CLINICAL CASE

Initial clinical presentation showing the reduced ridge width.

Decortication is performed and the flap is mobilized.

Fixation of Geistlich Bio‑Gide® Forte using the Sausage Technique™ was initiated on the lingual aspect.

The space beneath the membrane is filled with a 50:50 mixture of Geistlich Bio-Oss® and autologous bone.

The densely packed membrane is secured with pins on the buccal aspect (Sausage Technique™).

3-month follow-up shows visible horizontal bone gain and favorable soft-tissue conditions.

Five month CBCT cross sections showing consistent horizontal ridge augmentation and implant ready bone.

Six‑month re‑entry showing a stable, well‑integrated graft ready for implant placement, with a Geistlich Panorama retractor used to enhance visibility and access.

Six-month occlusal view showing implant placement following successful graft maturation.

THE SITUATION

A 49-year-old female patient presented for periodontal treatment and implant consultation. Tooth 22* required extraction as it exhibited 100% bone loss on initial presentation with calculus deposits to apex. After extraction the site demonstrated a Siebert Class I defect with a significant horizontal discrepancy. The final goal was to restore the site with dental implants after treatment of periodontal disease and guided bone regeneration to correct the horizonta discrepancy.

Disclaimer: Case courtesy of Jasper Wu, DDS, MS (Periodontist) and Andrea Ravida, DDS, MS, PhD (Periodontist) | Pittsburgh, PA (USA). Used with permission. Images are provided for illustrative and educational purposes only. Results are not guaranteed, and individual outcomes may vary depending on patient-specific circumstances and clinical factors. This information is for general educational purposes only and does not constitute medical advice, nor does it necessarily reflect the official position, opinion, or recommendations of Geistlich. Treatment decisions are made at the clinician’s discretion based on the unique needs of each patient.

*Universal Numbering System