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Bone Substitutes
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- Geistlich Fibro-Gide^®
- Geistlich Mucograft^®
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- 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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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 - Exposure of the alveolar ridge and buccal bone.

2 - Horizontal and vertical osteotomies of the distracted segment.

3 - The upward lift of the transported segment, achieving a height gain of 7 mm.

4 - Geistlich Bio-Oss® Block is trimmed in a dry state with a piezo surgical device to the required dimension and shaped to completely fit into the recipient site.

5 - The coronally shifted segment is fixed with miniplates and miniscrews and thus immobilizes also the biomaterial block.

6 - The coronally shifted segment is fixed with miniplates and miniscrews and thus immobilizes also the biomaterial block.

7 - Intra-operative situation following implants insertion 4 months after interpositional grafting.

8 - Periapical X-ray evaluation immediately after implant insertion.

Baseline situation and planning: vertical bone deficit of 5.29mm in section 18-20.

Central incision in the keratinized mucosa and perforated cortical bone

Yxoss CBR® filled with a 50:50 mix of autologous bone and Geistlich Bio-Oss®. Coverage of the titanium scaffold with Geistlich Bio-Gide®

Geistlich Fibro-Gide® is tailored to the defect and a tension-free suture is done.

4 months after augmentation shows the bone situation after removal of the titanium scaffold and insertion of implants. Autologous bone chips are applied on top of the implants. Occlusal view of the mucosa level after implantation and wound closure.

6 weeks after implantation and 5 1/2 months after augmentation. The mucosa is prepared apically; the preparation reaches the periosteum apically. The recipient site is fully surrounded by keratinized mucosa. Geistlich Mucograft® is sutured into the area.

6 months after regeneration shows about 5mm of vertical bone regeneration. Panoram ic X-Ray after implant placement shows clearly recognizable mucosa shadows.

One year after augmentation shows the dental prosthesis inserted occlusally.

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.

Baseline Radiograph

Baseline ≥ 10 mm Pocket Depth

Geistlich Bio-Gide® covering bone graft and soaked in rhPDGF-BB

Suturing with 5/0 nylon sutures. Primary closure attained.

Radiograph at 10-year follow-up

Clinical situation at 10 years

1 - Initial clinical presentation showing impacted #10 with anterior ridge deficiency.

2 - Initial radiographic presentation showing fractured/deficient alveolar bone and impacted #10.

3 - Facial and occlusal clinical views showing full thickness flap reflection with verticals #6 & #11 disto-facially.

4 - Facial and occlusal clinical views showing extraction #10 and ridge deficiency present.

Facial clinical view showing use of tacks to secure Geistlich Bio-Gide® membrane.

6 - Facial clinical view showing addition of Geistlich vallomix™ bone graft.

7 - Facial clinical view showing Geistlich vallomix™ bone graft added and secured with Geistlich Bio-Gide® membrane and tacks.

Clinical view showing primary closure using Vicryl™ sutures.

9 - Immediate post-surgical CT scan showing addition of proper bone volume.

10 - Clinical view showing appropriate healing at 2 and 4 weeks.

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