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GEM 21S^®, the first recombinant growth factor product for use in oral regenerative surgery. Learn More

Bone Substitutes
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- Geistlich Bio-Gide^®
- RPM™
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- Geistlich Fibro-Gide^®
- Geistlich Mucograft^®
Bone Harvesting
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3D Titanium Scaffold
- Yxoss CBR^®
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- MC Bio Supertack
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- GEM 21S^®

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Clinical Resources

Use the search and filter form below to find informative clinical content by format, therapeutic areas, or product.

FEATURED RESOURCE

Therapeutic Areas
- Major Bone Augmentation(36)
- Minor Bone Augmentation(21)
- Peri-Implantitis(6)
- Periodontal Regeneration(9)
- Ridge Preservation(28)
- Sinus-Floor Elevation(5)
- Soft-Tissue Regeneration(58)
Products
- Geistlich Bio-Gide Compressed®(2)
- Geistlich Bio-Gide®(27)
- Geistlich Bio-Oss Collagen®(4)
- Geistlich Bio-Oss Pen®(1)
- Geistlich Bio-Oss®(33)
- Geistlich Fibro-Gide®(3)
- Geistlich Mucograft®(5)
- RPM™(1)
- Safescraper Twist(3)
- vallomix™(1)
- vallos®(2)
- Yxoss CBR®(14)

Found 36 Results

Matteo Chiapasco, D.D.S., M.D.
Grazia Tommasato, D.D.S., M.S.C.

BIOBRIEF, Download, Video

3D Bone Augmentation Using Customized Titanium Mesh in Conjunction with Autogenous Bone and Bovine Bone Material Granules

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Panoramic radiograph of initial situation showing the atrophic mandibular areas.

The final Yxoss CBR® ready for use.

The customized Ti-mesh is filled with the autologous bone chips mixed with Geistlich Bio-Oss® granules in a 50:50 ratio.

Intra-operative view at the end of the reconstruction showing the bone augmentation: the customized mesh was stabilized with 2 fixation screws.

A Geistlich Bio-Gide® membrane is used to cover the customized mesh in order to increase the barrier effect.

Intra-operative view after primary closure of the surgical wound.

Panoramic radiograph after surgery.

Clinical control 3 months later showing favorable healing of the soft tissue and correction of the defect.

Dr. Gian Maria Ragucci
Prof. Federico Hernández-Alfaro

BIOBRIEF, Download, Video

Combined Horizontal and Vertical Regeneration Using a CAD-CAM Titanium Scaffold

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Panoramic radiographic view of the defect

Horizontal and vertical augmentation step by step

Baseline situation (left) and 9-month follow-up (right)

Scaffold removal and implant placement step by step

Soft-tissue management with free gingival graft

Final restoration

Periapical radiographs of implants and prosthesis

Final restoration at 16 months

1 – Pre-operative radiograph showing the severe bone defect around the tooth.

2 - Six weeks after tooth extraction, uneventful soft-tissue healing in the post-operative phase is visible.

3 - After flap preparation, an implant was placed in a site with a severe bone defect.

4 - In order to fill up the defect and provide volume stability Geistlich Bio-Oss Collagen® was applied.

5 - After augmentation with Geistlich Bio-Oss Collagen®, the site was covered with a collagen fleece.

6 - Final crown restoration after 6 months post-operative.

7 - The radiograph after 25 years shows a stable bone situation.

8 - The clinical picture after 25 years follow-up presents a very nice and stable bone and soft-tissue situation.

1 - Clinical situation in the posterior maxilla depicting a large buccal defect in the edentulous area.

2 - Fixation of the autologous block from the symphysis.

3 - Contouring of the grafted site with Geistlich Bio-Oss®.

4 - The augmented area is covered with the collagen membrane Geistlich Bio-Gide®.

5 - Primary wound closure is accomplished with single interrupted sutures.

6 - Clinical aspect of the augmented ridge with no signs of block resorption.

7 - Implant placement 3 months post augmentation.

8 - Long-term follow-up showing stable peri-implant bone level 3 years after implant placement.

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 - 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).

8 - Final prosthetic restoration.

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