Geistlich - Indication sheets PIR - Peri-Implant Augmentation - Page 2

Use of Geistlich Bio-Oss Pen ® and Geistlich Bio-Gide ® to carry out simultaneous GBR augmentation around an implant by Dr. Paul Stone Fig. 2 The Geistlich Bio-Oss ® graft particles completely filling the crestal and small buccal defects. Fig. 1 An intra-operative view of surgical site 36 showing the implant site osteotomy and associated crestal and buccal bone defect. A 3.5-y Follo ear w-up Fig. 3 A Geistlich Bio-Gide ® membrane adapted over the implant and graft material ensuring exclusion of non-osteogenic tissues. B 3.5 years after grafting 9 months after grafting 3.5 years after grafting Fig. 4, A First x-ray follow-up: 4 months after im- plant loading (9 months after grafting and implant placement). Fig. 4, B Long-term x-ray follow-up: over 3 years after implant loading (3.5 years after grafting and implant placement). Fig. 5 Restored implant with cemented all-cera- mic crown – restorative work carried out by Elaine Halley, Cherrybank Dental Spa (9 months after grafting and implant placement). Fig. 6 Stable clinical situation over 3 years after implant loading with no evidence of any peri-im- plant inflammation, probing depths or bleeding (3.5 years after grafting and implant placement). 9 months after grafting Single implant placement with concomitant ridge augmentation with Geistlich Bio-Gide ® and Geistlich Bio-Oss ® Collagen for a double-tooth gap in the lower front region 9.5-y Follo ear w-up by Dr. Christian Ramel Fig. 2 Geistlich Bio-Gide ® was apically positi- oned underneath the mucoperiosteal flap and deflected, then Geistlich Bio-Oss ® Collagen was carefully put onto the defect region. The aim was to over-augment the site, since consi- derable soft-tissue pressure was to be expected. Fig. 1 In horizontal aspect, a major bony defect is visible. The ridge measures about 2 mm in width in the central region. A Fig. 3 The collagen membrane was then laid over the implant, and tucked underneath the lingual mucosa. B 9.5 years after grafting 6 months after grafting 9.5 years after grafting Fig. 4, A First x-ray follow-up: 1 year after im- plant loading showing healthy bony surrounding structures. A stable slight horizontal remodeling process is visible (6 months after grafting and implant placement). Fig. 4, B Long-term x-ray follow-up: 9 years after implant loading showing a stable situation and virtually no changes compared to the 1-year x-ray (9.5 years after grafting and implant placement). 6 months after grafting Fig. 5 The situation shortly after the insertion of the reconstruction with stable, healthy peri-im- plant mucosa (6 months after grafting and implant placement). Fig. 6 Stable clinical situation 9 years after loa- ding the implant. The buccal over-contouring graft with Geistlich Bio-Oss ® and Geistlich Bio- Gide ® remains stable (9.5 years after grafting and implant placement). 2