Clinical case description:

The case here is typical enough, a failing mandibular molar with a vertical sub-osseous fracture. Immediate molar replacement requires atraumatic removal of the fractured tooth, careful socket debridement and development of a channel for an ideally positioned implant.

Clinical case description:

Multiple buccal recession defects ranging 2-5 mm were noted by teeth #11-14 with a minimal amount of keratinized tissue on the buccal of #14. Bone levels were within normal limits with no loss of interproximal tissue observed. These recession defects are classified as Miller Class I recession defects. Typically, 100% root coverage is expected for recession defects of this type. The treatment was complete root coverage of the recession defects and augmentation of the width of attached keratinized tissue by tooth #14. Complete root coverage and an increase in the zone of keratinized tissue was obtained and a dento-gingival complex that is amenable to long-term health and stability was achieved. The patient was spared from the inevitable morbidities associated with a sub-epithelial connective tissue graft from a palatal donor site.

Clinical case description:

This case presents a fracture of tooth #19 which is the distal abutment for a four unit bridge tooth #19-22, with pontics in the #20 and #21 positions. The patient wanted a implant restoration at positions #19, #20 and #21 and thus, lateral ridge augmentation with autogenous bone and Geistlich Bio-Oss® and Geistlich Bio-Gide® was performed.

Clinical case description:

3-D bone augmentation using a CAD/CAM customized titanium mesh in conjunction with autogenous bone and bovine bone mineral granules

A 75-year old and systemically healthy female came to our attention requiring a fixed rehabilitation in the bilateral mandibular edentulous areas, from teeth 35 to 38 and from 45 to 48. The clinical and radiological evaluation showed vertical and horizontal bone atrophies. Based on a computed tomography of the defect (CBCT) carried out before the surgical procedure with the aid of a radiopaque diagnostic template, DICOM scans of the three-dimensional models are reproduced in a very precise way. This makes it possible to produce a precise and accurate three-dimensional titanium scaffold which on its outer part represents the final shape/profile of the new and ideal alveolar ridge, while in the inner part containing and stabilizing the grafting material. This latter is generally represented by a mixture of autogenous bone chips and bovine bone mineral. The mesh was covered with a Geistlich Bio-Gide^® in order to optimize the barrier effect.

Clinical case description:

Ramal Bone Graft for Congenitally Missing Maxillary Lateral Incisor

This is a young patient with a congenitally missing incisor that has high aesthetic concerns and has had multiple failed surgical attempts. The goals for this patient are to reconstruct the osseous foundation and provide a matrix for improvement with the overlying soft-tissue. There has been significant gain in bony architecture and development of soft-tissue contours at a site that was extremely deficient of structure to begin with. Goal was to identify the problem, establish a sequenced plan and execute with equal attention to hard and soft-tissue augmentation and manipulation.

Clinical case description:

L-Shape Technique as a means of bone augmentation together with early implant placement

Clinical case description:

Soft-tissue augmentation in the esthetic zone

Clinical case description:

Ridge Augmentation and Delayed Implant Placement on an Upper Lateral Incisor

Clinical case description:

Vertical ridge augmentation with autogenous bone, Geistlich Bio-Oss^® and a non-resorbable reinforced membrane

Clinical case description:

Vertical alveolar ridge augmentation by means of the fence technique with Geistlich biomaterials

Clinical case description:

Vertical ridge augmentation with autogenous bone, Geistlich Bio-Oss^® and Geistlich Bio-Gide^®

Clinical case description:

Sinus floor augmentation with lateral access and simultaneous implantation

Clinical case description:

Sinus floor augmentation with lateral access, simultaneous and staged

Clinical case description:

Piezosurgery indirect sinus floor augmentation technique with Geistlich Bio-Oss^® Collagen and immediate implant placement.

Clinical case description:

Sinus floor augmentation with lateral access and simultaneous implantation

Clinical case description:

Periodontal regeneration in an aesthetic area