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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+

Publications

700+

live events & courses
over the last 4 years

16000+

attendees from
educational events

Upcoming Events

2024 Osteo Science Foundation Speaker Series: Updates in Implant Dentistry for the Practicing Oral and Maxillofacial Surgeon

April 30, 2024

6:30-8:30 PM

San Antonio, TX

Learn More

Apr

30

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

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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 Shape®(1)
- Geistlich Bio-Gide®(49)
- Geistlich Bio-Oss Collagen®(23)
- Geistlich Bio-Oss Pen®(1)
- Geistlich Bio-Oss®(59)
- Geistlich Fibro-Gide®(36)
- Geistlich Mucograft®(25)
- Geistlich Mucograft® Seal(4)
- GEM 21S®(1)
- Micross(2)
- RPM™(2)
- Safescraper Twist(3)
- vallomix™(5)
- vallos®(7)
- vallos®f(2)
- Yxoss CBR®(13)

Found 113 Results

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.

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.

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.

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.

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

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.

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.

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

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.

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.

Initial clinical and radiographic presentation showing vertical bone loss #9-10 area

Initial CBCT presentation showing bone loss between #9-10 wrapping palatally

Occlusal clinical views showing sulcular incision with paracrestal incision #9-10

Facial and occlusal clinical views showing full thickness flap reflection with wide 1-2 bony wall defect measuring ~7mm vertical bone loss

Facial clinical views showing full thickness flap reflection and GTR procedure using Geistlich vallomix™ bone graft (allograft as an internal first layer and xenograft as an outside second layer) and collagen membrane

Facial and occlusal clinical views showing primary closure using 6-0 prolene sutures with immediate post-surgical bone addition

Facial and occlusal clinical views showing healing at 10 days with tissue granulating in

Facial and occlusal clinical views showing healing at 6 weeks

Pre-operative vs post-surgical clinical and radiographic views showing adequate bone fill and reduction in probing depths

1 - 3D reconstruction from CBCT images showing horizontal maxillary atrophy at the two-teeth gap.

2 - Intraoperative view of the atrophied anterior maxillary site. Tenting screws are placed to support the collagen membrane.

3 - Application of a mixture (1:1) of autologous bone chips from the retromolar area and Geistlich Bio-Oss®.

4 - Coverage with a double layer of collagen membrane Geistlich Bio-Gide®.

5 - Tension-free, primary wound closure by mattress and single interrupted sutures.

6 - Situation at re-opening after 6 months showing vital bone and reconstructed ridge contour.

7 - Guided implant placement in regenerated bone with stent (additional implant placement at position 22).

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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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 - 2024 Geistlich Pharma North America, Inc.

Upcoming Events

2024 Osteo Science Foundation Speaker Series: Updates in Implant Dentistry for the Practicing Oral and Maxillofacial Surgeon

California Society of Periodontists (CSP) 2024 Annual Meeting

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

Evaluation of the tissue reaction to a new bilayered collagen matrix in vivo and its translation to the clinic

Extended Case in the Maxilla, 8 teeth gap

Fate of a Bovine-Derived Xenograft in Maxillary Sinus Floor Elevation After 14 Years: Histologic and Radiologic Analysis

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: A More “Palatable” Option

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

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

Guided Tissue Regeneration in the Esthetic Zone of a 34-Year-Old Male

Horizontal Augmentation using Geistlich Bio-Gide^® and Particulate Bone Graft

Upcoming Events

2024 Osteo Science Foundation Speaker Series: Updates in Implant Dentistry for the Practicing Oral and Maxillofacial Surgeon

California Society of Periodontists (CSP) 2024 Annual Meeting

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

Evaluation of the tissue reaction to a new bilayered collagen matrix in vivo and its translation to the clinic

Extended Case in the Maxilla, 8 teeth gap

Fate of a Bovine-Derived Xenograft in Maxillary Sinus Floor Elevation After 14 Years: Histologic and Radiologic Analysis

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: A More “Palatable” Option

Geistlich Mucograft® for the Treatment of Multiple Adjacent Recession Defects

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

Guided Tissue Regeneration in the Esthetic Zone of a 34-Year-Old Male

Horizontal Augmentation using Geistlich Bio-Gide® and Particulate Bone Graft

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

Horizontal Augmentation using Geistlich Bio-Gide^® and Particulate Bone Graft