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Bone Substitutes
Membranes
- Geistlich Bio-Gide^®
- RPM™
Matrices
- Geistlich Fibro-Gide^®
- Geistlich Mucograft^®
Bone Harvesting
- Instruments
3D Titanium Scaffold
- Yxoss CBR^®
Membrane Fixation
- MC Bio Supertack
Growth Factors
- GEM 21S^®

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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.

1400+

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700+

live events & courses
over the last 4 years

16000+

attendees from
educational events

Upcoming Events

California Society of Periodontists (CSP) 2024 Annual Meeting

May 3, 2024 - May 5, 2024

Tenaya Lodge at Yosemite, Fish Camp, CA

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May

3

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

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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(21)
- Major Bone Augmentation(32)
- Minor Bone Augmentation(23)
- Miscellaneous(1)
- Peri-Implantitis(6)
- Periodontal Regeneration(7)
- Sinus-Floor Elevation(4)
- Soft-Tissue Regeneration(54)
Products
- Geistlich Bio-Gide Compressed®(2)
- Geistlich Bio-Gide®(23)
- Geistlich Bio-Oss Collagen®(5)
- Geistlich Bio-Oss Pen®(1)
- Geistlich Bio-Oss®(30)
- Geistlich Fibro-Gide®(4)
- Geistlich Mucograft®(6)
- Geistlich Mucograft® Seal(1)
- Micross(1)
- RPM™(2)
- Safescraper Twist(2)
- vallomix™(2)
- vallos®(3)
- Yxoss CBR®(12)

Found 32 Results

A flap has been raised and reveals a significant facial and palatal defect at congenitally missing site #10.

Harvested ramal graft. Slightly over-sized to allow for mitering and harvest of particulate autograft with a bone trap on the suction.

Onlay graft now secured with two fixation screws (Stryker) with a lag screw technique. Geistlich Bio-Oss Collagen® has been placed on the palatal aspect of site #10

Combination of a fixated onlay graft with Geistlich Bio-Oss®/autograft particulate graft at the periphery and over the facial plate of the adjacent dentition

Geistlich Mucograft® matrix placed over facial augmentation of the adjacent dentition and ridge crest of the augmented site

Closure following ramal grafting and Geistlich Mucograft®matrix application

Implant placement with static guide and dental implant hand driver

Implant placement with slight subcrestal placement of the platform just prior to osteoplasty by the periodontist.

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.

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 - 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 - Pre-operative photograph showing the horizontal bone defect at sites #18 and #19

2 - Cone-Beam Computed Tomography (CBCT) showing the horizontal and vertical bone defects at sites #18 and #19

3 - Full-thickness flap reflection and buccal flap release to achieve tension-free primary closure

4 - Harvested autograft and vallos™ fibers hydrated with platelet-rich plasma and placed in the Yxoss CBR®mesh

5 - The titanium mesh was covered with a Geistlich Bio-Gide® Compressed membrane and platelet-rich fibrin (PRF) membranes

6 - week post-operative healing of surgical site shows increase in tissue width and no membrane exposure

1 - The preoperative radiograph displays the vertical bone defect in the left mandible and thus, insufficient vertical bone volume to allow implant placement.

2 - Yxoss CBR® is planned based on the preoperative CBCT data.

3 - Opening the defect site using the ridge incision technique. The titanium scaffold fits the bone defect precisely during the augmentation procedure.

4 - The titanium scaffold is filled with 50% autologous bone and 50% Geistlich Bio-Oss®. Fixation is performed with one titanium screw in vestibulolingual direction.

5 - A collagen membrane (Geistlich Bio-Gide®) is used to provide an additional barrier for bone regeneration.

6 - Stable soft tissue situation after 6 months with no complications during the healing period. After reopening, bone is regenerated to the contour defined by the titanium scaffold.

7 - The bone is completely regenerated in the correct three-dimensional orientation. This is also visible in the respective CBCT. Implant placement is now possible.

8 - Two implants were placed with good primary stability. The vertical bone regeneration is also visible in the CBCT data.

9 - Postoperative panoramic radiograph after implant placement.

10 - Clinical situation 3 months post implant insertion.

11 - Final prosthetic reconstruction 6 months post implant insertion and 16 months post regenerative surgery.

12 - Final prosthetic reconstruction 16 months post regenerative surgery.

1 - Radiographic image showing the vertical bone deficit in the left mandible.

2 - Clinical situation before opening the area.

3 - Incision for the creation of a poncho flap.

4 - Starting in the retromolar area the incision is directed toward the distal region of tooth 23.

5 - Cortical bone is removed with the trephine, crushed and mixed with Geistlich Bio-Oss® (50:50).

6 - Successive application of Geistlich Bio-Gide®.

7 - Dehiscence after 1.5 months. The soft tissue was de-epithelialized and a free gingival graft was sutured to protect the exposition. Dehiscence may occur but usually heals spontaneously after appropriate cleaning.

8 - After 6 months, the ridge incision is applied to access the 3-D titanium scaffold.

9 - Buccal view of the regenerated bone. Even though there was dehiscence, the bone was regenerated satisfactorily.

10 - Four implants are inserted and the soft tissue is healed showing the contour provided by the good adaptation of the provisional prosthesis.

11 - Clinical situation after the final prosthesis and the soft tissue frenum removal.

1 - Pre-operative assessment demonstrating significant bone loss, prior to vertical ridge augmentation.

2 - Labial view of the posterior mandibular defect site. Cortical bone was perforated to increase the blood supply.

3 - RPM™ was secured on the lingual side prior to applying a 1:1 mixture of autogenous bone and Geistlich Bio-Oss®.

4 - RPM™ was secured over the bone graft with titanium pins and screws.

5 - Geistlich Bio-Gide® is placed on top of RPM™ to prevent early soft tissue ingrowth while allowing for graft vascularization.

6 - Labial view of the soft tissue 9 months after the vertical bone augmentation.

7 - RPM™ exposed at 9 months, following flap elevation.

8 - Labial view of the regenerated surgical site at 9 months demonstrates well vascularized bone.

9 - Occlusal view of the regenerated surgical site at 9 months demonstrates well vascularized bone.

10 - Implant placement in the newly regenerated bone.

Geistlich Fibro-Gide® (15x20x6mm) was placed on top of two implants, to increase soft tissue thickness.

12 - Periapical x-ray 1 year post-operatively, demonstrates implant stability and mature bone formation following vertical bone augmentation and soft tissue thickening.

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Upcoming Events

California Society of Periodontists (CSP) 2024 Annual Meeting

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)

Ramal Bone Graft for Congenitally Missing Maxillary Lateral Incisor

Ridge Split

Sausage Technique and Gain of Vestibular Depth

Surgical procedure, Step-by-Step

Vertical and horizontal ridge augmentation in the left mandible using vallos^® and Yxoss CBR^® Titanium Mesh

Vertical Defect in the Posterior Mandible, 3 teeth gap

Vertical Defect in the Posterior Mandible, 4 teeth gap

Vertical Ridge Augmentation treated with Geistlich Bio-Gide^®, Geistlich Bio-Oss^® and RPM™

Upcoming Events

California Society of Periodontists (CSP) 2024 Annual Meeting

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)

Ramal Bone Graft for Congenitally Missing Maxillary Lateral Incisor

Ridge Split

Sausage Technique and Gain of Vestibular Depth

Surgical procedure, Step-by-Step

Vertical and horizontal ridge augmentation in the left mandible using vallos® and Yxoss CBR® Titanium Mesh

Vertical Defect in the Posterior Mandible, 3 teeth gap

Vertical Defect in the Posterior Mandible, 4 teeth gap

Vertical Ridge Augmentation treated with Geistlich Bio-Gide®, Geistlich Bio-Oss® and RPM™

Vertical and horizontal ridge augmentation in the left mandible using vallos^® and Yxoss CBR^® Titanium Mesh

Vertical Ridge Augmentation treated with Geistlich Bio-Gide^®, Geistlich Bio-Oss^® and RPM™