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Treatment Solutions
- 2-Stage Implant Placement(36)
- Gain of Keratinized Tissue(14)
- GBR Procedure(37)
- Peri-Implantitis Therapy(7)
- Recession Coverage(19)
- Ridge Preservation(33)
- Sinus Floor Elevation(9)
- Soft Tissue Thickening(47)
- Surgical Periodontal Treatment(47)
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- Geistlich Bio-Gide®(66)
- Geistlich Bio-Gide® Compressed(2)
- Geistlich Bio-Gide® Forte(5)
- Geistlich Bio-Gide® Shape(1)
- Geistlich Bio-Oss Collagen®(31)
- Geistlich Bio-Oss Pen®(1)
- Geistlich Bio-Oss®(76)
- Geistlich Fibro-Gide®(42)
- Geistlich Mucograft®(27)
- Geistlich Mucograft® Seal(4)
- Geistlich Panorama®(1)
- GEM 21S®(24)
- Micross(1)
- RPM™(2)
- Safescraper Twist(4)
- vallomix™(1)
- vallos®(20)
- vallos®f(10)
- Yxoss CBR®(17)

Found 166 Results

1 - Occlusal view of the ridge after flap elevation.

2 - Longitudinal split of the alveolar crest by use of piezo-surgical instruments.

3 - Two implants are placed in the expanded crest.

4 - The split around the implants is filled with a mixture (1:1) of autologous bone chips from the retromolar area and Geistlich Bio-Oss®.

5 - The augmented ridge is covered with a Geistlich Bio-Gide® membrane before closure of the soft tissue.

7 - Occlusal view of the prosthetic outcome.

8 - X-ray findings 6 months after implant placement.

Pre-operative condition: Note that the gingival recession of 3-4 mm is evident as is the cervical root abrasions. The interdental papillae completely fills the embrasure space.

Incision design showing the sulcular incisions with horizontal incisions across the interdental regions ending with a remote oblique vertical releasing incision distal to the first bicuspid tooth.

The interdental papillae were de-epithelialized and Geistlich Fibro-Gide®was placed over the exposed roots extending onto the bone. Geistlich Fibro-Gide® was not secured with sutures.

Internal periosteal releasing incision was made to allow tension-free coronal advancement of the buccal flap to completely cover Geistlich Fibro-Gide®.The flap was secured with 5-0 Monocryl® sutures.

1-week post-operative visit: the healing looks good and sutures are intact. There was a small soft-tissue dehiscence at the buccal margin of the canine tooth.

Healing progressed well at 2 months post-operatively and the dehiscence defect seen at 1 week appears to be healing. Soft-tissue thickness is also evident at this stage.

At 6 months, 100% root coverage has been achieved. Note the increase in keratinized gingiva at the canine tooth where there was previously delayed healing. The patient is happy with the esthetic and functional outcome.

At 1 year, we can see root coverage has been sustained. Complete root coverage is not seen for the upper left bicuspid, not surprising given the tooth had an older restoration which was removed prior to grafting and the CEJ on the proximal surface is visible. Partial coverage was achieved however and is much more pleasing to the patient.

At 1.5 years, the tissue looks stable, healthy and esthetic. The patient is very happy with results thus far both from esthetic and functional standpoints. She is still free of sensitivity.

Geistlich Fibro-Gide® is trimmed in a dry state to 10 x 15 x 6mm. The corners were trimmed for better adaptation and the matrix was then hydrated in sterile saline solution.

1 - Pre-operative view of the atrophied ridge.

2 - Application of a 1:1 mixture of autologous bone and Geistlich Bio-Oss®.

3 - Geistlich Bio-Gide® is tightly fixed and pinned, thus immobilizing the particulate graft. The sausage-like augmentation allows extended horizontal augmentation.

4 - Primary wound closure is obtained with a combination of mattress and single-interrupted sutures.

5 - Sufficient amount of augmented bone for implant placement 8 months after augmentation. Implants are placed in a submerged procedure.

6 - Insufficient vestibular depth and keratinized tissue after alveolar ridge augmentation.

7 - Application of a keratinized strip towards the vestibulum and Geistlich Mucograft® over the augmented area where it is left exposed for healing.

8 - Situation before reopening for abutment connection after 3 months showing increased vestibular depth

Flap reflection showing the defect tooth #30

Defect dimensions from the lingual aspect

Defect filled and graft is extended beyond margins, 1-2mm on the buccal aspect

Suturing with 5/0 polypropylene sutures. Primary closure is attained.

Radiograph 1-year post-op showing almost complete bone fill

Full thickness flap elevation exposing the complex clinical situation.

Alveolar socket after the tooth removal exposing the loss of bone on the distal of tooth #11, prior to the debridement of the granulation tissue and root preparation.

Adaptation on the buccal defect prior to placement of bone grafting with vallos® mineralized cortical cancellous mix granules (bottom) followed Geistlich Bio-Oss® (top).

Post adaptation with Geistlich Bio-Gide® for alveolar ridge preservation and guided tissue regeneration, followed by final suturing of the site using ePTFE material.

Radiographic overview of the clinical procedure: initial presentation with the bony defect impacting distal of #11 and #12 – mesial and inter-radicular, site after the tooth #12 was extracted, radiographic bone fill of the defect post-operative.

Post-operative healing of the site, 4 weeks after the procedure was completed.

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.

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).

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

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.

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.

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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

Ridge Split

Root Coverage for Multiple Adjacent Teeth in the Maxilla with Geistlich Fibro-Gide® 1.5-Year Follow-Up

Root Coverage for Multiple Adjacent Teeth in the Maxilla with Geistlich Fibro-Gide^®

Sausage Technique and Gain of Vestibular Depth

Saving a Hopeless Molar with Grade II Furcation Involvement with rhPDGF-BB

Selecting Biomaterials for Combined Complex Defects

Single recession coverage with coronally advanced flap in thick biotype

Single recession coverage with coronally advanced flap in thin biotype

Single Stage Immediate Implant Placement and Soft-Tissue Thickening

Sinus augmentation utilizing anorganic bovine bone (Bio-Oss) with absorbable and nonabsorbable membranes placed over the lateral window: Histomorphometric and clinical analyses.

Socket Ridge Preservation Utilizing Geistlich vallomix™ f

Socket seal of anterior alveole in late implant placement