Advanced approach:
Early implant placement
Early implant placement may offer advantages for preservation of the soft and hard tissues1. When this treatment option is combined with an augmentation procedure using a pairing of Geistlich Bio-Oss® or Geistlich Bio-Oss Collagen® with Geistlich Bio-Gide®, predictable results can be achieved. Sealing the socket with Geistlich Mucograft® Seal can further improve soft-tissue parameters in extraction sockets with preserved buccal walls.2.
Day 0 8-10 weeks * Geistlich Mucograft® Seal report on the meeting of the Advisory Committee, 2013, data on file.
** Geistlich Mucograft® Seal report on the meeting of the Advisory Committee, 2013, data on file.
***Hämmerle C. et al., ITI Consensus Statement FDDH; EM: supplementation.
Clinical case: Early implant placement with simultaneous autogenous bone augmentation procedure in combination with Geistlich Bio-Oss® and Geistlich Bio-Gide®.
After tooth extraction without flap elevation, the socket is carefully debrided to remove any inflammatory tissue. The soft tissues are allowed to heal for 4-8 weeks depending on the tooth diameter.
Following soft-tissue healing, implant surgery is performed. Special attention is paid to a correct prosthetic position of the implant in all three dimensions with good primary stability.
The typical crater-like defect on the facial aspect of the implant is augmented with locally harvested autogenous bone chips covered by a superficial layer of Geistlich Bio-Oss®.
The augmentation area is then covered with a Geistlich Bio-Gide® membrane to provide a temporary barrier function.
Following the flap release by means of a mucoperiosteal incision, a tension-free primary wound closure is achieved. Provisional implant prosthesis is performed after 8 weeks.
The use of Geistlich Bio Oss Collagen® and Geistlich Mucograft® Seal is minimally invasive and maximizes soft-tissue outcomes.2.
Clinical case: Early implant placement with socket sealing for improvement of
soft tissue parameters.
Extraction socket with de-epithelialized wound margins.
Extraction socket filled with Geistlich Bio-Oss Collagen®.
Extraction socket filled with Geistlich Bio-Oss Collagen® and Geistlich Mucograft® Seal and sutured with single-interrupted sutures.
3 days after extraction and treatment with Geistlich Mucograft® Seal.
Pre-operative clinical outcome 10 weeks after extraction, prior to implant placement.
References:
- Sanz M, et al.: Clin Oral Implants Res 2012; 23 Suppl 5: 67-79.
- Geistlich Mucograft Seal Advisory Board Meeting Report, 2013. Data on file Geistlich Pharma AG, Wolhusen, Switzerland.
- Buser D, et al.: J Periodontol 2011; 82: 342-49.
CAUTION: Federal law restricts these devices to sale by or on the order of a dentist or physician.
Cookie-Settings
We use cookies to give you the best experience possible with our website and to improve our communication with you. We consider your selection and will only use the data you have approved us to gather.
Necessary cookies
These cookies help making a website usable by enabling basic functions like page navigation and access to secure areas of the website. The website cannot function properly without these cookies.
Statistics cookies
These cookies help website owners to understand how visitors interact with websites by collecting and reporting information anonymously. With this information we can constantly improve the experience we offer on our website.
Marketing cookies
These cookies are used to track visitors across websites. The intention is to display ads that are relevant and engaging for the individual user and thereby more valuable for publishers and third party advertisers.