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Tissue Engineering - As a leading researcher in the field of tissue engineering, Dr. Peter D. Costantino has developed biomaterials: synthetic tissues that combine with the patient's own bone growth enzymes to generate new bone. He has spearheaded the invention and development of two new reconstructive implants that have contributed to functional and aesthetic restoration of patients worldwide.

One of these materials is Hydroxyapatite cement, or BoneSource® Classic, which can be likened to a plaster of paris compound, and is used as a foundation for bone regeneration, facilitating previously impossible cranio-facial repairs and reconstruction.

The other material, AlloDerm®.is a unique soft tissue implant, (a highly processed acellular dermis) that is ultimately replaced by living soft tissues, as blood vessels grow into the edges of the implant. The benefits of these innovations include: quick response of the patient's internal healing system, lower disease rate, and dramatically reduced external scar formation and oral deformity.

Dr. Costantino is also the first surgeon to regrow a missing segment of jawbone in a human, using distraction osteogenesis.

 
AlloDerm® - Life Cell
BoneSource® - Stryker

A Highly Processed Acellular Dermis

A unique soft tissue implant that is ultimately replaced by living soft tissues as blood vessels grow into the edges of the implant. The benefits of these innovations include quick response of the patient's internal healing system, lower disease rate, and dramatically reduced external scar formation and oral deformity.

AlloDerm Defined

Core technology: AlloDerm® is an acellular dermal matrix derived from donated human skin tissue supplied by US AATB-compliant tissue banks utilizing the standards of the American Association of Tissue Banks (AATB) and Food and Drug Administration's (FDA) guidelines. Since AlloDerm® is regarded as minimally processed and not significantly changed in structure from the natural material, the FDA has classified it as banked human tissue.

AlloDerm® begins with natural tissue

Human skin consists of both epidermis and dermis. In nature, thedermis contains a framework of biochemical and structural components that allow it to regenerate and replace itself continually throughout life. This complex natural framework consists of a three-dimensional arrangement of:

  • Proteins with a structurally intact basement membrane

  • Intact collagen fibers and bundles to support tissue ingrowth

  • Intact elastin filaments for biomechanical integrity

  • Hyaluronan and proteoglycans

How is AlloDerm® modified from natural tissue?

When AlloDerm® is prepared, the human donor tissue undergoes a multi-step proprietary process that removes both the epidermis and the cells that can lead to tissue rejection and graft failure, without damaging the matrix.

Once the dermal tissue has been decellularized, the final step is preservation. The processed tissue matrix is preserved with a patented freeze-drying process that prevents damaging ice crystals from forming.

What components are left after this process?

The cells responsible for immune response and graft rejection are removed. What remains is a matrix or framework of the natural biological components, ready to enable the body to mount its own tissue regeneration process.

BoneSource® Classic – Hydroxyapatite Cement-Polymer-calcium Phosphate Composites – an Injectable Bone Substitute

This material is Hydroxyapatite cement, which can be likened to a plaster of paris compound, and is used as a foundation for bone regeneration, facilitating previously impossible cranio-facial repairs and reconstruction. BoneSource® Classic is an osteoconductive, isothermic bone substitute (cement) made from calcium phosphate salts and sodium phosphate solution. BoneSource® Classic offers excellent biocompatibility and high mechanical stability while being easy to handle in the operating room.


Unique Features and Benefits:
  • An ideal bone graft substitute for non-stress-bearing applications in skeletal tissues, such as filling cranial defects.

  • Quick - saves valuable time in the OR by providing powder pre-packaged in a conventient mixing bowl.

  • Easy - eliminates potential variability and simplifies mixing by providing a set amount of sodium phosphate solution that is completely injected into the powder.

  • Proven - clinically proven with more than ten years of supportive literature

  • Self-setting cement

  • Forms putty-like substance when mixed with sodium phosphate solution that can be easily shaped and applied.

  • Forms a structurally stable implant after 5-10 minutes.

  • Converts to hydroxyapatite within 4-6 hours.

  • Excellent biocompatibility

  • Maintains shape and volume over time

  • Remodels to bone over time

  • Isothermic - no damaging heat release to surrounding tissue

  • Available in five sizes: 2.5g (1.5cc); 5g (3cc); 10g (6cc); 25g (15cc); 50g (30cc)

 
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