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GEM 21S^®, the first recombinant growth factor product for use in oral regenerative surgery. Learn More

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

FEATURED RESOURCE

Therapeutic Areas
- Extraction Socket Management(27)
- Major Bone Augmentation(35)
- Minor Bone Augmentation(23)
- Miscellaneous(1)
- Peri-Implantitis(6)
- Periodontal Regeneration(11)
- Sinus-Floor Elevation(6)
- Soft-Tissue Regeneration(58)
Products
- Geistlich Bio-Gide Compressed®(2)
- Geistlich Bio-Gide Shape®(1)
- Geistlich Bio-Gide®(56)
- Geistlich Bio-Oss Collagen®(24)
- Geistlich Bio-Oss Pen®(1)
- Geistlich Bio-Oss®(67)
- Geistlich Fibro-Gide®(37)
- Geistlich Mucograft®(25)
- Geistlich Mucograft® Seal(4)
- GEM 21S®(7)
- Micross(2)
- RPM™(2)
- Safescraper Twist(3)
- vallomix™(5)
- vallos®(9)
- vallos®f(2)
- Yxoss CBR®(15)

Found 130 Results

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.

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.

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.

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.

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

Initial presentation - buccal view.

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.

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.

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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