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Treatment Solutions
- 2-Stage Implant Placement(16)
- Gain of Keratinized Tissue(5)
- GBR Procedure(8)
- Peri-Implantitis Therapy(1)
- Recession Coverage(9)
- Ridge Preservation(5)
- Soft Tissue Thickening(16)
- Surgical Periodontal Treatment(22)
Products
- Geistlich Bio-Gide®(19)
- Geistlich Bio-Gide® Compressed(1)
- Geistlich Bio-Gide® Forte(5)
- Geistlich Bio-Oss Collagen®(7)
- Geistlich Bio-Oss®(22)
- Geistlich Fibro-Gide®(18)
- Geistlich Mucograft®(11)
- Geistlich Mucograft® Seal(2)
- Geistlich Panorama®(1)
- GEM 21S®(4)
- RPM™(2)
- vallos®(5)
- vallos®f(2)
- Yxoss CBR®(7)

Found 54 Results

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).

1 - Initial clinical situation showing an extended horizontal and vertical bone gap at former positions of teeth 3 and 4 which were extracted 8 weeks earlier.

2 - CBCT showing a deficient vestibular contour and the corresponding bone defect. 3-D design of Yxoss CBR® derived from the patient’s anatomy.

3 - Surgical situation with horizontal and vertical bone defect.

4 - After testing the adaptation of Yxoss CBR® to the defect, it is filled with a graft consisting of 30% autologous particulate bone and 70% granules of Geistlich Bio-Oss®.

5 - Yxoss CBR® fixed with titanium screws.

6 - Adaptation of Geistlich Bio-Gide® over the structure. Complete, tension-free wound closure will follow.

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

8 - Radiographic situation after 6 months of healing, before reopening.

9 - Insertion of two implants (Straumann® BLT). The resonance frequency measurement shows ISQ values of 70-75.

10 - Insertion of the healing abutments and adaptation of the flap.

11 - Soft tissue maturation 12 weeks after implant insertion.

12 - Clinical situation after prosthetic finalization, 18 months after surgery. X-ray shows stability of marginal bone levels.

1 - Patient with missing teeth 3, 4 and 5 in combination with horizontal and vertical atrophy. Situation incompatible with ideal and prosthetically guided implant insertion.

2 - Initial CBCT showing vertical and horizontal bone deficit.

3 - 3-D model obtained from CBCT with the corresponding Yxoss CBR® design.

4 - Final titanium scaffold ready for use.

5 - Exposure of the bone defect with full thickness flap.

6 - Fixation of Yxoss CBR® filled with a mix of autologous bone chips and Geistlich Bio-Oss® using two titanium screws.

7 - Coverage with a Geistlich Bio-Gide® membrane.

8 - Tension-free hermetic suture of the flap.

9 - After 8 months, the adequate rooting of the bone graft is assessed by CBCT and the insertion of the implants is planned in a prosthetically guided manner.

10 - 8 months after the GBR the scaffold is removed and two endosseous implants are inserted.

11 - Radiography with three elements supported by implants.

12 - Final prosthetic reconstruction 3 months after implant placement, without the need of a temporary interim solution.

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.

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

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

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.

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

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.

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

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.

4 months later following Emergence Profile Development.

An occlusal view of the final one-piece, 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.

Implants are placed at Tooth 7* and Tooth 8* with simultaneous GBR using vallos® mineralized cortical‑cancellous granules.

Geistlich Bio-Gide® Forte is positioned over the augmented sites without pins or tacks.

Primary wound closure with horizontal mattress sutures and single interrupted sutures.

Seven days postoperatively, soft tissue healing is progressing well.

At the 3-month review, healing is favorable with no complications.

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.

1 - Baseline buccal view: soft-tissue concavity at the dental implant site.

2 - Baseline occlusal view: volume deficiency on the buccal aspect.

3 - Adapting and trimming of Geistlich Fibro-Gide® to the defect size. Additional bevel cut performed for the area to be positioned close to the incision line.

4 - Position and fixation of Geistlich Fibro-Gide® to the buccal flap with horizontal mattress suture.

5 - Primary closure obtained by horizontal mattress and single interrupted sutures.

6 - 4 months follow-up: showing the healed soft-tissue after augmentation surgery.

7 - 4 months follow-up: provisional restoration. Notice volume recovery.

8 - Occlusal view before final restoration.

9 - 9 months follow-up: final restoration after soft-tissue augmentation surgery.

1 - Baseline frontal view: missing central incisor. Implant visible through mucosa due to thin biotype.

2 - Baseline occlusal view: soft-tissue deficit in the buccal and occlusal area.

3 - Flap elevation on the buccal side using a full flap crestally and a split flap buccally.

4 - Adaption of Geistlich Fibro-Gide® to the defect size.

5 - Palatal island flap prepared to allow for tension-free wound closure. Geistlich Fibro-Gide® in situ, immobilized with a mattress suture.

6 - Tension-free wound closure using single interrupted sutures (Dafilon 5-0, Braun).

8 - 6 months follow-up: final crown in place.

9 - 2.5 year follow-up shows stable soft-tissue conditions.

1 - Baseline before implant placement showing the soft-tissue deficiency.

2 - Implant surgery after implant placement showing the need for guided bone regeneration.

3 - Guided bone regeneration with Geistlich Bio-Oss® and Geistlich Bio-Gide®.

4 - Geistlich Fibro-Gide® was trimmed to the defect size and placed at full thickness (6 mm) on top of Geistlich Bio-Gide®.

5 - Wound closure (PTFE 5/0 sutures) by combining horizontal mattress sutures and single sutures in a double layer.

8 - Re-entry was performed 3 months post-surgery. Soft-tissue emergence profile at the time of final ceramic-crown delivery 4 months after implant placement.

9 - Clinical and radiographic situation 2 years after implant insertion.

1 - Exposure of the alveolar ridge and buccal bone.

2 - Horizontal and vertical osteotomies of the distracted segment.

3 - The upward lift of the transported segment, achieving a height gain of 7 mm.

4 - Geistlich Bio-Oss® Block is trimmed in a dry state with a piezo surgical device to the required dimension and shaped to completely fit into the recipient site.

5 - The coronally shifted segment is fixed with miniplates and miniscrews and thus immobilizes also the biomaterial block.

6 - The coronally shifted segment is fixed with miniplates and miniscrews and thus immobilizes also the biomaterial block.

7 - Intra-operative situation following implants insertion 4 months after interpositional grafting.

8 - Periapical X-ray evaluation immediately after implant insertion.

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Clinical Resources

FEATURED RESOURCE

Alveolar Ridge Preservation with vallos® Mineralized Cortico-Cancellous Allograft

On-Demand Webinars

Learn on your own Time and Earn CE

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

Horizontal/Vertical Defect in the Anterior Maxilla, 2 teeth gap

Horizontal/Vertical Defect in the Anterior Maxilla, 3 teeth gap

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®

Implant Placement with GBR in the Anterior Maxilla

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

Insufficient Soft-Tissue Thickness Around Single Implant in the Posterior Maxilla

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

Insufficient Soft-Tissue Thickness in Extended Gap in the Posterior Mandible

Interpositional Grafting with Geistlich Bio-Oss^® Block

Clinical Resources

FEATURED RESOURCE

Alveolar Ridge Preservation with vallos® Mineralized Cortico-Cancellous Allograft

On-Demand Webinars

Learn on your own Time and Earn CE

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

Horizontal/Vertical Defect in the Anterior Maxilla, 2 teeth gap

Horizontal/Vertical Defect in the Anterior Maxilla, 3 teeth gap

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®

Implant Placement with GBR in the Anterior Maxilla

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

Insufficient Soft-Tissue Thickness Around Single Implant in the Posterior Maxilla

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

Insufficient Soft-Tissue Thickness in Extended Gap in the Posterior Mandible

Interpositional Grafting with Geistlich Bio-Oss® Block

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

Interpositional Grafting with Geistlich Bio-Oss^® Block