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

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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
- Extraction Socket Management(27)
- Major Bone Augmentation(35)
- Minor Bone Augmentation(21)
- Peri-Implantitis(5)
- Periodontal Regeneration(9)
- Sinus-Floor Elevation(5)
- Soft-Tissue Regeneration(56)
Products
- Geistlich Bio-Gide Shape®(1)
- Geistlich Bio-Gide®(17)
- Geistlich Bio-Oss Collagen®(6)
- Geistlich Bio-Oss Pen®(1)
- Geistlich Bio-Oss®(17)
- Geistlich Fibro-Gide®(5)
- Geistlich Mucograft®(1)
- Geistlich Mucograft® Seal(1)
- Micross(1)
- Safescraper Twist(1)
- vallomix™(3)
- vallos®(2)

Found 21 Results

The patient presented to the clinic with a discolored tooth #8, with mobility and a history of trauma. The tooth has a horizontal fracture in the apical third of the root and has recurrent infection after the root canal treatment.

The tooth has had root canal treatment, has a horizontal root fracture in the apical third and exhibits with a periapical lesion.

The tooth is carefully extracted and the socket is left to heal through unassisted healing.

After 6 weeks a full thickness flap is elevated with a distal releasing vertical incision. A bone level implant is placed according to the prosthetic plan through a surgical guide. Notice the buccal dehiscence.

Geistlich Bio-Oss Collagen® is trimmed to an “L-Shape” and is placed on the buccal-occlusal side of the implant. Additional Geistlich Bio-Oss® granules are placed around the remaining gaps.

To stabilize the grafted area the bone augmentation is covered with Geistlich Bio-Gide®, which is fixated apically with two resorbable pins.

The flap is sutured with horizontal mattress and single interrupted sutures and primary closure is achieved.

Four months after implant placement, a limited access “U”-flap was created and an implant impression was taken. The tissue was rolled to the buccal side and the abutment connection was performed.

The definitive layered zirconia crown was fabricated and placed. The clinical situation 5 months after implant placement, shows harmonious soft tissue and a well-integrated implant crown. The patient is satisfied with the esthetic result.

The periapical radiograph taken at the one-year follow-up shows stable marginal bone levels.

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 - 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

Baseline: compromised soft-tissue architecture at site #9 due to ill-fitting Nesbit appliance.

Sulcular and paracrestal incision for full thickness flap elevation with single vertical incision distal to the site.

Presence of horizontal tissue deficiency clearly visible following flap elevation.

Application of 50:50 mixture of Geistlich Bio-Oss® and autologous bone chips harvested using Geistlich SafeScraper Twist.

Geistlich Bio-Gide® stabilized using fixation pins and covering the graft material.

Tension-free primary closure achieved using 4-0 PTFE sutures.

Soft-tissue contour at 4-month healing. Fixed provisional in place for soft-tissue contouring.

Occlusal view demonstrating gain in horizontal dimension for prosthetically guided implant placement.

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.

CT scan showing insufficient bone width for implant placement < 4mm.

Initial incisions on the midcrest of the ridge were performed for full-thickness flap preparation.

Four mucoperiosteal flaps were done with vertical releasing incisions and interosseous holes created to stimulate bone formation (RAP phenomenon).

Harvesting of the autologous cortical bone from the lateral surface of the ramus, utilizing the Geistlich Micross.

Geistlich Bio-Oss® granules mixed with harvested autologous bone chips.

Geistlich Bio-Oss® and autologous bone mixture was placed and covered with Geistlich Bio-Gide®. Pins and screws were utilized for fixation to provide primary stability.

Re-entry 8 months post-grafting: sufficient bone has been regenerated to place implants in the desired positions.

Follow-up at the time of implant uncovering and placement of the healing abutments, (4 months post- implant placement). All implants were successfully reverse torqued at 20ncm.

At re-entry eight months post-grafting, the width of the bone had increased significantly and measured 7.46mm at position #21.

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Clinical Resources

FEATURED RESOURCE

Alveolar Ridge Preservation with vallos® Mineralized Cortico-Cancellous Allograft

A 4- to 5-year retrospective clinical and radiographic study of Neoss implants placed with or without GBR procedures

Alveolar Ridge Augmentation Using the Open Healing Concept

Bone Augmentation L-Shape Technique with Early Implant Placement

Clinical and radiographical performance of implants placed with simultaneous guided bone regeneration using resorbable and nonresorbable membranes after 22-24 years, a prospective, controlled clinical trial

Clinical Cocktails: The Science of Bone Graft Mixing

Contour Augmentation with Geistlich Bio-Oss Collagen® – A 25-Year Follow-Up

Effectiveness of Contour Augmentation with Guided Bone Regeneration: 10-Year Results

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 Ridge Augmentation in the Esthetic Zone

Immediate Implant Placement and Soft-Tissue Thickening in a Split-Mouth Approach

Lateral Ridge Augmentation in the Posterior Mandible