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- Geistlich Fibro-Gide^®
- Geistlich Mucograft^®
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- Yxoss CBR^®
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Geistlich is dedicated to the continuing education of our clinician partners. Whether in person or virtual, our mission is to increase the knowledge of regenerative dentistry. We look forward to partnering with you on your journey and growing with you as a clinician.

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Upcoming Events

Significant Horizontal and Vertical Bone Defects: Navigating Our Way to Successful and Predictable Outcomes

May 15, 2024

8:00 PM – 9:00 PM EDT

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May

15

Regeneration of Post-Extraction Sockets in the Daily Practice (Hands-On Course)

May 17, 2024

IDSCH (Implant Dentistry Study Club of Houston), Houston, TX

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May

17

Advanced Implant & GBR Therapy: Ridge, Soft Tissue & Sinus Grafting

May 21, 2024 - May 24, 2024

Los Angeles, CA

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May

21

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Clinical Resources

Use the search and filter form below to find informative clinical content by format, therapeutic areas, or product.

Therapeutic Areas
- Extraction Socket Management(7)
- Major Bone Augmentation(17)
- Minor Bone Augmentation(5)
- Peri-Implantitis(1)
- Soft-Tissue Regeneration(26)
Products
- Geistlich Bio-Gide Compressed®(1)
- Geistlich Bio-Gide®(17)
- Geistlich Bio-Oss Collagen®(6)
- Geistlich Bio-Oss®(20)
- Geistlich Fibro-Gide®(18)
- Geistlich Mucograft®(12)
- Geistlich Mucograft® Seal(2)
- RPM™(1)
- vallomix™(2)
- vallos®(3)
- Yxoss CBR®(6)

Found 44 Results

1 - Baseline occlusal view: situation before removal of tooth #20.

2 - Tooth removal and extraction socket management with Gesitlich Bio-Oss® and Geistlich Bio-Gide®.

3 - Geistlich Fibro-Gide® was trimmed to the defect size, to augment the buccal and crestal soft-tissue area of the ridge.

4 - Geistlich Fibro-Gide® in place, augmenting buccal and crestal area of tooth #20 and buccal in the edentulous area tooth #21 to tooth #19.

5 - Immediate provisionalization of the implants.

6 - 3 weeks post-surgery: occlusal view of augmented area with created emergence profile.

7 - 3 weeks post-surgery: buccal view of augmented area with created emergence profile.

8 - Provisional reconstruction 6 weeks post-surgery.

9 - Final restoration 2.5 years post-surgery: soft-tissue thickness remains stable over time.

1 - Occlusal view of the ridge after flap elevation.

2 - Longitudinal split of the alveolar crest by use of piezo-surgical instruments.

3 - Two implants are placed in the expanded crest.

4 - The split around the implants is filled with a mixture (1:1) of autologous bone chips from the retromolar area and Geistlich Bio-Oss®.

5 - The augmented ridge is covered with a Geistlich Bio-Gide® membrane before closure of the soft tissue.

7 - Occlusal view of the prosthetic outcome.

8 - X-ray findings 6 months after implant placement.

Pre-operative condition: Note that the gingival recession of 3-4 mm is evident as is the cervical root abrasions. The interdental papillae completely fills the embrasure space.

Incision design showing the sulcular incisions with horizontal incisions across the interdental regions ending with a remote oblique vertical releasing incision distal to the first bicuspid tooth.

Geistlich Fibro-Gide® is trimmed in a dry state to 10 x 15 x 6mm. The corners were trimmed for better adaptation and the matrix was then hydrated in sterile saline solution.

The interdental papillae were de-epithelialized and Geistlich Fibro-Gide®was placed over the exposed roots extending onto the bone. Geistlich Fibro-Gide® was not secured with sutures.

Internal periosteal releasing incision was made to allow tension-free coronal advancement of the buccal flap to completely cover Geistlich Fibro-Gide®.The flap was secured with 5-0 Monocryl® sutures.

1-week post-operative visit: the healing looks good and sutures are intact. There was a small soft-tissue dehiscence at the buccal margin of the canine tooth.

Healing progressed well at 2 months post-operatively and the dehiscence defect seen at 1 week appears to be healing. Soft-tissue thickness is also evident at this stage.

At 6 months, 100% root coverage has been achieved. Note the increase in keratinized gingiva at the canine tooth where there was previously delayed healing. The patient is happy with the esthetic and functional outcome.

1 - Pre-operative view of the atrophied ridge.

2 - Application of a 1:1 mixture of autologous bone and Geistlich Bio-Oss®.

3 - Geistlich Bio-Gide® is tightly fixed and pinned, thus immobilizing the particulate graft. The sausage-like augmentation allows extended horizontal augmentation.

4 - Primary wound closure is obtained with a combination of mattress and single-interrupted sutures.

5 - Sufficient amount of augmented bone for implant placement 8 months after augmentation. Implants are placed in a submerged procedure.

6 - Insufficient vestibular depth and keratinized tissue after alveolar ridge augmentation.

7 - Application of a keratinized strip towards the vestibulum and Geistlich Mucograft® over the augmented area where it is left exposed for healing.

8 - Situation before reopening for abutment connection after 3 months showing increased vestibular depth

1 - Before preparation of the flap the exposed root portion is cleaned with a scraper and is wiped with EDTA (or similar).

2 - After measuring the dimension of the recession defect using a periodontal probe, the incisions for raising the flap are cut.

3 - A split-full-split thickness flap is elevated and coronally mobilized.

4 - The area of the papillae is de-epithelialized to allow anchorage of the flap coronal to the cemento-enamel junction.

5 - Geistlich Mucograft®is applied dry to the defect and is fixed with 4 single sutures.

6 - The coronally advanced flap is sutured over Geistlich Mucograft®.

7 - Nice, uneventful healing 15 days post-operatively at suture removal.

8 - Soft tissue situation immediately after suture removal.

9 - Complete root coverage 7 months after surgery. Note the excellent color match.

1 - Pre-operative lateral smile showing the recession defect of tooth 5.

2 - Pre-operative image of recession defect (tooth 5).

3 - After elevation of split-full-split flap the interdental papillae are de-epithelialized.

4 - Geistlich Mucograft® is placed over the root and sutured to the papillae

5 - The flap is mobilized, coronally advanced and sutured completely covering the Geistlich Mucograft®.

6 - Healing of the surgical site 2 weeks after surgery.

7 - Surgical site 6 months after surgery.

9 - Lateral smile 1 year after surgery showing the optimal esthetic outcome.

1 - Initial clinical situation, tooth #8 and #9 require extraction.

2 - Clinical view post extraction of tooth #8 and #9.

3 - Evaluation of the buccal soft-tissue thickness.

4 - Trimming of Geistlich Fibro-Gide® to fit in the gap between the buccal soft-tissue and the buccal bone wall.

5 - Geistlich Fibro-Gide® in place: an immediate volume increase of the buccal soft-tissues are visible.

6 - Mixing of autologous bone and Geistlich Bio-Oss® particles for placement in the gaps around the implants.

7 - Immediate implant placement with the bone mixture applied was performed.

8 - Provisional restoration at time of surgery (occlusal view).

9 - Provisional restoration at time of surgery (frontal view).

6 - Coverage with Geistlich Mucograft® Seal and sealed with sutures

10 - 6 months follow-up the digital implant planning was performed highlighting 3D adequate bone support.

11 - Initial presentation at the moment of implant placement.

12 - Full thickness flap elevation and initial osteotomy performed.

13 - Implant placed and cover screw positioned.

14 - Flap approximations using a PTFE suture after the implant was placed.

15 - Healing at 2 weeks after the implant placement.

16 - Overview of the radiographic sequence of the implant placement: A. The initial bone presentation. B. The guiding pin in position revealing the mesio-distal position. C. The final implant in place.

1 - Extraction of tooth 21 due to a trauma with concomitant external resorptions. Care was taken in preserving the alveolar bone.

2 - Crestal view of the socket after tooth extraction. No flaps are raised around the affected area. A slight buccal bone defect was observed.

3 - The socket is gently curetted for removal of granulation tissue. Subsequently, the wound margins were de-epithelialized with a diamond in a counter piece with water cooling

4 - Filling of the extraction socket with Geistlich Bio-Oss® Collagen to the level of the palatal bone

5 - After measuring the alveole, Geistlich Mucograft® is punched (8 mm diameter

6 - The Geistlich Mucograft® punch is placed on top of Geistlich Bio-Oss® Collagen to seal the filled alveole.

7 - Suturing of the Geistlich Mucograft® with 6-0 single interrupted sutures.

8 - Nice healing of the soft tissues 1 week after extraction.

9 - Situation 7.5 months after extraction revealing nice soft tissue situation with a slight dip at the buccal aspect.

1 - The basis for planning implant therapy is clinical and radiological diagnosis with a CBCT scan.

2 - A precise 3-D planning model will be created based on CBCT data. Adaptations of the exact shape are possible, depending on the surgeon’s preference and feedback.

3 - The usual oral surgery and implantology hygiene provisions apply for the use of Yxoss CBR® intraoperatively. The same applies to patient medication.

4 - The opening incision should be designed in accordance with the extent, location and with respect to the anatomical structures of the region to be augmented.

5 - Subsequent steps are the preparation of a mucoperiosteal flap, debridement of scar tissue and the exposure of the defect. Sufficient blood supply of the flap is favored by a flap with a wide base.

6 - Autologous bone can be harvested from the usual intraoral donor sites and can be mixed with bone substitutes (e.g. Geistlich Bio-Oss®).

7 - The Yxoss CBR® is initially filled with autologous bone and bone substitute material (e.g. Geistlich Bio-Oss®).

8 - Yxoss CBR® is fixed on the existing residual bone with an osteosynthesis screw. The titanium screw can generally be introduced, depending on the intended position, through any opening of the titanium grid. The edges of Yxoss CBR® rest on the underlying bone tissue.

9 - A resorbable membrane (e.g. Geistlich Bio-Gide®) should be placed over the Yxoss CBR® to prevent ingrowth of soft-tissue and to support soft-tissue regeneration over the titanium frame.

10 - The wound should be closed completely whenever possible. The mucoperiosteal flap is positioned tightly but tension-free over Yxoss CBR® with single interrupted and deep mattress sutures. Pressure on the augmented crest has to be avoided. Dentures are not to be applied.

11 - Before reopening, clinical and radiological diagnosis are to be taken into consideration.

12 - Reopening of the augmented site approx. 4 to 6 months post surgery and depend on the defect geometry, at latest 9 months after initial surgery.

13 - After removing the fixation screws, Yxoss CBR® can be easily removed using preset breaking points

14 - Newly formed vital bone is regenerated up to the contour defined by the shape of the Yxoss CBR®.

15 - Insertion of implants into the augmented alveolar ridge according to the prosthetic position.

16 - Prosthetic restoration is carried out in accordance with the usual precautions.

17 - Follow-up and radiological evaluation should be performed according to the standardized recommendations of the respective dental societies.

18 - Clinical and radiological imaging of long-term outcome in this case at 5-year follow-up.

1 - Baseline buccal view: immediate implant placement was performed 3 months prior to replacing tooth #8.

2 - Baseline occlusal view: soft-tissue deficiency on the buccal aspect.

3 - Placement of Geistlich Fibro-Gide® with minimal envelope flap and inserting a temporary crown.

4 - Stabilization of Geistlich Fibro-Gide® to the buccal mucosa using internal mattress sutures.

6 - 4 weeks post-surgery: uneventful wound healing and an increase in soft-tissue volume.

7 - Occlusal view 11 months post-surgery: there is a clear substantial increase in the soft-tissue thickness.

8 - Buccal view 11 months post-surgery: a substantial increase in soft-tissue thickness is evident.

1 - Baseline: multiple recession defect Miller Class I with keratinized tissue less than 3 mm on teeth #7 to #5.

2 - Coronally advanced flap preparation and elevation for sufficient release.

3 - Geistlich Fibro-Gide® is cut in half to 3 mm thickness.

4 - 3 mm Geistlich Fibro-Gide® is placed in the defect and absorbs blood immediately.

5 - Positioning of Geistlich Fibro-Gide® and fixation with single sutures (7-0 PGA sutures).

6 - Tension-free wound closure with sling sutures (6-0 PGA sutures).

7 - Suture removal 14 days post-surgery.

8 - Follow-up after 12 months: complete root coverage with Geistlich Fibro-Gide® is achieved.

9 - 2 year follow-up: complete root coverage with Geistlich Fibro-Gide®.

Contact

Geistlich Pharma North America Inc.
400 Alexander Park Drive, Suite 302
Princeton, NJ 08540

Customer Care Toll-free 855-799-5500
[email protected]

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Upcoming Events

Significant Horizontal and Vertical Bone Defects: Navigating Our Way to Successful and Predictable Outcomes

Regeneration of Post-Extraction Sockets in the Daily Practice (Hands-On Course)

Advanced Implant & GBR Therapy: Ridge, Soft Tissue & Sinus Grafting

Ridge Preservation and Simultaneous Soft-Tissue Augmentation in the Posterior Mandible

Ridge Split

Root Coverage for Multiple Adjacent Teeth in the Maxilla with Geistlich Fibro-Gide^®

Sausage Technique and Gain of Vestibular Depth

Single recession coverage with coronally advanced flap in thick biotype

Single recession coverage with coronally advanced flap in thin biotype

Single Stage Immediate Implant Placement and Soft-Tissue Thickening

Socket Ridge Preservation Utilizing Geistlich vallomix™ f

Socket seal of anterior alveole in late implant placement

Surgical procedure, Step-by-Step

Thickening Soft-Tissue When Uncovering an Implant in the Anterior Maxilla

Treatment of Multiple Gingival Recession with Coronally Advanced Flap Technique

Upcoming Events

Significant Horizontal and Vertical Bone Defects: Navigating Our Way to Successful and Predictable Outcomes

Regeneration of Post-Extraction Sockets in the Daily Practice (Hands-On Course)

Advanced Implant & GBR Therapy: Ridge, Soft Tissue & Sinus Grafting

Ridge Preservation and Simultaneous Soft-Tissue Augmentation in the Posterior Mandible

Ridge Split

Root Coverage for Multiple Adjacent Teeth in the Maxilla with Geistlich Fibro-Gide®

Sausage Technique and Gain of Vestibular Depth

Single recession coverage with coronally advanced flap in thick biotype

Single recession coverage with coronally advanced flap in thin biotype

Single Stage Immediate Implant Placement and Soft-Tissue Thickening

Socket Ridge Preservation Utilizing Geistlich vallomix™ f

Socket seal of anterior alveole in late implant placement

Surgical procedure, Step-by-Step

Thickening Soft-Tissue When Uncovering an Implant in the Anterior Maxilla

Treatment of Multiple Gingival Recession with Coronally Advanced Flap Technique

Root Coverage for Multiple Adjacent Teeth in the Maxilla with Geistlich Fibro-Gide^®