In the hands of a skilled practitioner, it seems this is the best material for bone augmentation. The hydroxiapitite have a very low risk of rejection and infection, and, due to the high level of osseointegration, DONT CAUSE BONE RESORPTION the way other implants do. WHY IS IT SO RARELY USED??
The problem is finding skilled practitioners in HA paste. Here is a list of the only few I know who use it
1) A&G (CALIFORNIA)
2) Eppley (Indiana)
3) Bryan Mendelson (Australia)
4) Maurice Mommarts (Belgium)
5) Joel Defranq (Belgium)
Anyone know of others?
FUN RESULT
https://www.realself.com/question/east-texas-pa-cheek-implant-removal-hydroxyapatiteThoughts? i think he looks decent, slightly feminized from the thickness of the lateral augmentation and the anterior prominence, but not horrible as he seems to think.