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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.

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Upcoming Events

Master Clinician Program in Implant Dentistry – Session III

June 13, 2023 - June 16, 2023

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Jun

13

Leading Experts of Esthetic Dentistry: Enduring Esthetics Through Restoration of Health

June 23, 2023 - June 25, 2023

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Jun

23

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(18)
- Major Bone Augmentation(29)
- Minor Bone Augmentation(24)
- Miscellaneous(3)
- Peri-Implantitis(6)
- Periodontal Regeneration(6)
- Sinus-Floor Elevation(1)
- Soft-Tissue Regeneration(40)
Products
- Geistlich Bio-Gide Compressed®(2)
- Geistlich Bio-Gide Shape®(1)
- Geistlich Bio-Gide®(37)
- Geistlich Bio-Oss Collagen®(18)
- Geistlich Bio-Oss Pen®(1)
- Geistlich Bio-Oss®(46)
- Geistlich Fibro-Gide®(33)
- Geistlich Mucograft®(19)
- Geistlich Mucograft® Seal(4)
- Geistlich vallomix™(5)
- Micross(2)
- RPM™(2)
- vallos™(5)
- Yxoss CBR®(11)

Found 85 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 - Large horizontal and vertical bone defect in region 5-12; deficit emerging from many years of wearing mucosa-supported dentures.

2 - 3-D design including 3-D model, grafting volume, Yxoss CBR® and implants.

3 - 3-D Design including 3-D model and Yxoss CBR®.

4 - Initial clinical situation before opening of the soft tissue.

5 - Presentation of bony situs with a full-thickness flap (ridge incision).

6 - Titanium scaffold filled with 100% Geistlich Bio-Oss® and placed onto bone defect. Fixation performed with 4 mini-screws in the buccal area.

7 - Soft tissue situation after 6 months of healing.

8 – Careful separation of Yxoss CBR® into two parts at predetermined breaking points (Easy Removal Design®). Pilot drill performed through built-in holes according to backward planning principle.

9 - 4 implants placed in positions 5, 7, 10 and 12 to support the prosthesis. Bleeding out of the bone shows a good vascularization.

10 - Panoramic X-ray 6 months after the augmentation. In the meantime, 4 additional implants have been placed in the lower jaw.

1 - Preoperative radiograph depicting the severe bony atrophy in the posterior mandible.

2 - Fixation of the pre-formed osteosynthesis plate with miniscrews.

3 - Augmentation with autologous bone harvested from the angular region of the mandible and mixed with Geistlich Bio-Oss®.

4 - The grafted site including the osteosynthesis plate is covered with Geistlich Bio-Gide® and the tensile collagen membrane is pinned down. Thus, the augmented site is accurately covered and stabilized.

5 - In order to obtain primary wound closure, a double-layered suturing technique is used by combining a horizontal internal mattress and a coronal single stitch technique.

6 - Implants are inserted 6 months after augmentation and the healing abutments are connected to the implants.

7 - Lateral view of the final prosthetic restoration 6 months after implant placement.

8 - Intraoral radiograph 15 months after augmentation procedure showing a stable bony situation.

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.

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Princeton, NJ 08540

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GROW with Geistlich

Upcoming Events

Master Clinician Program in Implant Dentistry – Session III

Leading Experts of Esthetic Dentistry: Enduring Esthetics Through Restoration of Health

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

Evidence-Based Decisions for Periodontal Hard and Soft Tissue Regeneration

Extended Case in the Maxilla, 8 teeth gap

Fence Technique for 3-Dimensional Alveolar Ridge Augmentation

Full Scope OMS in Private Practice: A Fast Track to Success

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

Guided Bone Regeneration: Treatment of Spacemaking Osseous Defects

Guided tissue regeneration in the esthetic zone of a 34-year-old male

GROW with Geistlich

Upcoming Events

Master Clinician Program in Implant Dentistry – Session III

Leading Experts of Esthetic Dentistry: Enduring Esthetics Through Restoration of Health

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

Evidence-Based Decisions for Periodontal Hard and Soft Tissue Regeneration

Extended Case in the Maxilla, 8 teeth gap

Fence Technique for 3-Dimensional Alveolar Ridge Augmentation

Full Scope OMS in Private Practice: A Fast Track to Success

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

Guided Bone Regeneration: Treatment of Spacemaking Osseous Defects

Guided tissue regeneration in the esthetic zone of a 34-year-old male

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