Skip to content

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®

Events
Resources
Therapeutic Areas

International Osteology Symposium

Account

Buy ANY 5 Products, Receive 1 at No Cost! | See Special Offers page for full details.

GROW with Geistlich

Geistlich Regenerative Online Wisdom

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+

Publications

700+

live events & courses
over the last 4 years

16000+

attendees from
educational events

Upcoming Events

Alveolar Ridge Augmentation Using The Open Healing Technique

March 30, 2023

12:00-1:00pm

More Information

Mar

30

S.M.A.R.T. Training Course

March 31, 2023

Register

Mar

31

All Events

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(17)
- Major Bone Augmentation(27)
- Minor Bone Augmentation(22)
- Miscellaneous(3)
- Peri-Implantitis(6)
- Periodontal Regeneration(5)
- Sinus-Floor Elevation(1)
- Soft-Tissue Regeneration(40)
Products
- Geistlich Bio-Gide®(6)
- Geistlich Bio-Oss Collagen®(8)
- Geistlich Bio-Oss®(9)
- Geistlich Fibro-Gide®(28)
- Geistlich Mucograft®(14)
- Geistlich Mucograft® Seal(2)
- Geistlich vallomix™(1)
- Micross(1)
- vallos™(1)
- Yxoss CBR®(1)

Found 40 Results

1 - Thin mucosal tissue over implant #7 creating an unesthetic appearance.

2 - Occlusal view of #7 reveals buccal soft-tissue defects.

3 - Augmentation of the soft-tissue on two implant sites, #7 and #10, using a conventional full thickness flap with vertical releasing incisions on site #7 and an envelope flap on site #10.

4 - Geistlich Fibro-Gide® is split into two 3mm thick matrices to be used in both sites, hydrated with sterile saline and trimmed to the defect dimensions.

5 - Geistlich Fibro-Gide® is secured to the periosteum apically and the interproximal papillae with 5-0 chromic gut sutures.

6 - Passive closure of the flap achieved with 6-0 vicryl sutures.

7 - 1 week post-surgery reveals uneventful healing with maintenance of tissue volume.

8 - Buccal view at 8 weeks reveals uneventful healing with maintenance of tissue volume.

9 - Occlusal view at 8 weeks post-surgery.

1 - This case shows a shallow vestibule and almost no keratinized tissue on the lower crestal part. The horizontal incision has to be made within the keratinized tissue (see depicted line).

2 - Ensure the incision is within the keratinized tissue: an apically fixed split flap is used here. Remove the muscles, scar fibers and ligaments before application of Geistlich Mucograft®.

3 - Measure the defect carefully with a periodontal probe and cut Geistlich Mucograft® in a dry state. In the case of a large vestibuloplasty, several pieces of Geistlich Mucograft® can be sutured side by side.

4 - Geistlich Mucograft® is sutured directly onto the periosteum with 5.0 resorbable sutures and left exposed for open healing (healed by secondary intention).

5 - 10 days post-operative: favorable healing where granulation tissue and new soft tissues have formed.

6 - 1 month post-operative: excellent wound healing with complete integration and epithelialization of Geistlich Mucograft® as well as keratinization of the crestal aspect could be observed.

7 - 3 months post-operative: excellent esthetic outcome with full integration and epithelialization of Geistlich Mucograft® to the surrounding tissue and keratinization of the crestal aspect.

8 - 1 year post-operative: the formed keratinized tissue fulfills its functionality and shows an esthetically pleasing result matching the structure and color of the surrounding tissues. The mean width of the peri-implant keratinized mucosa was 4.0 mm, and a low shrinkage was assessed at 38%.

9 - 5 years post-operative: the mucogingival appearance remains stable. The resulting keratinized tissue fulfills its functionality and shows an esthetically pleasing result.

3 - 10 week post op healing. Root coverage achieved. Patient reports no problems and is pleased with the results. More follow ups to come.

2 - Sites at the day of the procedure after sutures placed. Tunnel between #23,24 and partial thickness flap raised between #23,22.

1 - Pre-operative view of recession defects that ranges from 2-5 mm. There is minimal keratinized tissue on #14. Pocket depths are within limits with no loss of interproximal tissue.

2 - A 15c blade is used to make sulcular incisions with scooping incisions at the level of the CEJ. A combination flap consisting of full-thickness coronally followed by a partial-thickness dissection apically is reflected.

3 - The papillary tissue is de-epithelialized with a football diamond bur on a rotary hand piece. This exposes a vascular bed for the graft and intended coronal positioning of the flap.

4 - Side-view of the recession defects. It is clearly visible how deep the recession defects are.

5 - Geistlich Mucograft® is trimmed and positioned to extend beyond the root surfaces. A combination of simple interrupted sutures at its coronal edge and mattress sutures extending over the entire graft are used to adapt the graft to the recipient site.

6 - The flap is then advanced and coronally positioned with horizontal mattress sutures to release tension and simple interrupted sutures to approximate the flap edges to the de-epithelialized papillas.

7 - Follow-up after 1 week: note that the flap margins appear stable. Erythema and edema evident with maturation of the tissue beginning.

8 - Follow-up after 3 months: maturation of the tissue evident with complete root coverage. An increase in the zone of keratinized tissue by #14 is also visible.

9 - Follow-up after 1 year: stability of the graft is evident, complete coverage and a healthy and maintainable gingival situation have been achieved.

1 - Baseline frontal view: missing central incisor.

2 - Baseline occlusal view: The facial contour is flattened by physiological dimensional ridge alterations post-extraction.

3 - Full-thickness flap using one releasing incision in the distal aspect of the canine. Simultaneous contour augmentation using GBR was performed with autogenous bone chips to cover the exposed implant combined with a layer of Geistlich Bio-Oss®and Geistlich Bio-Gide®.

4 - Application of Geistlich Fibro-Gide® on top of the augmented area. A tension-free primary wound closure was obtained by a periosteal releasing incision.

5 - Suture removal 14 days post-surgery. Uneventful wound healing and an increase in soft-tissue volume.

7 - 2 months follow-up combined with abutment connection.

8 - Occlusal view of final restoration 2 years post-surgery.

9 - Final restoration 2 years post-surgery shows pleasing esthetics.

Implant placement planned for site #3 and #5 with soft-tissue treatment utilizing a CTG and for sites #10, #12 and #13 with soft-tissue augmentation using Geistlich Fibro-Gide®

2 - Uncovering of site #10 shows a narrow ridge width and an insufficient amount of soft-tissue thickness.

3 - Tooth #10 was extracted and immediately replaced by an implant.

4 - Fill the gap procedure with Geistlich Bio-Oss Collagen® to achieve contour augmentation and preserve horizontal ridge dimensions.

5 - Geistlich Fibro-Gide® was trimmed to half of the thickness to fit the defect and placed into sites #10, 11, 12 and 13.

6 - The entire site was closed tension-free to facilitate uneventful wound healing.

7 - The 3 month follow-up shows uneventful soft-tissue healing and an increase of soft-tissue thickness at the desired sites.

8 - The 6 month follow-up with the final reconstruction shows that the soft-tissue thickness at the desired site is maintained over time. This contributes to an esthetic and pleasing outcome. (Restorative work by Dr. Chao-Chieh Yang, IUSD)

9 - The 2 month follow-up showing a comparison of the treated sites, one with CTG (left) and one with Geistlich Fibro-Gide® (right) in the same patient. Comparable results have been achieved with both treatments, but without the need for a donor site.

1 - Initial Situation: a failing mandibular molar with a vertical sub-osseous fracture.

2 - A pre-operative radiograph and CBCT showing the cross-section of the involved tooth.

3 - An implant site was developed by placing a pilot drill down the mesial root space, then uprighting it. This was continued up through the drill sequence. The mesial radicular septum is moved in the process.

4 - A Camlog® 5.0 x 11 mm implant was placed with the platform set just down below the bone height of the socket walls.

5 - After placing a 4.0 mm height cylindrical gingiva former in the implant, 250 mg of Geistlich Bio-Oss Collagen® was packed down in the socket around the implant.

6 - Geistlich Mucograft® was adapted to the region then tucked down under the gingival margin.

7 - The gingival margins were adapted and closed together with 4.0 teflon sutures (Cytoplast™, Osteogenics). The region was then covered with Glustich - PeriAcryl®90 Oral Tissue Adhesive.

8 - 4 months later following Emergence Profile Development.

9 - An occlusal view of the final onepiece, screw-retained zirconia crown restoration based on a Camlog® Titanium Base Abutment.

1 - Initial Clinical Situation, Occlusal/Buccal Shots of Missing teeth #12 and 13.

2 - Intra-Operative, Implant Placement of #12 and 13.

3 - Intra-Operative, Placement of Geistlich Fibro-Gide® in the Buccal Concavity of #12 and 13.

4 - Immediate Post-Operative Buccal Soft Tissue Thickness.

5 - Two Months Post-Operative Healing with Provisional Restorations.

1 - Pre-operative situation, tooth #7 with periapical infection and horizontal fracture.

2 - CT Scan showing tooth #7 with significant bone loss.

3 - Occlusal view of the clinical situation prior to extraction of tooth #7.

4 - Extraction socket with Geistlich Bio-Oss Collagen® in place.

5 - Geistlich Mucograft® Seal is placed over the extraction socket and secured with single interrupted sutures.

6 - 3 months post-operative: soft tissue healing at the time of implant placement.

7 - Buccal view showing excellent soft tissue healing and keratinized tissue.

9 - 2 years post-operative: final restoration in place.

Page 1 of 4

Contact

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

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

Help

Disclaimer
Shipping and Returns
Privacy Policy

Account

Login / Create Account

Company

Geistlich Pharma North America Inc.
Contact
Sitemap

These product(s) and promotion(s) are ONLY available within the North American Dental Markets (US & Canada). Promotions may vary in Canada and Puerto Rico. Please consult our exclusive Canadian distribution partner, HANSAmed Limited, for more details.

CAUTION: Federal law restricts these devices to sale by or on the order of a dentist or physician.

© 2011 - 2023 Geistlich Pharma North America, Inc.

GROW with Geistlich

Upcoming Events

Alveolar Ridge Augmentation Using The Open Healing Technique

S.M.A.R.T. Training Course

Clinical Indications and Guidelines for Soft-Tissue Augmentation at Implant Sites

Esthetic Soft-Tissue Augmentation of Two Implant Sites in the Same Patient

Evidence-Based Decisions for Periodontal Hard and Soft Tissue Regeneration

Gain of Keratinized Tissue in Edentulous Patient Using Geistlich Mucograft^®

Geistlich Fibro-Gide^®for gingival recessions

Geistlich Mucograft^® for the Treatment of Multiple Adjacent Recession Defects

Geistlich Mucograft^® for the Treatment of Multiple Adjacent Recession Defects: A More “Palatable” Option

Guided Bone Regeneration with Simultaneous Soft-Tissue Augmentation in the Anterior Maxilla

Immediate Implant Placement and Soft-Tissue Thickening in a Split-Mouth Approach

Immediate Mandibular Molar Transition

Implant Placement & Simultaneous Soft Tissue Graft Using Geistlich Fibro-Gide®

Insufficient Soft Tissue Thickness in a Single Tooth Gap in the Anterior Maxilla

GROW with Geistlich

Upcoming Events

Alveolar Ridge Augmentation Using The Open Healing Technique

S.M.A.R.T. Training Course

Clinical Indications and Guidelines for Soft-Tissue Augmentation at Implant Sites

Esthetic Soft-Tissue Augmentation of Two Implant Sites in the Same Patient

Evidence-Based Decisions for Periodontal Hard and Soft Tissue Regeneration

Gain of Keratinized Tissue in Edentulous Patient Using Geistlich Mucograft®

Geistlich Fibro-Gide® for gingival recessions

Geistlich Mucograft® for the Treatment of Multiple Adjacent Recession Defects

Geistlich Mucograft® for the Treatment of Multiple Adjacent Recession Defects: A More “Palatable” Option

Guided Bone Regeneration with Simultaneous Soft-Tissue Augmentation in the Anterior Maxilla

Immediate Implant Placement and Soft-Tissue Thickening in a Split-Mouth Approach

Immediate Mandibular Molar Transition

Implant Placement & Simultaneous Soft Tissue Graft Using Geistlich Fibro-Gide®

Insufficient Soft Tissue Thickness in a Single Tooth Gap in the Anterior Maxilla

Gain of Keratinized Tissue in Edentulous Patient Using Geistlich Mucograft^®

Geistlich Fibro-Gide^®for gingival recessions

Geistlich Mucograft^® for the Treatment of Multiple Adjacent Recession Defects

Geistlich Mucograft^® for the Treatment of Multiple Adjacent Recession Defects: A More “Palatable” Option