Christian Ramel

Zurich, Switzerland

Clinical case description:

> To restore Peri-implant health, preserve aesthetics and function.

> To treat the circumferential, mainly vertical infrabony defect in order to rebuild the lost hard tissue and to preserve the soft-tissue volume.

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<p>Radiograph shows a peri-implant bone defect. The crown margin is located far too submucosally. A gap is visible in between the abutment and the crown.</p>

Radiograph shows a peri-implant bone defect. The crown margin is located far too submucosally. A gap is visible in between the abutment and the crown.

<p>Geistlich Bio-Gide<sup>®</sup> is placed and filled underneath with Geistlich Bio-Oss<sup>®</sup> covering the whole defect area.</p>

Geistlich Bio-Gide® is placed and filled underneath with Geistlich Bio-Oss® covering the whole defect area.

<p>Geistlich Bio-Gide<sup>®</sup> completely covers the augmented area and is closed with a tension-free flap.</p>

Geistlich Bio-Gide® completely covers the augmented area and is closed with a tension-free flap.

<p>A long-term follow-up radiograph after 3 years shows a stable bony situation.</p>

A long-term follow-up radiograph after 3 years shows a stable bony situation.

Pre-surgery

<p>Radiograph shows a peri-implant bone defect. The crown margin is located far too submucosally. A gap is visible in between the abutment and the crown.</p>

Surgery

<p>Geistlich Bio-Gide<sup>®</sup> is placed and filled underneath with Geistlich Bio-Oss<sup>®</sup> covering the whole defect area.</p>

Outcome

<p>Geistlich Bio-Gide<sup>®</sup> completely covers the augmented area and is closed with a tension-free flap.</p>

Follow-up after at least 6 months

<p>A long-term follow-up radiograph after 3 years shows a stable bony situation.</p>