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.