - Ossification 1 Month 3 Months 6 Months OB M - OSSIX VOLUMAX Arrows Ossification OB Original Bone

12

13 Buccal Dehiscence at 2 nd Stage Implant Surgery Single Layer Before Double Layer OSSIX VOLUMAX placed over the exposed implant (double layer recommended in most cases)

14 Buccal Dehiscence at 2 nd Stage Implant Surgery After Once soft tissue healing is complete (~2 weeks), the restoration of implants can be continued

15 Case 1: Intentional Exposure in Socket Preservation Maxillary Molar Extraction OSSIX VOLUMAX intentional exposure Courtesy: Dr. Rodrigo Neiva, Gainsville, FL USA

16 Case 1: Intentional Exposure in Socket Preservation Maxillary Molar Extraction OSSIX VOLUMAX intentional exposure Courtesy: Dr. Rodrigo Neiva, Gainsville, FL USA 4 months healing

17 Case 2: In Implant Surgery Thin Buccal Bone OSSIX VOLUMAX intact Maintaining volume White undergoing ossification Volumizing the tissue OSSIX VOLUMAX ossification at 6 months

18 Case 3: Implant in the Aesthetic Zone Thin Buccal Bone and Buccal Depression

19 Case 3: Implant in the Aesthetic Zone Thin Buccal Bone and Buccal Depression OSSIX VOLUMAX in place Simple procedure Generating volume in aesthetic zone

20 Case 3: Implant in the Aesthetic Zone Thin Buccal Bone and Buccal Depression OSSIX VOLUMAX maintaining volume Before 4 Months Post-Op

21 Case 4: Thin Buccal Bone OSSIX VOLUMAX integration + ossification after 6 months

22 Case 5: Lateral and Vertical Augmentation No Graft Missing Buccal and Crestal Bone + Severe Periodontal Attachment Loss

23 Case 5: Lateral and Vertical Augmentation No Graft Missing Buccal and Crestal Bone + Severe Periodontal Attachment Loss Keratinized tissue OSSIX VOLUMAX with periosteal sutures Localized gingival augmentation

24 Case 5: Lateral and Vertical Augmentation No Graft Missing Buccal and Crestal Bone + Severe Periodontal Attachment Loss Gain of vertical and periodontal attachment on adjacent tooth Before 4 Months

25 Case 5: Lateral and Vertical Augmentation No Graft 2 nd Stage Surgery OSSIX VOLUMAX is visible and removed from over the cover screws

26 Case 5: Lateral and Vertical Augmentation No Graft OSSIX VOLUMAX Ossification Osteoblasts H&E X20 H&E X50

27 Case 6: Deep Buccal Depression in Aesthetic Zone Implant is Placed with a Healing Abutment Thin bone and dehiscence Courtesy: Dr. Rodrigo Neiva, Gainsville, FL USA

28 Case 6: Deep Buccal Depression in Aesthetic Zone OSSIX VOLUMAX is hydrated in sterile saline and folded OSSIX VOLUMAX double layer (folded)

29 Case 6: Deep Buccal Depression in Aesthetic Zone OSSIX VOLUMAX double layer (folded) Tension Free Suturing No Bone Graft Used

30 Case 6: Deep Buccal Depression in Aesthetic Zone The Aesthetic Zone a Missing Second Premolar 10 Days healing

31 Case 6: Deep Buccal Depression in Aesthetic Zone The Aesthetic Zone a Missing Second Premolar Thick, keratinized tissue Before After 4 months

32 Case 6: Deep Buccal Depression in Aesthetic Zone The Aesthetic Zone a Missing Second Premolar Temporary restoration

33 Case 6: Deep Buccal Depression in Aesthetic Zone The Aesthetic Zone a Missing Second Premolar Before 6 Months with final restoration Courtesy: Dr. Rodrigo Neiva, Gainsville, FL USA

34 Case 6: Deep Buccal Depression in Aesthetic Zone The Aesthetic Zone a Missing Second Premolar 6 Months Post-Op Final restoration

35 Case 6: Deep Buccal Depression in Aesthetic Zone The Aesthetic Zone a Missing Second Premolar Original Bone OSSIX VOLUMAX Ossification Before 6 Months CT Courtesy: Dr. Rodrigo Neiva, Gainsville, FL USA

36 Case 7: Congenitally Missing Lateral Incisor Buccal Concavity and Thin Buccal Bone OSSIX VOLUMAX double layer

37 Case 7: Congenitally Missing Lateral Incisor Immediate Post-op Tension Free Suturing

38 Case 7: Congenitally Missing Lateral Incisor Thick keratinized tissue 4 months healing

39 Case 8: Peri-Implant Bone Loss Crestal Bone Loss at 2 nd Stage Surgery Vertical and circumferential defect

40 Case 8: Peri-Implant Bone Loss Crestal Bone Loss at 2 nd Stage Surgery OSSIX VOLUMAX punched OSSIX VOLUMAX fixated with healing abutment

41 Case 8: Peri-Implant Bone Loss Crestal Bone Loss at 2 nd Stage Surgery Bone line below implant head Bone line aligned with implant head Pre-op 6 months with final restoration

42 Taking Volume to the MAX

43 Taking Volume to the MAX Best Restorative Material 2017 Dental Excellence Awards

44 Taking Regeneration to the Next Level! Collagen Membrane Thick Collagen Scaffold Particulate Bone Graft (Allograft) Bone Filling Spongeous Material (Collagen) Expanding OSSIX Product Line Commercially available FDA/510(k) Expected August 17, CE mark Expected Q1/18 Prototypes in preclinical studies Expanding OSSIX Dental Regenerative Product Line

45 Redefining Regeneration Connect with Mkt

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