Geistlich - Indication sheets PIR - Peri-Implant Augmentation - Page 4

10-ye Follo ar w-up Early implant placement with filling of a peri-implant defect, combining an autogenous bone graft with Geistlich Bio-Oss ® to correct substantial tissue loss (front region) by Dr. Jean-Pierre Gardella (surgeon) and Dr. Christian Richelme (prosthodontist) A Fig. 1 Implant placement. B Fig. 2 , A Filling the defect with autogenous bone cores. Fig. 2 , B Placement of Geistlich Bio-Oss ® to main- tain volume and protect the autogenous graft against resorption. Fig. 3 Geistlich Bio-Gide ® arranged in a double layer. B A 6 months after grafting 10 years after grafting 6 months after grafting 10 years after grafting Fig. 4, A First x-ray follow-up: final prosthesis in place after implant loading (6 months after graf- ting and implant placement). Fig. 4, B Long-term x-ray follow-up: 9.5 years af- ter implant loading (10 years after grafting and implant placement). Fig. 5 Clinical view of the final prosthesis immedi- ately after implant loading (6 months after graf- ting and implant placement). Fig. 6 Stable situation 9.5 years after implant loading, with perfect soft tissue integration, both on the buccal and interproximal areas, and with parafunction, both at the natural denture and on implant restoration (10 years after grafting and implant placement). Early implant placement with simultaneous contour augmentation using GBR by Prof. Daniel Buser and Prof. Urs Belser A Fig. 1 Following the insertion of the screw-type implant in a correct 3-dimensional position and the application of a 1.5 mm healing cap, the ex- posed implant surface can be easily seen in the region of the crater-like bone defect with a fa- vorable 2-wall defect morphology. A 12-ye Follo ar w-up B Fig. 2 , A The exposed implant surface is covered with locally harvested autogenous bone chips in order to promote bone formation facilitating a short healing phase of around 8 weeks. Fig. 2 , B Contour augmentation using Geistlich Bio-Oss ® . Fig. 3 Geistlich Bio-Gide ® applied in two layers not only acts as a temporary barrier, but also as a pla- ce-holder and stabilizer for the graft. The low subs- titution rate of Geistlich Bio-Oss ® helps to main- tain the volume of the alveolar ridge over time, key factor for the long-term esthetic outcome. B 12 years after grafting 1 year after grafting 12 years after grafting Fig. 4, A First DVT follow-up: completely intact facial wall ~2 mm thick (7 years after grafting and implant placement). Fig. 4, B Long-term DVT follow-up: completely stable facial wall around the implant (12 years after grafting and implant placement). Fig. 5 Clinical findings after the definitive metal ceramic crown was placed. The esthetic treat- ment result is excellent (1 year after grafting and implant placement). Fig. 6 Excellent esthetic outcome, result of the GBR contour augmentation using autogenous bone chips and Geistlich Bio-Oss ® , covered by a Geistlich Bio-Gide ® and primary soft-tissue closure (12 years after grafting and implant pla- cement). 7 years after grafting 4