Make a stent,
step-by-step.

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Handling 1
Heating PerioPlast and making a disk.
Heating the material
If you don't have an Elemental Water Bath yet:
  • Boil water & pour in a glass.
    The water should be 90°C / 180°F.
  • Add the granules
  • Stir for 10 seconds.
If you have an Elemental Water Bath:
  • Pour 1 whole blister  in
90°C / 180°F water.
  • Stir for 5-10 seconds.
  • Remove the material.
Making a disk
Apply Vaseline® on your gloves to prevent sticking.
  • With gentle manual pressure, press the material into a disk.
  • Make the disk 2mm thin.
  • Push, don't pull. Stretching the material will create uneven thickness.
  • Next, position the disk on the palate.
Handling 2
Press disk onto the palate with the tongue & bite down.
Press with tongue
  • Position the disk on the palate.
  • Press the disk with the tongue onto the palate.
Bite down firmly
  • Instruct your patient to bite down firmly into the disk.
  • Press the material on the buccal side into the interproximal spaces.
  • The material sets on itself after about 1 minute.
Notice the thin bite marks.
Biting down into the soft disk will create a comfortable stent with bite function.
Handling 3
Trimming & smoothening the stent.
Trimming excess material
  • When the stent is set, excess material can be trimmed with scissors.
  • Trim the excess material.Cutting the material may cause some sharp edges.
  • Use a heated instrument to stroke over the sharp edges to soften them.
Smoothening sharp edges
  • Use a heated instrument to stroke over the sharpedges to soften them.
When should I trim?
  • When the stent covers the soft palate.
  • When the stent covers the alveolar mucosa.
Ready for the next step?
Elemental Intro Kit
€249,-
ex. VAT & shipping costs
Includes:
  • material for 6 cases
  • Chairside water bath
  • Sample to practice
  • Protocols, tips & tricks from expert users
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Tips & tricks
from the experts

tip by
Prof. Dr. Anton Sculean
Make the stent before the surgery.
  • There’s no blood getting in the way and there's no rush.
  • There’s no Elemental PerioPlast® pressing into the wound.
  • You maintain space & volume to hold and stabilize the blood clot.
  • You have the stent available to place immediately after harvesting the graft.
tip by
Prof. Dr. Thomas Nguyen
Reheat to remodel.
  • By putting the material back in hot water it will become soft again after about 10 seconds.
  • Using a water bath, your water will stay at the right temperature and you can just put the stent back in.
  • If you want to soften sharp edges without remodelling the whole stent, you can heat a metal instrument in hot water and stroke over the edges to soften them.
tip by
Prof. Dr. Gil Alcoforado
Don’t suture the donor site.
  • The stent is available the moment you harvest the graft to immediately protect the site and stabilize the blood clot.
  • Suturing the donor site causes additional pain.
  • Suturing the donor site is quite challenging and increases surgical time.
tip by
Prof. Dr. Markus Hürzeler
Press the tongue to the palate.
  • After heating the material and shaping a disk, you apply the disk on the palate.
  • Let your patient help you by asking them to press the disk onto the palate with their tongue.
  • This will help to create a thin stent which is contoured perfectly to the palate.
tip by
Dr. Homa Zadeh
Bite down hard for stable retention.
  • When shaping the stent, instruct your patient to bite down firmly into the soft material.
  • This will make the material very thin on the occlusal surfaces, creating a comfortable stent with bite function.
  • The patient will be able to take out the stent and click it back in place.
tip by
Dr. Egle Ramanauskaite
Give clear postoperative instructions.
  • Patient adherence: make sure patients don’t remove the stent too early.
  • Make sure they realize the stent is beneficial for their comfort.
Postoperative timeline
  • First day: wear the stent non-stop to stabilize the bleeding.
  • Day 2-5: you may take the stent out once per day to clean it.
  • From day 5: no pain? You can remove the stent.
tip by
Prof. Dr. Andy Temmerman
Only cover the hard palate.
  • To prevent the stent from moving and causing irritation or ulcers, the stent should only cover the hard palate.
  • If the stent extends onto the soft palate, you can easily trim it with scissors.

Tips & tricks from the experts

Prof. Dr. Anton Sculean
"Make the stent before the surgery."
Why?
  • There’s no blood getting in the way.
  • There’s no rush.
  • There’s no Elemental PerioPlast® pressing into the wound.
  • You maintain space & volume to hold and stabilize the blood clot.
  • You have the stent available to place immediately after harvesting the graft.
Prevent sticking
  • Apply Vaseline on your gloves to prevent sticking.
  • If you don't have Vaseline, wet your gloves before handling the material.
When should I trim?
  • When the stent covers the soft palate.
  • When the stent covers the alveolar mucosa.
Prof. Dr. Anton Sculean
"Make the stent before the surgery."
Why?
  • There’s no blood getting in the way.
  • There’s no rush.
  • There’s no Elemental PerioPlast® pressing into the wound.
  • You maintain space & volume to hold and stabilize the blood clot.
  • You have the stent available to place immediately after harvesting the graft.
Prof. Dr. Anton Sculean
Don’t suture the donor site."
Why?
  • There’s no blood getting in the way.
  • There’s no rush.
  • There’s no Elemental PerioPlast® pressing into the wound.
  • You maintain space & volume to hold and stabilize the blood clot.
  • You have the stent available to place immediately after harvesting the graft.
Prof. Dr. Anton Sculean
"Press the tongue to the palate."
Why?
  • There’s no blood getting in the way.
  • There’s no rush.
  • There’s no Elemental PerioPlast® pressing into the wound.
  • You maintain space & volume to hold and stabilize the blood clot.
  • You have the stent available to place immediately after harvesting the graft.
Prof. Dr. Anton Sculean
"Make the stent before the surgery."
Why?
  • There’s no blood getting in the way.
  • There’s no rush.
  • There’s no Elemental PerioPlast® pressing into the wound.
  • You maintain space & volume to hold and stabilize the blood clot.
  • You have the stent available to place immediately after harvesting the graft.
Prof. Dr. Anton Sculean
Don’t suture the donor site."
Why?
  • There’s no blood getting in the way.
  • There’s no rush.
  • There’s no Elemental PerioPlast® pressing into the wound.
  • You maintain space & volume to hold and stabilize the blood clot.
  • You have the stent available to place immediately after harvesting the graft.
Prof. Dr. Anton Sculean
"Press the tongue to the palate."
Why?
  • There’s no blood getting in the way.
  • There’s no rush.
  • There’s no Elemental PerioPlast® pressing into the wound.
  • You maintain space & volume to hold and stabilize the blood clot.
  • You have the stent available to place immediately after harvesting the graft.

Ready for the next step?

Elemental Intro Kit
€249,-
ex. VAT
  • material for 6 cases
  • chairside water bath
  • free sample to practice
  • protocols, tips & tricks
Visit shop
Try it yourself?
Receive a sample at your clinic.
Order Sample Kit
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No pain, no sutures.

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