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Treatment Solutions
- 2-Stage Implant Placement(32)
- Gain of Keratinized Tissue(14)
- GBR Procedure(36)
- Peri-Implantitis Therapy(7)
- Recession Coverage(19)
- Ridge Preservation(32)
- Sinus Floor Elevation(8)
- Soft Tissue Thickening(47)
- Surgical Periodontal Treatment(47)
Products
- Geistlich Bio-Gide Compressed®(2)
- Geistlich Bio-Gide Shape®(1)
- Geistlich Bio-Gide®(66)
- Geistlich Bio-Oss Collagen®(31)
- Geistlich Bio-Oss Pen®(1)
- Geistlich Bio-Oss®(73)
- Geistlich Fibro-Gide®(42)
- Geistlich Mucograft®(27)
- Geistlich Mucograft® Seal(4)
- GEM 21S®(23)
- Micross(1)
- RPM™(1)
- Safescraper Twist(4)
- vallomix™(1)
- vallos®(15)
- vallos®f(10)
- Yxoss CBR®(17)

Found 159 Results

1 - Before preparation of the flap the exposed root portion is cleaned with a scraper and is wiped with EDTA (or similar).

2 - After measuring the dimension of the recession defect using a periodontal probe, the incisions for raising the flap are cut.

3 - A split-full-split thickness flap is elevated and coronally mobilized.

4 - The area of the papillae is de-epithelialized to allow anchorage of the flap coronal to the cemento-enamel junction.

5 - Geistlich Mucograft®is applied dry to the defect and is fixed with 4 single sutures.

6 - The coronally advanced flap is sutured over Geistlich Mucograft®.

7 - Nice, uneventful healing 15 days post-operatively at suture removal.

8 - Soft tissue situation immediately after suture removal.

9 - Complete root coverage 7 months after surgery. Note the excellent color match.

1 - Pre-operative lateral smile showing the recession defect of tooth 5.

2 - Pre-operative image of recession defect (tooth 5).

3 - After elevation of split-full-split flap the interdental papillae are de-epithelialized.

4 - Geistlich Mucograft® is placed over the root and sutured to the papillae

5 - The flap is mobilized, coronally advanced and sutured completely covering the Geistlich Mucograft®.

6 - Healing of the surgical site 2 weeks after surgery.

7 - Surgical site 6 months after surgery.

8 - Outcome 1 year after treatment.

9 - Lateral smile 1 year after surgery showing the optimal esthetic outcome.

1 - Initial clinical situation, tooth #8 and #9 require extraction.

2 - Clinical view post extraction of tooth #8 and #9.

3 - Evaluation of the buccal soft-tissue thickness.

4 - Trimming of Geistlich Fibro-Gide® to fit in the gap between the buccal soft-tissue and the buccal bone wall.

5 - Geistlich Fibro-Gide® in place: an immediate volume increase of the buccal soft-tissues are visible.

6 - Mixing of autologous bone and Geistlich Bio-Oss® particles for placement in the gaps around the implants.

7 - Immediate implant placement with the bone mixture applied was performed.

8 - Provisional restoration at time of surgery (occlusal view).

9 - Provisional restoration at time of surgery (frontal view).

1 – Initial Radiograph

2 - Pre-Operative assessment

3 - Tooth removal

4 - Mixture of Geistlich vallomix™

5 - Placement of Geistlich vallomix™

6 - Coverage with Geistlich Mucograft® Seal and sealed with sutures

7 - 2 weeks post-operative

8 - 4 weeks post-operative

9 - 6 weeks post-operative

10 - 6 months follow-up the digital implant planning was performed highlighting 3D adequate bone support.

11 - Initial presentation at the moment of implant placement.

12 - Full thickness flap elevation and initial osteotomy performed.

13 - Implant placed and cover screw positioned.

14 - Flap approximations using a PTFE suture after the implant was placed.

15 - Healing at 2 weeks after the implant placement.

16 - Overview of the radiographic sequence of the implant placement: A. The initial bone presentation. B. The guiding pin in position revealing the mesio-distal position. C. The final implant in place.

17 - Final restoration, buccal view

18 - Final restoration, occlusal view

1 - Extraction of tooth 21 due to a trauma with concomitant external resorptions. Care was taken in preserving the alveolar bone.

2 - Crestal view of the socket after tooth extraction. No flaps are raised around the affected area. A slight buccal bone defect was observed.

3 - The socket is gently curetted for removal of granulation tissue. Subsequently, the wound margins were de-epithelialized with a diamond in a counter piece with water cooling

4 - Filling of the extraction socket with Geistlich Bio-Oss® Collagen to the level of the palatal bone

5 - After measuring the alveole, Geistlich Mucograft® is punched (8 mm diameter

6 - The Geistlich Mucograft® punch is placed on top of Geistlich Bio-Oss® Collagen to seal the filled alveole.

7 - Suturing of the Geistlich Mucograft® with 6-0 single interrupted sutures.

8 - Nice healing of the soft tissues 1 week after extraction.

9 - Situation 7.5 months after extraction revealing nice soft tissue situation with a slight dip at the buccal aspect.

A young male patient was referred to the clinic with a missing central incisor, #9 following trauma.

Preparation of a split-thickness flap (buccal pouch).

Due to releasing incisions within the periosteum, the tissues can be advanced more coronally.

The dimension and shape of Geistlich Fibro-Gide® with a maximal thickness (5mm) at the transition between the buccal and occlusal aspect.

Geistlich Fibro-Gide® inserted and immobilized with a horizontal cross-suture to the palatal flap.

Primary wound closure.

A provisional reconstruction is inserted; blanching of the tissues can be observed.

Final emergence profile established with a provisional reconstruction.

8 weeks healing: Abutment connection is performed

The clinical situation at 1-year follow-up.

Frontal view revealed adequate contours of soft-tissue especially in gingival height and presence of interdental papilla which needed to be preserved.

Bilateral papilla-sparing incisions were used to preserve the existing papilla and the osteotomies were prepared to allow implant trajectories for cement retained restorations.

An apical fenestration was noted in the osteotomies. After placement of a narrow diameter implant at patient’s right lateral incisor, the site was grafted with a mixture of autologous bone chips and Geistlich Bio-Oss®.

Geistlich Bio-Gide® is trimmed to match the trapezoidal flap design and placed over the graft material.

Healing Abutments 3.5 mm were placed at time of surgery for single-stage healing

After a 3-month healing period, the implants were osseointegrated and then screw-retained provisional crowns were fabricated over both implants. The soft-tissues showed an excellent response to the bone graft materials.

The soft tissues around the implants show excellent maturation and support especially in the interdental papilla region which was preserved during surgery.

Occlusal view shows adequate restoration of the facial contour around the implant restorations indicating excellent outcome from the contour augmentation procedure.

Frontal close-up view of the implant restorations shows pleasing dental and gingival esthetics.

Page 11 of 14

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