In the first of a series of blog posts exploring the use of EthOss with other emerging technologies within the dental sector, Dr Peter Fairbairn takes a look at the benefits of working with oxygenated healing gel products, such as Blue®m.
I’ve been placing dental implants since 1991 and during this time I’ve seen many new technologies introduced into my practice.
In the last few years this seems to have really gone into overdrive and we now have some of the most exciting emerging technologies I’ve ever seen clinically. Seeing how these technologies can combine with the latest innovations in bone grafting materials, especially EthOss, is fascinating.
I wanted to explore these new technologies in more detail, starting with oxygenated healing gel products – in particular, Blue®m – a product I’ve been using regularly with my patients for a couple of years.
To understand Blue®m we need to review some basic biology. Wound healing requires a variety of cells to increase their metabolic activity. Oxygen is a key component of up-regulating this host response and can help to accelerate wound healing, implant integration and bone regeneration. The key is to deliver the right amount of oxygen directly to the treatment site in a controlled manner – this is what I see as being the main benefit of using Blue®m.
There is a wide range of Blue®m products available, including toothpaste, mouthwash, oral foam and oral spray, but it is the Blue®m Oral Gel that I use the most on my implant patients.
I apply the gel to the site immediately post-surgery and then provide the patient with a tube to take home, encouraging them to continue applying 3-4 times a day for several days (usually until suture removal after 3-4 days).
Like most great ideas the principle is very simple. We all know oxygen is a key component of the healing process, so by enhancing the amount of oxygen in the site you can accelerate the body’s regenerative capability.
This is what I really like about Blue®m – the thinking is very similar to EthOss bone grafting material.
EthOss has been designed to work with the body, upregulating the host healing environment and encouraging the body to heal itself. Whilst EthOss applies these processes to bone, Blue®m applies them to the soft tissue.
When you use the two materials in combination the results are fantastic. The two complement each other so well. We are seeing high quality new host bone with a healthy covering of attached keratinised tissue, with the initial surgery healing quickly with minimal pain and swelling. This is the magic of host healing!
You can see this all demonstrated in the case below. I treated this patient in my clinic recently and performed apicectomies on the 41 and 42, grafting the site with 0.5cc EthOss and suturing closed with PTFE 5.0 (Coreflon) before the application of Blue®m Oral Gel. The final image shows site 10 days later where excellent soft tissue healing can be seen.
Blue®m also shares some elements of its origin story with EthOss. Both products were developed by clinicians, for clinicians, and I think this is shown by how easy both Blue®m and EthOss® are to use, how much they are appreciated by patients and how they contribute towards making surgery effective, straight forward and predictable.
As practitioners, we all know nothing is more important to us than our patients. So, when I see new technologies emerge which can improve patient care it is a great feeling and one that I will never get tired of embracing.
In my upcoming blogs, I will be exploring the use of EthOss with customised healing abutment systems and bone densification burs.
If you have experience working with another new emerging technology, please do get in touch – I’d love to hear about it.
I recently presented a webinar discussing my work with Blue®m – you can watch the recording here