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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+

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educational events

Upcoming Events

2024 Osteo Science Foundation Speaker Series: Optimizing Hard and Soft Tissue Outcomes at the Dental Implant Site

May 21, 2024

6:30-8:30 PM

King of Prussia, PA

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May

21

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

May 21, 2024 - May 24, 2024

Los Angeles, CA

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May

21

S.M.A.R.T™ (Subperiosteal Minimally Invasive Aesthetic Ridge Augmentation Technique)

June 7, 2024 - June 8, 2024

Philadelphia, PA

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Jun

7

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(23)
- Major Bone Augmentation(34)
- Minor Bone Augmentation(23)
- Miscellaneous(1)
- Peri-Implantitis(6)
- Periodontal Regeneration(10)
- Sinus-Floor Elevation(4)
- Soft-Tissue Regeneration(56)
Products
- Geistlich Bio-Gide Shape®(1)
- Geistlich Bio-Gide®(11)
- Geistlich Bio-Oss Collagen®(8)
- Geistlich Bio-Oss®(12)
- Geistlich Fibro-Gide®(32)
- Geistlich Mucograft®(20)
- Geistlich Mucograft® Seal(2)
- GEM 21S®(1)
- Micross(1)
- vallomix™(1)
- vallos®(3)
- vallos®f(1)
- Yxoss CBR®(2)

Found 56 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.

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.

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.

At 1 year, we can see root coverage has been sustained. Complete root coverage is not seen for the upper left bicuspid, not surprising given the tooth had an older restoration which was removed prior to grafting and the CEJ on the proximal surface is visible. Partial coverage was achieved however and is much more pleasing to the patient.

At 1.5 years, the tissue looks stable, healthy and esthetic. The patient is very happy with results thus far both from esthetic and functional standpoints. She is still free of sensitivity.

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.

Full thickness flap elevation exposing the complex clinical situation.

Alveolar socket after the tooth removal exposing the loss of bone on the distal of tooth #11, prior to the debridement of the granulation tissue and root preparation.

Adaptation on the buccal defect prior to placement of bone grafting with vallos® mineralized cortical cancellous mix granules (bottom) followed Geistlich Bio-Oss® (top).

Post adaptation with Geistlich Bio-Gide® for alveolar ridge preservation and guided tissue regeneration, followed by final suturing of the site using ePTFE material.

Radiographic overview of the clinical procedure: initial presentation with the bony defect impacting distal of #11 and #12 – mesial and inter-radicular, site after the tooth #12 was extracted, radiographic bone fill of the defect post-operative.

Post-operative healing of the site, 4 weeks after the procedure was completed.

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).

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.

A young male patient was referred to the clinic with a missing central incisor, #9 following trauma.

Preparation of a split-thickness flap (buccal pouch).

Due to releasing incisions within the periosteum, the tissues can be advanced more coronally.

The dimension and shape of Geistlich Fibro-Gide® with a maximal thickness (5mm) at the transition between the buccal and occlusal aspect.

Geistlich Fibro-Gide® inserted and immobilized with a horizontal cross-suture to the palatal flap.

A provisional reconstruction is inserted; blanching of the tissues can be observed.

Final emergence profile established with a provisional reconstruction.

8 weeks healing: Abutment connection is performed

The clinical situation at 1-year follow-up.

The clinical picture is showing a fistula buccal to #21 as well as leakage on old composite restorations. A thin biotype is evident.

The sagittal cuts are reporting chronic peri-apical lesions on both central incisors and a thin buccal plate with minor vertical bone loss but fenestration apical to #21.

The intrasurgical picture is showing the bony defect, the buccal fenestration and the thin buccal plate.

After allowing the tissue to heal for 4 months a first “Buccal Pedicle Flap” was performed during the uncovery of the dental implant. Simultaneously, Geistlich Fibro-Gide® was inserted into the envelope created by the flap design.

Geistlich Fibro-Gide® is reduced to a thickness of 4 mm at its borders so that it is easier to get adapted to the recipient site.

The Fibro-Gide® is trimmed so that its borders don’t approach the vertical incisions of the Buccal Pedicle Flap.

Polypropylene 6.0 sutures are used to compressed the Fibro-Gide® underneath the flap thus creating the “wrinkles” on the mucosa.

The wrinkles are visible also on the occlusal view. The mucogingival line is repositioned at its original level.

Four months after immediate implant placement and GBR in area #11 a second Buccal Pedicle Flap is performed to reduce the buccal concavity, boost the peri-implant mucosa and increase the thickness as well as the band of the keratinezed mucosa.

As in the previous surgery the Fibro-Gide® is inserted underneath the Buccal Pedicle Flap and stabilized with e-PTFE 6.0 sutures.

8 weeks post surgery, the occlusal view is showing a biomimetic countouring of the peri-implant mucosa.

The final esthetic result is emphasizing an excellent blending of “white” and “pink” esthetics.

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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

2024 Osteo Science Foundation Speaker Series: Optimizing Hard and Soft Tissue Outcomes at the Dental Implant Site

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

S.M.A.R.T™ (Subperiosteal Minimally Invasive Aesthetic Ridge Augmentation Technique)

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

Root Coverage for Multiple Adjacent Teeth in the Maxilla with Geistlich Fibro-Gide® 1.5-Year Follow-Up

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

Selecting Biomaterials for Combined Complex Defects

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 seal of anterior alveole in late implant placement

Soft Tissue Management to Prevent Tissue Loss / Prevent Complications

Soft-Tissue Augmentation in the Esthetic Zone

The Buccal Pedicle Flap for Peri-Implant Soft Tissue Volume

The use of mucograft collagen matrix to augment the zone of keratinized tissue around teeth: a pilot study