BMP Bone Graft
2011-01-13 04:19 am![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
selfmadeКаким методом ваш периодонтист наращивал вам кости?
А то есть новый и страшно дорогой BMP. Но не каждый доктор ещё умеет правильно его применять.
http://www.osseonews.com/prp-and-bmp-should-these-become-standard-of-care-for-implant-placement/
James R. Heise, D.D.S., M.A.G.D. August 22nd, 2009
I just had a meeting with the local Medtronic rep about Infuse (BMP). The cost for the Infuse XX small is $876.00. The is the smallest amount of BMP they sell and is enough for a single area/one socket site for grafting. Obviously, there is no coverage by dental insurance and is all out of pocket for the patient. Therefore it is difficult for us in private practice to buffer up the cost to make some profit on the biomaterials when it is already so expensive. She said that the oral surgeons will use BMP in the hospitals because they can then bill it to the patients medical insurance and it is then more likely to be covered. The hospital also buys the Infuse (BMP), therefore the OS does not have to buy it…therefore lower overhead fot the case.
The largest dosage of Infuse (BMP) is large II (there are a total of 6 sizes available) cost $5408 to the hospitals. This is used for long bone fracture regeneration. The hospitals are charging the patient between $15,000 and $20,000 for this dosage and the medical insurance companies are paying for it. This is a sign that the cost of Infuse (BMP) to us the dentists will not likely come down unless more of us use it to drive the cost down.
The rep also said that Wyeth manufactures Infuse and Medtronic distributes it. They share 50%-50% of the profits and that it why it is so expensive. They have a distribution agreement until 2017. Wyeth has also been bought by Pfizer so let’s also see what happens.
I thought this was important to bring up.
http://www.jiacd.com/residents-corner/block-grafting-needed-anymore-advent-growth-factors-and-puttys-and-ti-mesh#comment-1849
I have to agree with most of the comment thus far.
"Infuse is either a home run or a strike out for sure." Well said statment.
I have done 50 infuse cases to date all complicated and all previously failed sites. I have had success in placing the implant in over 40 of the cases so to me its worth the price
To answer Dr. Salama's questions
Has the failure rate with Ti-mesh been less?
Failure rate is low. Thick tissue is critical if you have a thin biotype it will fail
Has the bone quality been better, the same or worse?
Bone quality is type 3 predominantly.
How about post loading of this bone with implants and then prosthetics, how does it respond at 6-12 months clinically and radiographically??
Success rate thus far in 41 implants placed is 40/41 successes 6-21 months out. The one failure I had was occlusal overload and the implant fractured not a failure of the graft.
Does it remain or does it resorb??
It definitely remains.....
А то есть новый и страшно дорогой BMP. Но не каждый доктор ещё умеет правильно его применять.
http://www.osseonews.com/prp-and-bmp-should-these-become-standard-of-care-for-implant-placement/
James R. Heise, D.D.S., M.A.G.D. August 22nd, 2009
I just had a meeting with the local Medtronic rep about Infuse (BMP). The cost for the Infuse XX small is $876.00. The is the smallest amount of BMP they sell and is enough for a single area/one socket site for grafting. Obviously, there is no coverage by dental insurance and is all out of pocket for the patient. Therefore it is difficult for us in private practice to buffer up the cost to make some profit on the biomaterials when it is already so expensive. She said that the oral surgeons will use BMP in the hospitals because they can then bill it to the patients medical insurance and it is then more likely to be covered. The hospital also buys the Infuse (BMP), therefore the OS does not have to buy it…therefore lower overhead fot the case.
The largest dosage of Infuse (BMP) is large II (there are a total of 6 sizes available) cost $5408 to the hospitals. This is used for long bone fracture regeneration. The hospitals are charging the patient between $15,000 and $20,000 for this dosage and the medical insurance companies are paying for it. This is a sign that the cost of Infuse (BMP) to us the dentists will not likely come down unless more of us use it to drive the cost down.
The rep also said that Wyeth manufactures Infuse and Medtronic distributes it. They share 50%-50% of the profits and that it why it is so expensive. They have a distribution agreement until 2017. Wyeth has also been bought by Pfizer so let’s also see what happens.
I thought this was important to bring up.
http://www.jiacd.com/residents-corner/block-grafting-needed-anymore-advent-growth-factors-and-puttys-and-ti-mesh#comment-1849
I have to agree with most of the comment thus far.
"Infuse is either a home run or a strike out for sure." Well said statment.
I have done 50 infuse cases to date all complicated and all previously failed sites. I have had success in placing the implant in over 40 of the cases so to me its worth the price
To answer Dr. Salama's questions
Has the failure rate with Ti-mesh been less?
Failure rate is low. Thick tissue is critical if you have a thin biotype it will fail
Has the bone quality been better, the same or worse?
Bone quality is type 3 predominantly.
How about post loading of this bone with implants and then prosthetics, how does it respond at 6-12 months clinically and radiographically??
Success rate thus far in 41 implants placed is 40/41 successes 6-21 months out. The one failure I had was occlusal overload and the implant fractured not a failure of the graft.
Does it remain or does it resorb??
It definitely remains.....
