When you are trying to grow new bone for implants or periodontally involved teeth, cysts,
extraction sockets etc. you have many choices to make. Firstly, do you choose animal, human
or synthetic materials? Which is best? Secondly do you choose a material that is fully replaced
by the patient’s own bone or one that sticks around as a foreign body? Lastly, should you use a
membrane?
Fortoss® VITAL is one of a new generation of bone augmentation materials that answers these
questions for you. The difference between this type of material and a more traditional particulate
product (be it bovine, or synthetic) can be likened to the difference between the first branded
implants with machined surfaces compared to the advanced implants that are now available
with etched and reactive surfaces. They both work. The newer ones just integrate a lot quicker
and give better bone to implant contact.
Firstly, Fortoss® VITAL is synthetic so there are no issues regarding its use on safety, moral or religious
grounds. Patient consent is easy.
Secondly, it is completely replaced by the patient’s own bone over a period of a few months.
This means that you have new bone around your implant or tooth and not a mixture of bone
and foreign body.
Thirdly, and very importantly from a handleability perspective, unlike traditional materials
you do not need to use a membrane with Fortoss® VITAL, saving money and time.
Why? Because Fortoss® VITAL has a built in membrane. More basic particulate materials will migrate
under soft tissue pressure. They also allow soft tissue ingress if a membrane is not used with
them. If soft tissue ingress occurs, then new bone cannot grow. However using a membrane is
not easy. Fortoss® VITAL sets hard to stop soft tissue ingress, but allows fluid transmission and hence
angiogenesis and bone growth.
What can I expect? Once placed Fortoss® VITAL encourages bone growth, which over a period of a few months is totally replaced by the patient’s own bone.
Where can I use Fortoss® VITAL? Fortoss® VITAL is used in augmentation around implants, periodontal defects, sinus grafting, filling bony cysts and filling sockets after extraction.
How do I use Fortoss® VITAL? Fortoss® VITAL handles differently to more a traditional particulate graft. To get the best out of the material it is important that the simple GUIDELINES are followed.
Where’s the evidence? If you are interested in published evidence and a series of case histories you can order a free Fortoss® VITAL CD or view online case studies.
What is Fortoss® VITAL made from? Fortoss® VITAL is a mixture of two well researched bone regeneration
materials. It consists of a ß-Tricalcium Phosphate particulate within a Calcium Sulphate matrix. The Calcium sulphate matrix is the part that sets to form a barrier to soft tissue ingress. It is typically resorbed in 6 to 8 weeks. This leaves a Calcium rich area and the ß-Tricalcium Phosphate to act as a scaffold for further bone regeneration. The ß-Tricalcium Phosphate is typically resorbed over a period of months. However Fortoss® VITAL also has some added technology to allow quicker bone growth. This is called ZPC Technology.
What’s so special about Fortoss® VITAL? The ZPC technology is basically a unique process which confers a controlled, reproducible, negative surface charge on the material. It has long been known that such a charge has a significant effect on protein and cell activity, but controlling it to best effect bone growth is difficult. Biocomposites, a world leader in synthetic biomaterials and the manufacturer of Fortoss® VITAL has developed ZPC® technology such that cell reaction and hence the potential for bone regeneration are significantly enhanced At a basic level, ZPC helps to make bone grow quicker so that implants can be placed or loaded sooner, keeping your patients happier. The effect of surface charge on bone growth is explained further in the video below (requires Flash player).
Why should I use Fortoss® VITAL? It is simple to use, it saves you money and it regenerates bone reliably and consistently.
