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Bone Substitutes
Membranes
Matrices
- Geistlich Fibro-Gide®
- Geistlich Mucograft®
Bone Harvesting
- Geistlich Safescraper
- Geistlich Micross
3D Titanium Scaffold
- Yxoss CBR®
Bone and Membrane Fixation
- Meisinger® Fixation System
- Meisinger® Pins and Master-Pin-Control System
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- GEM 21S^®
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- Geistlich Panorama®

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

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Treatment Solutions
- 2-Stage Implant Placement(37)
- Gain of Keratinized Tissue(14)
- GBR Procedure(37)
- Peri-Implantitis Therapy(7)
- Recession Coverage(20)
- Ridge Preservation(34)
- Sinus Floor Elevation(10)
- Soft Tissue Thickening(48)
- Surgical Periodontal Treatment(49)
Products
- Geistlich Bio-Gide®(67)
- 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®(78)
- Geistlich Fibro-Gide®(43)
- Geistlich Mucograft®(27)
- Geistlich Mucograft® Seal(4)
- Geistlich Panorama®(1)
- GEM 21S®(26)
- Micross(1)
- RPM™(2)
- Safescraper Twist(4)
- vallomix™(1)
- vallos®(22)
- vallos®f(11)
- Yxoss CBR®(17)

Found 170 Results

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.

1 - The basis for planning implant therapy is clinical and radiological diagnosis with a CBCT scan.

2 - A precise 3-D planning model will be created based on CBCT data. Adaptations of the exact shape are possible, depending on the surgeon’s preference and feedback.

3 - The usual oral surgery and implantology hygiene provisions apply for the use of Yxoss CBR® intraoperatively. The same applies to patient medication.

4 - The opening incision should be designed in accordance with the extent, location and with respect to the anatomical structures of the region to be augmented.

5 - Subsequent steps are the preparation of a mucoperiosteal flap, debridement of scar tissue and the exposure of the defect. Sufficient blood supply of the flap is favored by a flap with a wide base.

6 - Autologous bone can be harvested from the usual intraoral donor sites and can be mixed with bone substitutes (e.g. Geistlich Bio-Oss®).

7 - The Yxoss CBR® is initially filled with autologous bone and bone substitute material (e.g. Geistlich Bio-Oss®).

8 - Yxoss CBR® is fixed on the existing residual bone with an osteosynthesis screw. The titanium screw can generally be introduced, depending on the intended position, through any opening of the titanium grid. The edges of Yxoss CBR® rest on the underlying bone tissue.

9 - A resorbable membrane (e.g. Geistlich Bio-Gide®) should be placed over the Yxoss CBR® to prevent ingrowth of soft-tissue and to support soft-tissue regeneration over the titanium frame.

10 - The wound should be closed completely whenever possible. The mucoperiosteal flap is positioned tightly but tension-free over Yxoss CBR® with single interrupted and deep mattress sutures. Pressure on the augmented crest has to be avoided. Dentures are not to be applied.

11 - Before reopening, clinical and radiological diagnosis are to be taken into consideration.

12 - Reopening of the augmented site approx. 4 to 6 months post surgery and depend on the defect geometry, at latest 9 months after initial surgery.

13 - After removing the fixation screws, Yxoss CBR® can be easily removed using preset breaking points

14 - Newly formed vital bone is regenerated up to the contour defined by the shape of the Yxoss CBR®.

15 - Insertion of implants into the augmented alveolar ridge according to the prosthetic position.

16 - Prosthetic restoration is carried out in accordance with the usual precautions.

17 - Follow-up and radiological evaluation should be performed according to the standardized recommendations of the respective dental societies.

18 - Clinical and radiological imaging of long-term outcome in this case at 5-year follow-up.

Page 12 of 15

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