Innovative Treatments for
Major Bone Augmentation

Tooth loss, trauma or tumor resection can lead to large bony defects in the alveolar ridge. In these situations, reconstructive measures are indicated to augment the quantity of bone.

Resorbable
Solutions

Titanium
Reinforced Solutions

Titanium
Reinforced Solutions

Traditional Solutions for
Major Bone Augmentation

Creating a stable and regenerative environment in large bony defects can be invasive, time consuming and unpredictable.

Tenting or Screw “Tent-Pole” Grafting Technique

Tenting of the periosteum and soft-tissue matrix using titanium screws to maintain space, minimize resorption of the graft material, and prevent soft tissues from contracting around the particulate graft.

Shell Technique

Autogenous bone plates are harvested and prepared. The plates are shaped according to the size of the defect and then fixed with titanium screws which provides structural support and the necessary space for the full incorporation of the particulate graft material.

Ridge Splitting

The segmental ridge split procedure in an atrophic ridge allows expansion of the ridge. A particulate graft is placed within, which eliminates the need for a second surgical site.

Titanium Reinforced PTFE

When placed over the graft material, titanium reinforced PTFE membranes provide additional stability for augmentation of defects outside the bony envelope.

Distraction

Distraction osteogenesis, or bone lengthening, is a surgical procedure which involves cutting and slowly separating bone, allowing the bone healing process to fill in the gap.

Bone Blocks

Autogenous blocks of bone are harvested from the posterior of the mandible. The block is placed directly into the defect and fixed in place with titanium screws.

Interpositional Grafting

This technique requires interposing a bone graft between osteotomized bony segments, which acts as a “sandwich” and provides good vasculature to both the bony segment and the graft.

Conventional Ti-Mesh

A titanium mesh is shaped to the desired ridge shape and is placed in conjunction with a bone graft. This method provides rigid fixation and assures space maintenance. Exposure of the mesh the predictability of the graft volume can be compromised.

The right combination
for any indication

Application of Geistlich biomaterials in conjunction with innovative treatment solutions can offer customized, reinforced and well-documented clinical outcomes.

Geistlich Bio-Oss® LEARN MORE BUY NOW
Autogenous (Optional)
Geistlich Bio-Gide® LEARN MORE BUY NOW
Geistlich vallomix™ LEARN MORE BUY NOW
Geistlich Bio-Gide® LEARN MORE BUY NOW

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Information

Clinical Benefits

Product
Information

Product
Information

Clinical Benefits

The right combination
for any indication

Application of Geistlich biomaterials in conjunction with innovative treatment solutions can offer customized, reinforced and well-documented clinical outcomes.

Geistlich Bio-Oss® LEARN MORE BUY NOW
Autogenous (Optional)
Yxoss CBR® LEARN MORE BUY NOW
Geistlich Bio-Gide® LEARN MORE BUY NOW
Geistlich vallomix™ LEARN MORE BUY NOW
Yxoss CBR® LEARN MORE BUY NOW
Geistlich Bio-Gide® LEARN MORE BUY NOW

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Information

Clinical Benefits

Yxoss CBR®

Yxoss CBR® protect

An added innovation designed for easy removal

In the upper part of the scaffold the periosteal blood supply continues to be promoted by the open structure

Dense microstructure for apical edge zones*
* Manufacturing result may visually differ from rendered microstructure

Ridge Incision Technique31

Once Yxoss CBR® is placed and the augmentation is performed according to the principles of guided bone regeneration, the flap can be mobilized by a periosteal releasing incision deep in the vestibular area. This will allow tension-free flap closure.

Poncho Technique31

This poncho technique is preferred in pronounced vertical defects. After incision, preparation of a mucoperiosteal flap, debridement of scar tissue, and exposure of the defect is conducted. A passive tension-free fit of the Yxoss CBR® is then ensured.

The right combination
for any indication

Application of Geistlich biomaterials in conjunction with innovative treatment solutions can offer customized, reinforced and well-documented clinical outcomes.

Geistlich Bio-Oss® LEARN MORE BUY NOW
Autogenous (Optional)
RPM™ Reinforced PTFE Mesh LEARN MORE BUY NOW
Geistlich Bio-Gide® LEARN MORE BUY NOW
Geistlich vallomix™ LEARN MORE BUY NOW
RPM™ Reinforced PTFE Mesh LEARN MORE BUY NOW
Geistlich Bio-Gide® LEARN MORE BUY NOW

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Clinical Benefits

RPM™

Now Available

Membrane Fixation
with Precision

Precision Supertack System

Comprised of titanium tacks and instruments, this system allows for quick, optimal application and simple fixation of Geistlich Bio-Gide®, RPM™ and other suitable membranes.

Why the Supertack System?

  • No pre-drilling of the site required
  • Can be used in very compact bone
  • Tack shape designed for easy removal
  • Blue tack coloring facilitates detection under soft tissues

Supertack Anatomy

Head

1 The top side, has a diameter compatible with most available existing systems. The carefully studied profile is easily grabbed with the tip of the placement instrument. 2 The unique beveled edge offers easy removal action, while the underside surface(facing the bone) is flat 3, which provides a stable, uniform pressure on the membrane.

Stem/Shank

4 The conical shank rises from the head with a diameter substantially greater than that of other systems. This, along with the radius of the connection, 5 greatly increases resistance to bending. The taper of the stem, which allows for easy removal, requires a retentive collar 6 that uses the natural elasticity of the bone for locking the tack. The calibrated tip 7 is sufficiently sharp for penetration in dense bone and was developed at an angle close to 90° to obtain a high flexural strength. Incorporating these features 47 in a 3 mm shank allows the SuperTack to penetrate a high-density cortical bone where previously considered impossible.

The cobalt blue is result of an anodization process of the titanium and facilitates detection under soft tissues. Decontamination, plasma cleaning, clean room packaging and sterilization, all follow parameters of absolute excellence.

Clinical Cases

Horizontal Bone Augmentation
Sausage Technique and Gain of Vestibular Depth Prof. Dr. Istvan Urban Budapest, Hungary
Geistlich Bio-Oss®, Geistlich Bio-Gide®, Geistlich Mucograft®
Sausage Technique and Gain of Vestibular Depth Prof. Dr. Istvan Urban Budapest, Hungary
Objectives:
  • Inadequate alveolar ridge width for implant placement
  • Avoiding patient morbidity after harvesting larger quantities of autologous bone
  • Insufficient vestibular depth and keratinized tissue after wound closure
  • Achieve successful osseointegration and improved anterior esthetics for the central incisors
Conclusions:
  • Augmentation of severely atrophied alveolar ridge provided sufficient bone for implant placement 8 months following augmentation
  • Geistlich Mucograft® with a keratinized tissue strip was utilized to increase vestibular depth and gain additional keratinized tissue
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
Contouring of Autologous Bone Blocks Prof. Dr. Carlo Maiorana, Dr. Mario Beretta Italy
Geistlich Bio-Oss®, Geistlich Bio-Gide®
Contouring of Autologous Bone Blocks Prof. Dr. Carlo Maiorana, Dr. Mario Beretta Italy
Pre-Operative Assessment
Post-Operative Assessment
1 - Clinical situation in the posterior maxilla depicting a large buccal defect in the edentulous area.
2 - Fixation of the autologous block from the symphysis.
3 - Contouring of the grafted site with Geistlich Bio-Oss®.
4 - The augmented area is covered with the collagen membrane Geistlich Bio-Gide®.
5 - Primary wound closure is accomplished with single interrupted sutures.
6 - Clinical aspect of the augmented ridge with no signs of block resorption.
7 - Implant placement 3 months post augmentation.
8 - Long-term follow-up showing stable peri-implant bone level 3 years after implant placement.
Horizontal Augmentation using Geistlich Bio-Gide® and Particulate Bone Graft Prof. Dr. Robert Carvalho da Silva, Prof. Dr. Paulo Fernando Mesquita, Prof. Dr. Julio Cesar Joly Brazil
Geistlich Bio-Oss®, Geistlich Bio-Gide®
Horizontal Augmentation using Geistlich Bio-Gide® and Particulate Bone Graft Prof. Dr. Robert Carvalho da Silva, Prof. Dr. Paulo Fernando Mesquita, Prof. Dr. Julio Cesar Joly Brazil
Clinical challenge:
  • Insufficient alveolar ridge width for implant placement
  • Donor site morbidity after autologous bone block harvesting and resorption of autologous bone
Aim / Approach:
  • Horizontal alveolar ridge augmentation with Geistlich Bio-Oss® and Geistlich Bio-Gide®
  • Minimizing autologous bone harvesting and resorption protection
1 - 3D reconstruction from CBCT images showing horizontal maxillary atrophy at the two-teeth gap.
2 - Intraoperative view of the atrophied anterior maxillary site. Tenting screws are placed to support the collagen membrane.
3 - Application of a mixture (1:1) of autologous bone chips from the retromolar area and Geistlich Bio-Oss®.
4 - Coverage with a double layer of collagen membrane Geistlich Bio-Gide®.
5 - Tension-free, primary wound closure by mattress and single interrupted sutures.
6 - Situation at re-opening after 6 months showing vital bone and reconstructed ridge contour.
7 - Guided implant placement in regenerated bone with stent (additional implant placement at position 22).
8 - Final prosthetic restoration.
Ridge Split Dr. Gerhard Iglhaut Germany
Geistlich Bio-Oss®, Geistlich Bio-Gide®
Ridge Split Dr. Gerhard Iglhaut Germany
Clinical challenge:
  • Insufficient alveolar ridge width for implant placement
  • Autologous bone is subject to resorption and may lead to loss of volume
Aim / Approach:
  • Ridge Split procedure in combination with Geistlich Bio-Oss® and Geistlich Bio-Gide® for horizontal augmentation
  • Preservation of the alveolar ridge volume
1 - Occlusal view of the ridge after flap elevation.
2 - Longitudinal split of the alveolar crest by use of piezo-surgical instruments.
3 - Two implants are placed in the expanded crest.
4 - The split around the implants is filled with a mixture (1:1) of autologous bone chips from the retromolar area and Geistlich Bio-Oss®.
5 - The augmented ridge is covered with a Geistlich Bio-Gide® membrane before closure of the soft tissue.
6 - Buccal view of the final situation.
7 - Occlusal view of the prosthetic outcome.
8 - X-ray findings 6 months after implant placement.
Vertical Bone Augmentation
Vertical Defect in the Posterior Mandible, 3 teeth gap Dr. Christian Mertens Heidelberg, Germany
Geistlich Bio-Oss®, Geistlich Bio-Gide®, Yxoss CBR®
Vertical Defect in the Posterior Mandible, 3 teeth gap Dr. Christian Mertens Heidelberg, Germany
Pre-Operative Assessment
Post-Operative Assessment
1 - The preoperative radiograph displays the vertical bone defect in the left mandible and thus, insufficient vertical bone volume to allow implant placement.
2 - Yxoss CBR® is planned based on the preoperative CBCT data.
3 - Opening the defect site using the ridge incision technique. The titanium scaffold fits the bone defect precisely during the augmentation procedure.
4 - The titanium scaffold is filled with 50% autologous bone and 50% Geistlich Bio-Oss®. Fixation is performed with one titanium screw in vestibulolingual direction.
5 - A collagen membrane (Geistlich Bio-Gide®) is used to provide an additional barrier for bone regeneration.
6 - Stable soft tissue situation after 6 months with no complications during the healing period. After reopening, bone is regenerated to the contour defined by the titanium scaffold.
7 - The bone is completely regenerated in the correct three-dimensional orientation. This is also visible in the respective CBCT. Implant placement is now possible.
8 - Two implants were placed with good primary stability. The vertical bone regeneration is also visible in the CBCT data.
9 - Postoperative panoramic radiograph after implant placement.
10 - Clinical situation 3 months post implant insertion.
11 - Final prosthetic reconstruction 6 months post implant insertion and 16 months post regenerative surgery.
12 - Final prosthetic reconstruction 16 months post regenerative surgery.
Vertical Ridge Augmentation treated with Geistlich Bio-Gide®, Geistlich Bio-Oss® and RPM™ Prof. Dr. Istvan Urban Budapest, Hungary
Geistlich Bio-Oss®, RPM™, Geistlich Bio-Gide®, Geistlich Fibro-Gide®
Vertical Ridge Augmentation treated with Geistlich Bio-Gide®, Geistlich Bio-Oss® and RPM™ Prof. Dr. Istvan Urban Budapest, Hungary
Pre-Operative Assessment
Post-Operative Assessment
1 - Pre-operative assessment demonstrating significant bone loss, prior to vertical ridge augmentation.
2 - Labial view of the posterior mandibular defect site. Cortical bone was perforated to increase the blood supply.
3 - RPM™ was secured on the lingual side prior to applying a 1:1 mixture of autogenous bone and Geistlich Bio-Oss®.
4 - RPM™ was secured over the bone graft with titanium pins and screws.
5 - Geistlich Bio-Gide® is placed on top of RPM™ to prevent early soft tissue ingrowth while allowing for graft vascularization.
6 - Labial view of the soft tissue 9 months after the vertical bone augmentation.
7 - RPM™ exposed at 9 months, following flap elevation.
8 - Labial view of the regenerated surgical site at 9 months demonstrates well vascularized bone.
9 - Occlusal view of the regenerated surgical site at 9 months demonstrates well vascularized bone.
10 - Implant placement in the newly regenerated bone.
11 - Geistlich Fibro-Gide® (15x20x6mm) was placed on top of two implants, to increase soft tissue thickness.
12 - Periapical x-ray 1 year post-operatively, demonstrates implant stability and mature bone formation following vertical bone augmentation and soft tissue thickening.
Fence Technique for 3-Dimensional Alveolar Ridge Augmentation Dr. Mauro Merli Italy
Geistlich Bio-Oss®, Geistlich Bio-Gide®
Fence Technique for 3-Dimensional Alveolar Ridge Augmentation Dr. Mauro Merli Italy
Clinical challenge:
  • Severely atrophied alveolar ridge with insufficient bone volume for implant placement
  • High complication rates and patient discomfort associated with large augmentations when using autologous bone grafts
Aim / Approach:
  • 3-dimensional augmentation of alveolar ridge by the fence technique for implant placement
  • At the same time reducing complication rates and patient discomfort
1 - Preoperative radiograph depicting the severe bony atrophy in the posterior mandible.
2 - Fixation of the pre-formed osteosynthesis plate with miniscrews.
3 - Augmentation with autologous bone harvested from the angular region of the mandible and mixed with Geistlich Bio-Oss®.
4 - The grafted site including the osteosynthesis plate is covered with Geistlich Bio-Gide® and the tensile collagen membrane is pinned down. Thus, the augmented site is accurately covered and stabilized.
5 - In order to obtain primary wound closure, a double-layered suturing technique is used by combining a horizontal internal mattress and a coronal single stitch technique.
6 - Implants are inserted 6 months after augmentation and the healing abutments are connected to the implants.
7 - Lateral view of the final prosthetic restoration 6 months after implant placement.
8 - Intraoral radiograph 15 months after augmentation procedure showing a stable bony situation.
Interpositional Grafting with Geistlich Bio-Oss® Block Dr. Pietro Felice, Prof. Dr. Luigi Checchi, Prof. Dr. Claudio Marchetti Italy
Geistlich Bio-Oss®, Geistlich Bio-Gide®
Interpositional Grafting with Geistlich Bio-Oss® Block Dr. Pietro Felice, Prof. Dr. Luigi Checchi, Prof. Dr. Claudio Marchetti Italy
Clinical challenge:
  • Insufficient alveolar ridge height for implant placement and proximity to the alveolar nerve
  • Autologous bone harvesting is associated with patient discomfort
Aim / Approach:
  • Interpositional grafting with Geistlich Bio-Oss® Block for vertical augmentation
  • Alveolar ridge volume preservation and minimizing patient morbidity
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.
Vertical Defect in the Posterior Mandible, 4 teeth gap Dr. Sarah Krause Chemnitz, Germany
Geistlich Bio-Oss®, Geistlich Bio-Gide®, Yxoss CBR®
Vertical Defect in the Posterior Mandible, 4 teeth gap Dr. Sarah Krause Chemnitz, Germany
Pre-Operative Assessment
Post-Operative Assessment
1 - Radiographic image showing the vertical bone deficit in the left mandible.
2 - Clinical situation before opening the area.
3 - Incision for the creation of a poncho flap.
4 - Starting in the retromolar area the incision is directed toward the distal region of tooth 23.
5 - Cortical bone is removed with the trephine, crushed and mixed with Geistlich Bio-Oss® (50:50).
6 - Successive application of Geistlich Bio-Gide®.
7 - Dehiscence after 1.5 months. The soft tissue was de-epithelialized and a free gingival graft was sutured to protect the exposition. Dehiscence may occur but usually heals spontaneously after appropriate cleaning.
8 - After 6 months, the ridge incision is applied to access the 3-D titanium scaffold.
9 - Buccal view of the regenerated bone. Even though there was dehiscence, the bone was regenerated satisfactorily.
10 - Four implants are inserted and the soft tissue is healed showing the contour provided by the good adaptation of the provisional prosthesis.
11 - Clinical situation after the final prosthesis and the soft tissue frenum removal.
12 - Radiographic situation.
Extended Case in the Maxilla, 8 teeth gap Dr. Marcus Seiler MSc MSc/Dr. Amely Hartmann Filderstadt, Germany
Geistlich Bio-Oss®, Yxoss CBR®
Extended Case in the Maxilla, 8 teeth gap Dr. Marcus Seiler MSc MSc/Dr. Amely Hartmann Filderstadt, Germany
Pre-Operative Assessment
Post-Operative Assessment
1 - Large horizontal and vertical bone defect in region 5-12; deficit emerging from many years of wearing mucosa-supported dentures.
2 - 3-D design including 3-D model, grafting volume, Yxoss CBR® and implants.
3 - 3-D Design including 3-D model and Yxoss CBR®.
4 - Initial clinical situation before opening of the soft tissue.
5 - Presentation of bony situs with a full-thickness flap (ridge incision).
6 - Titanium scaffold filled with 100% Geistlich Bio-Oss® and placed onto bone defect. Fixation performed with 4 mini-screws in the buccal area.
7 - Soft tissue situation after 6 months of healing.
8 - Careful separation of Yxoss CBR® into two parts at predetermined breaking points (Easy Removal Design®). Pilot drill performed through built-in holes according to backward planning principle.
9 - 4 implants placed in positions 5, 7, 10 and 12 to support the prosthesis. Bleeding out of the bone shows a good vascularization.
10 - Panoramic X-ray 6 months after the augmentation. In the meantime, 4 additional implants have been placed in the lower jaw.
Horizontal and Vertical Bone Augmentation
Surgical procedure, step-by-step Dr. Marcus Seiler MSc MSc Filderstadt, Germany
Geistlich Bio-Oss®, Geistlich Bio-Gide®, Yxoss CBR®
Surgical procedure, step-by-step Dr. Marcus Seiler MSc MSc Filderstadt, Germany
Clinical challenge:
  • The planning of the patient’s case takes local and general patient-specific risk factors into consideration according to the principles of backward planning for implant positioning.
Aim / Approach:
  • Highlights step-by-step the important procedures to regenerate the bone (horizontal and vertical) with the 3-D printing technology, Yxoss CBR®.
1 - The basis for planning implant therapy is clinical and radiological diagnosis with a CBCT scan.
2 - A precise 3-D planning model will be created based on CBCT data. Adaptations of the exact shape are possible, depending on the surgeon’s preference and feedback.
3 - The usual oral surgery and implantology hygiene provisions apply for the use of Yxoss CBR® intraoperatively. The same applies to patient medication.
4 - The opening incision should be designed in accordance with the extent, location and with respect to the anatomical structures of the region to be augmented.
5 - Subsequent steps are the preparation of a mucoperiosteal flap, debridement of scar tissue and the exposure of the defect. Sufficient blood supply of the flap is favored by a flap with a wide base.
6 - Autologous bone can be harvested from the usual intraoral donor sites and can be mixed with bone substitutes (e.g. Geistlich Bio-Oss®).
7 - The Yxoss CBR® is initially filled with autologous bone and bone substitute material (e.g. Geistlich Bio-Oss®).
8 - Yxoss CBR® is fixed on the existing residual bone with an osteosynthesis screw. The titanium screw can generally be introduced, depending on the intended position, through any opening of the titanium grid. The edges of Yxoss CBR® rest on the underlying bone tissue.
9 - A resorbable membrane (e.g. Geistlich Bio-Gide®) should be placed over the Yxoss CBR® to prevent ingrowth of soft-tissue and to support soft-tissue regeneration over the titanium frame.
10 - The wound should be closed completely whenever possible. The mucoperiosteal flap is positioned tightly but tension-free over Yxoss CBR® with single interrupted and deep mattress sutures. Pressure on the augmented crest has to be avoided. Dentures are not to be applied.
11 - Before reopening, clinical and radiological diagnosis are to be taken into consideration.
12 - Reopening of the augmented site approx. 4 to 6 months post surgery and depend on the defect geometry, at latest 9 months after initial surgery.
13 - After removing the fixation screws, Yxoss CBR® can be easily removed using preset breaking points
14 - Newly formed vital bone is regenerated up to the contour defined by the shape of the Yxoss CBR®.
15 - Insertion of implants into the augmented alveolar ridge according to the prosthetic position.
16 - Prosthetic restoration is carried out in accordance with the usual precautions.
17 - Follow-up and radiological evaluation should be performed according to the standardized recommendations of the respective dental societies.
18 - Clinical and radiological imaging of long-term outcome in this case at 5-year follow-up.
Horizontal/Vertical Defect in the Anterior Maxilla, 2 teeth gap Dr. Daniele Cardaropoli Turin, Italy
Geistlich Bio-Oss®, Geistlich Bio-Gide®, Yxoss CBR®
Horizontal/Vertical Defect in the Anterior Maxilla, 2 teeth gap Dr. Daniele Cardaropoli Turin, Italy
Pre-Operative Assessment
Post-Operative Assessment
1 - Initial clinical situation showing an extended horizontal and vertical bone gap at former positions of teeth 3 and 4 which were extracted 8 weeks earlier.
2 - CBCT showing a deficient vestibular contour and the corresponding bone defect. 3-D design of Yxoss CBR® derived from the patient’s anatomy.
3 - Surgical situation with horizontal and vertical bone defect.
4 - After testing the adaptation of Yxoss CBR® to the defect, it is filled with a graft consisting of 30% autologous particulate bone and 70% granules of Geistlich Bio-Oss®.
5 - Yxoss CBR® fixed with titanium screws.
6 - Adaptation of Geistlich Bio-Gide® over the structure. Complete, tension-free wound closure will follow.
7 - Clinical situation after 6 months of healing, before reopening. No adverse events have occurred.
8 - Radiographic situation after 6 months of healing, before reopening.
9 - Insertion of two implants (Straumann® BLT). The resonance frequency measurement shows ISQ values of 70-75.
10 - Insertion of the healing abutments and adaptation of the flap.
11 - Soft tissue maturation 12 weeks after implant insertion.
12 - Clinical situation after prosthetic finalization, 18 months after surgery. X-ray shows stability of marginal bone levels.
Horizontal/Vertical Defect in the Anterior Maxilla, 3 teeth gap Prof. Matteo Chiapasco / Dr. Paolo Casentini Milan, Italy
Geistlich Bio-Oss®, Geistlich Bio-Gide®, Yxoss CBR®
Horizontal/Vertical Defect in the Anterior Maxilla, 3 teeth gap Prof. Matteo Chiapasco / Dr. Paolo Casentini Milan, Italy
Pre-Operative Assessment
Post-Operative Assessment
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.
+

BIOBRIEFs

Lateral Ridge Augmentation in the Posterior Mandible
Dr. John M. Sisto
Play VideoDownload (PDF)
Combined Horizontal and Vertical Regeneration Using CAD-CAM Titanium Scaffold
Dr. Gian Maria Ragucci and Prof. Federico Hernández-Alfaro
Play VideoDownload (PDF)
3D Bone Augmentation Using Customized Titanium Mesh in Conjunction with Autogenous Bone and Bovine Bone Material Granules
Prof. Matteo Chiapasco and Dr. Grazia Tommasato
Play VideoDownload (PDF)

Additional Product Considerations

Video Resources

Sausage Technique™ with Geistlich Biomaterials for Horizontal Alveolar Ridge Augmentation
Istvan Urban
Play Video
Sausage Technique™ with Geistlich Bio-Gide® Compressed for Horizontal Alveolar Ridge Augmentation
Istvan Urban
Play Video

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Geistlich Bone Substitute Brochure

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Geistlich Membranes Brochure

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RPM Brochure

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Yxoss CBR Brochure

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Product Portfolio Brochure

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Bone Patient Information Brochure

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Yxoss CBR Patient Information Brochure

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Geistlich vallomix™ Brochure

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