Integra LifeSciences Collagen Membrane, HeliMend Advanced - Manual (Page 9)

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the tooth as possible. The absorbable collagen membrane should extend a
minimum of 2-3 mm beyond the bony defect apically, mesially and distally.
Additional trimming of the membrane may be performed, avoiding sharp
corners that could perforate overlying tissue. The HeliMend Advanced
membrane can be sutured in place if desired using absorbable sutures and a
non-cutting needle. Gingival flaps should be coronally positioned over the
defect and the absorbable collagen membrane. The mucoperiosteal flap
should completely cover the absorbable collagen membrane if possible and
be sutured in place.
Postoperative Procedures
The HeliMend Advanced membrane is fully absorbable and should not be
removed.
Periodontal packing may be applied to the wound site. While this is a matter
of clinician preference, care must be taken not to overcompress the area.
Post-Operative care should include the following minimum steps:
1. Patients should rinse with an antimicrobial agent such as chlorhexidine
gluconate twice daily for four weeks following surgery. The wound
site may additionally be swabbed with a cotton-tipped applicator
dipped in the antimicrobial agent.
2. The patient should refrain from brushing the treated area for two
weeks following surgery. After this period, the patient may be instructed to
gently brush the area with a soft toothbrush. Instruction will be dependent
on an evaluation of wound healing. Dental floss should not be used
prior to four weeks following surgery. Coronal scaling and prophylaxis
can be performed at follow-up visits, if indicated.
3. The patient should be seen seven to ten days following surgery for wound
evaluation and removal of any closing sutures or periodontal packing.
These follow-up visits should be repeated every two weeks thereafter,
up to six to eight weeks following surgery. The patient may then return to a
normal oral hygiene routine.