Evolution

  • Evolution
  • Evolution
  • Evolution
  • Evolution
  • Evolution
  • Evolution
  • Evolution
  • Evolution
  • Evolution
  • Evolution
Case Reports
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  • Tissue origin :
    Heterologous mesenchymal tissue
  • Tissue collagen :
    Preserved
  • Physical form :
    Dried membrane with one smooth side and one micro-rough side
  • Thickness :
    X-Fine: 0.2 mm
    Fine: 0.3 mm
    Standard: 0.4 mm
  • Estimated resorption :
    X-Fine: about 2 months
    Fine: about 3 months
    Standard: about 4 months
  • Packaging :
    20x20 mm, 30x30 mm, 25x35 mm (oval), 40x40 mm, 80x60 mm
  • Product codes :
    EM33XS | 3pcs | 30x30 mm | X-Fine | Porcine
    EV02LLE | 20x20 mm | Fine | Equine
    EV03LLE | 30x30 mm | Fine | Equine
    EVOLLE | 25x35 mm (oval) | Fine | Equine
    EV04LLE | 40x40 mm | Fine | Equine
    EV06LLE | 80x60 mm | Fine | Equine
    EM02HS| 20x20 mm | Standard | Porcine
    EV02HHE | 20x20 mm | Standard | Equine
    EM03HS | 30x30 mm | Standard | Porcine
    EV03HHE | 30x30 mm | Standard | Equine
    EM00HS | 25x35 mm (oval) | Standard | Porcine
  • GMDN code : 47184
Characteristics
Obtained from heterologous mesenchymal tissue, the Evolution membrane is gradually resorbable(1). Its structure is made of dense collagen fibers of high consistency and of extraordinary resistance that offer the specialist surgeon:
•maximum adaptability to bone tissue and soft tissues
• easy and secure suturability to nearby tissues
• best membrane-bone and membrane-periosteum interface
• stability and prolonged protection of the underlying graft
• clot stabilization and isolation(2)
Handling
The membrane can be shaped with sterile scissors until the desired size is reached; unless the grafting site is already bleeding, the membrane should be rehydrated with lukewarm physiological solution. Once it acquires the desired plasticity, it must be adapted to the grafting site.
NB: in case of accidental exposure, the dense collagenic matrix of Evolution protects the graft from infection; the membrane itself will also not be infected, allowing second intention healing(3-5).
Clinical information
Evolution is obtained from heterologous mesenchymal tissue and is completely resorbable. Experimental studies have shown histological evidence of the prolonged barrier effect of this membrane, which lasts at least eight weeks(1), protecting the graft from external agents.
This property is particularly important in case of flapless regeneration(3) of large posterior sockets(5): in these cases, the standard model has proved to be the most effective.
In lateral access sinus lift, Evolution membranes have been documented for antrostomy coverage (standard model)(6,7) and for protection of the sinus membrane from cutting risk due to graft pressure (fine model)(8).
Evolution can be used to protect peri-implant regenerations(9) and periodontal grafts(10). Furthermore, Evolution fine has been successfully used to protect Sp-Block in vertical augmentation with the inlay technique(11).
Bibliography
1 NANNMARK U, SENNERBY L
THE BONE TISSUE RESPONSES TO PREHYDRATED AND COLLAGENATED CORTICO-CANCELLOUS PORCINE BONE GRAFTS: A STUDY IN RABBIT MAXILLARY DEFECTS
CLIN IMPLANT DENT RELAT RES, 2008 DEC;10(4):264-70

2 KILINC A, ATAOL M
HOW EFFECTIVE IS COLLAGEN RESORBABLE MEMBRANE PLACEMENT AFTER PARTIALLY IMPACTED MANDIBULAR THIRD MOLAR SURGERY ON POSTOPERATIVE MORBIDITY? A PROSPECTIVE RANDOMIZED COMPARATIVE STUDY
BMC ORAL HEALTH, 2017 OCT 5;17(1):126

3 BARONE A, BORGIA V, COVANI U, RICCI M, PIATTELLI A, IEZZI G
FLAP VERSUS FLAPLESS PROCEDURE FOR RIDGE PRESERVATION IN ALVEOLAR EXTRACTION SOCKETS: A HISTOLOGICAL EVALUATION IN A RANDOMIZED CLINICAL TRIAL
CLIN ORAL IMPLANTS RES, 2015 JUL;26(7):806-13

4 BARONE A, RICCI M, TONELLI P, SANTINI S, COVANI U
TISSUE CHANGES OF EXTRACTION SOCKETS IN HUMANS: A COMPARISON OF SPONTANEOUS HEALING VS. RIDGE PRESERVATION WITH SECONDARY SOFT TISSUE HEALING
CLIN ORAL IMPLANTS RES, 2013 NOV;24(11):1231-7

5 GIULIANI A, IEZZI G, MAZZONI S, PIATTELLI A, PERROTTI V, BARONE A
REGENERATIVE PROPERTIES OF COLLAGENATED PORCINE BONE GRAFTS IN HUMAN MAXILLA: DEMONSTRATIVE STUDY OF THE KINETICS BY SYNCHROTRON RADIATION MICROTOMOGRAPHY AND LIGHT MICROSCOPY
CLIN ORAL INVEST, 2017 2018 JAN;22(1):505-513

6 BARONE A, RICCI M, GRASSI RF, NANNMARK U, QUARANTA A, COVANI U
A 6-MONTH HISTOLOGICAL ANALYSIS ON MAXILLARY SINUS AUGMENTATION WITH AND WITHOUT USE OF COLLAGEN MEMBRANES OVER THE OSTEOTOMY WINDOW: RANDOMIZED CLINICAL TRIAL
CLIN ORAL IMPLANTS RES, 2013 JAN;24(1):1-6

7 SCARANO A, PIATTELLI A, PERROTTI V, MANZON L, IEZZI G
MAXILLARY SINUS AUGMENTATION IN HUMANS USING CORTICAL PORCINE BONE: A HISTOLOGICAL AND HISTOMORPHOMETRICAL EVALUATION AFTER 4 AND 6 MONTHS
CLIN IMPLANT DENT RELAT RES, 2011 MAR; 13(1):13-18

8 CASSETTA M, RICCI L, IEZZI G, CALASSO S, PIATTELLI A, PERROTTI V
USE OF PIEZOSURGERY DURING MAXILLARY SINUS ELEVATION: CLINICAL RESULTS OF 40 CONSECUTIVE CASES
INT J PERIODONTICS RESTORATIVE DENT, 2012 DEC;32(6):E182-8

9 BARONE A, MARCONCINI S, GIAMMARINARO E, MIJIRITSKY E, GELPI F, COVANI U
CLINICAL OUTCOMES OF IMPLANTS PLACED IN EXTRACTION SOCKETS AND IMMEDIATELY RESTORED: A 7-YEAR SINGLE-COHORT PROSPECTIVE STUDY
CLIN IMPLANT DENT RELAT RES, 2016 DEC;18(6):1103-1112

10 ESPOSITO M, GRUSOVIN MG, LAMBERT F, MATOS S, PIETRUSKA M, ROSSI R, SALHI L, BUTI J
THE EFFECTIVENESS OF A RESORBABLE BONE SUBSTITUTE WITH A RESORBABLE MEMBRANE IN THE TREATMENT OF PERIODONTAL INFRABONY DEFECT - A MULTICENTER RANDOMISED CONTROLLED TRIAL
EUR J ORAL IMPLANTOL, 2015;8(3):233-244

11 FELICE P, PIANA L, CHECCHI L, CORVINO V, NANNMARK U, PIATTELLI M
VERTICAL RIDGE AUGMENTATION OF ATROPHIC POSTERIOR MANDIBLE WITH AN INLAY TECHNIQUE AND CANCELLOUS EQUINE BONE BLOCK: A CASE REPORT
INT J PERIODONTICS RESTORATIVE DENT, 2013 MAR;33(2):159-66
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