Smart Grinder makes other grafts obsolete

The Smart Dentin Grinder turns extracted teeth into the highest quality and most cost-effective autogenous graft. read more...

MIMI®-Flapless - Minimally Invasive Method of Implantation

The periosteum-preserving Minimally Invasive Method of Implantation (MIMI®-Flapless), which is the method we prefer to apply, is not in contradiction with the conventional implantation method, but it compensates it.
Smart Dentin Grinder™

Smart Dentin Grinder™

We just made other grafts obsolete.
The Smart Dentin Grinder™ turns extracted teeth into the highest quality and most cost-effective autogenous graft.

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Frequently Asked Questions

The following guide addresses frequently asked questions by dentists in regards to the Champions Smart Grinder and the corresponding protocol. If your question has not been addressed, please contact us:

1. Can dentin be used as a graft?

Short answer:Absolutely. Teeth are very similar to bone as for their chemical and biological composition. Furthermore, they act as the ultimate scaffold for bone graft.

Long answer:Teeth consist of 50 % hydroxyapatite (HA) and 50% fibrous collagen Type 1, which is very similar to the bone makeup. Teeth are denser than bone though and contain all growth factors, but more importantly, teeth are easily fused with jaw bone in a natural process called ′ankylosis′. In this process, teeth and bone undergo fusion and remodeling. This was shown in many studies more than 40 years ago. Teeth contain all natural growth factors that not only promote osseoconduction and create a matrix for new bone but also promote new bone regeneration – osteoinduction.

2. Is teeth graft better than allograft (bone bank)?

Short answer: Yes, teeth grafts are better than allografts because they are autologous, with the same proteins and no immunogenic response. Teeth are denser than allografts, which makes the site ready to implant at half the time in comparison to allografts. Most importantly, it promotes new bone regeneration at the site.

Long answer:Particulate teeth are better than allografts for the following reasons: A) They consist of a harder substance and therefore act as a better scaffold for new bone regeneration. B) They resorb slower than allografts and are therefore much more aligned with bone remodeling. C) Since the patient’s own teeth are autologous, the produced graft – at least in our procedure – provides benefits compared to allografts since the latter are recognized by the body and specifically by the progenitor cells at the implant site and are usually rejected rapidly through the reaction of T-lymphocytes against major histocompatibility molecules. D) Since it is an autograft, it eliminates the risk of disease transmission that exists with allografts. E) Placed teeth particulate stabilizes the original volume of the alveolar bone crest at the site and in the long run does not lose volume due to its density.

3. Why would I spend 20 minutes making teeth graft when I can buy and use a bone substitute without delay?

From a medical-ethical point of view, it is a shame to discard reusable patient’s tissue and use artificial bone or xenogeneic bone substitutes when instead the tooth itself can be used that contains all bone growth factors of the patient. Most processing (about 20 minutes) is performed by the trained dental assistant and not by yourself. During that time you can care for other patients while the graft patient is waiting for the recycling of its teeth particulate.

4. Sterility of the graft – how do you sterilize the graft?

Our Cleanser is very effective in eliminating bacteria and any organic matter from teeth particulate surfaces. Since the tooth graft is autologous, the immunologic infection risk is 0 %. Thus, the graft is not sterilized since if it were sterilized, it would eliminate all growth factors (BMPs).

5. What is Cleanser?

Short answer: The Cleanser is a sodium hydroxide solution mixed in 20 % ethanol

Long answer: We have done a lot of work to optimize the Cleanser for effectiveness, reliability, and speed. We recommend that you should leave the teeth graft in the Cleanser for 10 minutes for optimal effect. Our pharmacological reports of the teeth graft post Cleanser show bacterial count of less than 10 CFUs. After using the Cleanser, you must drain excess liquid and apply the PBS (buffered saline solution) so that the produced bone graft reaches its regular pH of 7.1.

6. Resorption of graft – How fast does the tooth get resorbed as graft and replaced by bone?

Teeth particulate does not get resorbed at first but is subject to ankylosis processes. The fused bone-tooth matrix is remodeled according to its function. This can take several years. However, you can implant in very well nourished D2 bone two months after extraction and CSG use. Unlike other grafts, this tooth-bone matrix is identified as bone by cells in the site! All non-autologous grafts do not really osseointegrate and are only surrounded by bone connective tissue.

7. Can the graft be stored? If yes, how long?

The teeth graft processed by the Champions Smart Grinder can be stored dry at room temperature indefinitely. However, it is preferable to keep the whole unprepared tooth and to perform the graft with CSG promptly.

8. Can I grind the entire tooth? Crown, root, pulp, enamel, and all?

Yes. You grind the entire tooth after removing any amalgam, composites, cement, endodontic material (such as gutta percha), and caries.

9. Can you use the teeth graft with PRF, blood, membranes, and other grafts?

Absolutely. We have documented some great cases using the above mentioned material. Furthermore, we recommend that you should use the teeth graft the same way you use other grafts. We are not asking denstists to change anything the way they use bone grafts.

10. Is the Champions Smart Grinder procedure CE – and FDA approved?

Yes. The product is classified as Type 1 medical device, and it is 510K exempt under FDA ruling. Manufacturing is conducted in medical facilities, and all consumable components undergo sterilization and inspection prior to shipping. Of course, this table device is CE-approved.

11. What is the particulate size?

Short answer: 300-1,200 µm

Long answer: The Champions Smart Grinder has two separate drawers that capture teeth particulate. The upper drawer captures 300-1,200 µm – size particles that are suitable for a graft. The lower drawer captures particles with a size of less than 300 µm, which you can use in conjunction with the upper drawer particles in case more graft volume is required. However, these small particles do not contain any BMPs.

12. What is the single tooth volume after processing?

Short answer: You will get the graft volume about three times the tooth volume.

Long answer: An incisor usually generates a 0.8 – 1.2 cm3 graft, a premolar typically generates a 2 – 2.5 cm3 graft, and a molar generates a 3 – 3.5 cm3 graft.

13. Which opinion leaders are using the Champions Smart Grinder?

The list of opinion leaders who are using the Champions Smart Grinder and who are excited about the results is growing daily. We are actively working with several North American universities and dental schools on a variety of studies using our protocol. Please ask for names of Champions Smart Grinder users.

14. Are there user manuals, videos, etc…?

We supply user manuals with every shipment of the Champions Smart Grinder. You can also watch a video about the Champions Smart Grinder process.

15. Can you use the disposable chamber for more than one tooth?

Yes, as long as the teeth come from the same patient during the same visit. You cannot use the same chamber to grind teeth of different people. Doing so would render the graft non-autologous. Please keep in mind that that the grinding chamber cannot be reused and sterilized. The chamber must be discarded after use for a specific patient.

16. Are there studies of this concept?

Short answer: There have been scientific, histological, and clinical studies over the last 5 years.

Long answer: Teeth grafts have been used for 35 years. Various research groups have conducted studies worldwide in which autologous grafts, which are considered as the gold standard, and ankyloses have been described in detail. You can find below the following international scientific studies of the Champions Smart Grinder.

International studies about Smart Grinder

Studies & References Related to the Smart Grinder
Instructions for use
Material Safety Data Sheet - Dentin Cleanser Solution
Material Safety Data Sheet - Dulbecco’s Phosphate Buffered Saline (DPBS)
Material Safety Data Sheet - EDTA
Case Studies with examples
Innovative Socket Grafting Techniques in Preparation for Dental Implants
A novel procedure to process extracted teeth for immediate grafting of autogenous dentin
Chemical and Topographic Analysis of Eight commercially Available Dental Implants
A New Method for Alveolar Bone Repair Using Extracted Teeth for the Graft Material
Bone Engineering Using Human Demineralized Dentin Matrix and Recombinant Human BMP 2
Bone graft material using teeth
Clinical application of auto-tooth bone graft material
Dental implants: a different perspective
How to Transform Extracted Teeth into an Autologous Bone Graft in a Single Dental Appointment
Dentin xenografts to experimental bone defects in rabbit tibia are ankylosed and undergo osseous replacement
Development of a novel bone grafting material using autogenous teeth
Evaluation of Osteoconductive and Osteogenic Potential of a Dentin Based Bone Substitute Using a Calvarial Defect Model
Healing Mechanism and Clinical Application of Autogenous Tooth Bone Graft Material
Human Dentin as Novel Biomaterial for Bone Regeneration
Tissue Engineering of Bone: Critical Evaluation of Scaffold Selection
A Novel Procedure to Process Extracted Teeth for Immediate Grafting of Autogenous Dentin
Processed Allogenic Dentine as A Scaffold for Bone Healing: An in vivo study
Water-Mediated Collagen and Mineral Nanoparticle Interactions Guide Functional Deformation of Human Tooth Dentin

The Smart Dentin Grinder™