Skip to content

NEW EBOOK: How to Master Bone Regeneration with Digital Innovation. Download Today!

Mix & Match! Buy ANY 10 Biomaterial Products, Get 3 Free! Use code Q3BG10 Learn More

Buy 4 Geistlich Bio-Oss Collagen®, Get 1 Free! Use code GBOC25 Learn More

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

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^®

Product Support
Young Professionals
Geistlich Guarantee
Geistlich Knowledge Bites Program
Newsroom

GROW
Clinical Resources
Treatment Solutions

Account

Search For:

Clinical Resources

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

FEATURED RESOURCE

On-Demand Webinars

Learn on your own Time and Earn CE

Geistlich is committed to educating our clinician partners in regenerative dentistry through in-person and virtual sessions. We look forward to growing with you on this journey.

Therapeutic Areas
- Major Bone Augmentation(39)
- Minor Bone Augmentation(22)
- Peri-Implantitis(6)
- Periodontal Regeneration(12)
- Ridge Preservation(30)
- Sinus-Floor Elevation(5)
- Soft-Tissue Regeneration(59)
Products
- Geistlich Bio-Gide Compressed®(2)
- Geistlich Bio-Gide®(28)
- Geistlich Bio-Oss Collagen®(5)
- Geistlich Bio-Oss Pen®(1)
- Geistlich Bio-Oss®(35)
- Geistlich Fibro-Gide®(4)
- Geistlich Mucograft®(5)
- RPM™(1)
- Safescraper Twist(3)
- vallomix™(1)
- vallos®(3)
- Yxoss CBR®(15)

Found 39 Results

Pre-operative situation showing the horizontal ridge deficiency (left). Buccal bone concavity evident after full thickness flap elevation (middle). There is insufficient bone to place implants in an ideal restorative position (right).

It is important to locate the mental foramen. Intramarrow penetrations were done to allow for improved blood supply to the bone graft.

The clinical cocktail used for guided bone regeneration: 1) 50/50 mixture of autogenous bone chips, collected with Geistlich SafeScraper TWIST, and Geistlich Bio-Oss®, and 2) Geistlich Bio-Gide® Compressed 20 x 30 mm and 13 x 25 mm.

“Sticky bone”, created by combining PRF with the bone graft, adapted well to the site of the defect. Periosteal biting sutures were used for stabilization of the multiple layers of Geistlich Bio-Gide® Compressed and underlying bone graft.

Geistlich Bio-Gide® Compressed was carefully trimmed to be mindful of the mental nerve.

Tension-free primary closure achieved with horizontal mattress sutures and simple interrupted sutures.

Re-entry and CBCT scan at 8 months showing a significant increase in horizonal bone dimension.

Sufficient regenerated bone to allow for implant therapy (left). Implants #19 and #20 placed. Vital bone from guided bone regeneration as evidenced by the bleeding bone (middle). Tension-free primary closure achieved using 5-0 glycolon sutures.

Eswar Kandaswamy, BDS, MS
Amber Kreko, DDS

BIOBRIEF, Download

Horizontal Ridge Augmentation with a Layered Allograft-Xenograft Approach

Video

Download

Preview

Image 1a depicts the pre-operative situation, while the inset shows a cross-sectional view of the deficient ridge in area #12.

Pre-operative view, post-flap reflection.

An inner layer of vallos® demineralized cortical particles (allograft) was applied to the defect.

An outer layer of Geistlich Bio-Oss® (xenograft) was applied on top of vallos® (allograft).

Bone grafts covered with Geistlich Bio-Gide® and secured via tacks

Final sutured closure over the bone grafts covered with Geistlich Bio-Gide® and secured via tacks

Four-week post-operative image demonstrating good soft tissue healing.

Sequential CBCT imaging comparisons, from pre-operative to 6 and 9 months post-operative, confirm the re-establishment of horizontal ridge width achieved through bone augmentation.

Comparative CBCT cross-sectional analysis of pre-operative (left) and 6-month post-operative (right) images reveals an increase in horizontal ridge width.

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.

Pre-operative image showing a fractured, endodontically treated tooth #9.

Left: Pre-operative sagittal CBCT image demonstrating a Kan Class 1 sagittal root position with initial digital implant planning conducted during the consultation appointment. Right: Definitive digital implant planning.

Left: Tooth #9 was extracted with minimal flap elevation, preserving the papillae. Right: A 3.6 x 15 mm implant was placed in a fully guided manner with a palatal bias to maximize the facial gap dimension, achieving a +2mm gap.

Left: The underside of the periosteum was incised just apical to the mucogingival junction, and a supra-periosteal pocket was created using sharp dissection with a #15 blade. Right: The facial gap was packed with 50 mg of Geistlich Bio-Oss Collagen®. A cover screw was temporarily placed to prevent bone graft granules from entering the implant chamber.

Left: A 15mm x 20mm x 3mm Geistlich Fibro-Gide® collagen matrix was inserted into the supra-periosteal pocket, with the coronal portion positioned to cover the facial bone crest. Right: The provisional crown was placed, and the facial mucosal flap was coronally advanced to cover the Geistlich Fibro-Gide® collagen matrix.

2-week post-operative follow-up

Final restoration at 16 months post-operative.

Final restoration with a screw-retained crown at 16 months post-operative.

Periapical radiograph at 16 months post-operative demonstrating stable crestal bone levels.

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.

After 3 months of healing, the top of the gingiva former is exposed and the situation is ready for Emergence Profile Development. This is quite standard.

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 - 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.

6 - 2 weeks follow-up post-surgery.

7 - 3 months follow-up post-surgery.

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.

Baseline situation and planning: vertical bone deficit of 5.29mm in section 18-20.

Central incision in the keratinized mucosa and perforated cortical bone

Yxoss CBR® filled with a 50:50 mix of autologous bone and Geistlich Bio-Oss®. Coverage of the titanium scaffold with Geistlich Bio-Gide®

Geistlich Fibro-Gide® is tailored to the defect and a tension-free suture is done.

4 months after augmentation shows the bone situation after removal of the titanium scaffold and insertion of implants. Autologous bone chips are applied on top of the implants. Occlusal view of the mucosa level after implantation and wound closure.

6 weeks after implantation and 5 1/2 months after augmentation. The mucosa is prepared apically; the preparation reaches the periosteum apically. The recipient site is fully surrounded by keratinized mucosa. Geistlich Mucograft® is sutured into the area.

6 months after regeneration shows about 5mm of vertical bone regeneration. Panoram ic X-Ray after implant placement shows clearly recognizable mucosa shadows.

One year after augmentation shows the dental prosthesis inserted occlusally.

Page 2 of 4

Let's Stay Connected. (Enter Email) *

Contact

Geistlich Pharma North America Inc.
400 Alexander Park Drive, Suite 302
Princeton, NJ 08540

Customer Care Toll-free 855-799-5500
[email protected]

Help

Disclaimer
Shipping and Returns
Privacy Policy

Account

Login / Create Account

Company

Geistlich Pharma North America Inc.
Contact

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 - 2025 Geistlich Pharma North America, Inc.