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Clinical Resources

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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 - 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.

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.

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.

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.

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.

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.

1 - Initial Clinical Situation, Occlusal/Buccal Shots of Missing teeth #12 and 13.

2 - Intra-Operative, Implant Placement of #12 and 13.

3 - Intra-Operative, Placement of Geistlich Fibro-Gide® in the Buccal Concavity of #12 and 13.

4 - Immediate Post-Operative Buccal Soft Tissue Thickness.

5 - Two Months Post-Operative Healing with Provisional Restorations.

1 - Pre-operative situation, tooth #7 with periapical infection and horizontal fracture.

2 - CT Scan showing tooth #7 with significant bone loss.

3 - Occlusal view of the clinical situation prior to extraction of tooth #7.

4 - Extraction socket with Geistlich Bio-Oss Collagen® in place.

5 - Geistlich Mucograft® Seal is placed over the extraction socket and secured with single interrupted sutures.

6 - 3 months post-operative: soft tissue healing at the time of implant placement.

7 - Buccal view showing excellent soft tissue healing and keratinized tissue.

9 - 2 years post-operative: final restoration in place.

1 - Baseline buccal view: soft-tissue concavity at the dental implant site.

2 - Baseline occlusal view: volume deficiency on the buccal aspect.

3 - Adapting and trimming of Geistlich Fibro-Gide® to the defect size. Additional bevel cut performed for the area to be positioned close to the incision line.

4 - Position and fixation of Geistlich Fibro-Gide® to the buccal flap with horizontal mattress suture.

5 - Primary closure obtained by horizontal mattress and single interrupted sutures.

6 - 4 months follow-up: showing the healed soft-tissue after augmentation surgery.

7 - 4 months follow-up: provisional restoration. Notice volume recovery.

8 - Occlusal view before final restoration.

9 - 9 months follow-up: final restoration after soft-tissue augmentation surgery.

1 - Baseline frontal view: missing central incisor. Implant visible through mucosa due to thin biotype.

2 - Baseline occlusal view: soft-tissue deficit in the buccal and occlusal area.

3 - Flap elevation on the buccal side using a full flap crestally and a split flap buccally.

4 - Adaption of Geistlich Fibro-Gide® to the defect size.

5 - Palatal island flap prepared to allow for tension-free wound closure. Geistlich Fibro-Gide® in situ, immobilized with a mattress suture.

6 - Tension-free wound closure using single interrupted sutures (Dafilon 5-0, Braun).

8 - 6 months follow-up: final crown in place.

9 - 2.5 year follow-up shows stable soft-tissue conditions.

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.

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.

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Princeton, NJ 08540

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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

Horizontal/Vertical Defect in the Anterior Maxilla, 3 teeth gap

Immediate Implant Placement and Provisionalization for Anterior Esthetics

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

Immediate Mandibular Molar Transition

Immediate Mandibular Molar Transition

Immediate vs Staged Bone Augmentation

Implant Placement & Simultaneous Soft Tissue Graft Using Geistlich Fibro-Gide®

Influence of Immediate Implant Placement and Provisionalization with or without Soft Tissue Augmentation on Hard and Soft Tissues in the Esthetic Zone: A One-Year Retrospective Study

Insufficient Soft Tissue Thickness in a Single Tooth Gap in the Anterior Maxilla

Insufficient Soft-Tissue Thickness Around Single Implant in the Posterior Maxilla

Insufficient Soft-Tissue Thickness in a Single Tooth Gap in the Anterior Maxilla

Insufficient Soft-Tissue Thickness in Extended Gap in the Posterior Mandible