Agelos Traskas
Thessaloniki, Greece

Clinical case description:
Horizontal ridge augmentation utilizing the resorbable Geistlich Bio-Gide® membrane and combination of Geistlich Bio-Oss® ans autogenous bone using the ''sausage'' technique by Dr Istvan Urban.
Treatment of a so called ''knife edge ridge" (Cawood and Howel class IV ) edentulous jaw is a unique problem.
We have treated anterior and posterior atrophied maxilla using a Geistlich Bio-Gide® placing and secure fixating them with pins first at the palatal and then at the vestibular site so to completely immobilize -protect a particulate composite graft (mixture 1:1 Geistlich Bio-Oss® and autogenous granules) for the initial weeks of graft maturation.
With this technique we allowed the formation of the desired amount of bone for implant placement in 9 months