Best Clinical cases

Clinical case description:

Referred for implant placement #26

Pneumatised sinus, 2mm of bone in height from crest of bone to floor of sinus. Adequate ridge width.

Clinical case description:

Ridge-Preservation Open membrane technique with Geistlich Bio-Gide^® and Geistlich Bio-Oss^®, implant Placement. A case report:

CASE

37years old female

First visit 2016.10

No medical history

2016.12.

45 extraction, and debridement of the inflammatory tissue.

Filling with Geistlich Bio-Oss^® (small granules 0.25-1mm)

Buccal bone wall replaced by Geistlich Bio-Gide^® (13×25mm) double-layer technique

Geistlich Bio-Gide^® is sutured with a modified cross-mattress suture with 4-0 PTFE, allowing optimal adaptation between the borders of the soft tissues and the collagen matrix

Situation after 17days after surgery

Note the epithelium has become stretched

2017.7

Clinical situation after 8 months of healing,

Maintains the alveolar volume

45 implant placement(Nobel active Rp4.3*11.5mm)

primary stability is very good

Final prosthetic and well maintained the alveolar volume

Clinical case description:

Treatment during the same session of 10 adjacent recessions by coronally advanced flap associated with Geistlich Mucograft^®.

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

Clinical case description:

Patient presented with severe discomfort on talking and smiling. This affected her as a full time lecturer.

Clinical case description:

A 35-year female patient presented with subgingival caries on tooth

25. After atraumatic extraction of the aforementioned tooth, the

socket was filled with Geistlich Bio-Oss^® Collagen and its entrance was covered

by a Geistlich Mucograft^® Seal. The socket healed uneventfully.

After 5 months, the area was reentried, and a 4.1 diameter

Straumann bone level implant was inserted in place.

After 3 months later, a second stage surgery was performed where

the sucessful result of the osseointegration procedure was confirmed

both clinically and radiographically.

The prosthetic rehabilitation which followed included a screw-retained

metal ceramic crown, delivered by Dr. Paris Ravanis, Prosthodontist

in Athens, Greece.

Clinical case description:

Tooth #11 (right upper central incisor) with MC crown. Apicectomy technique was applied before fifteen years.

Case: Tooth #11 had a III degree movement and its extraction was planned. The tooth was extracted and in the same time an implant conical 3.75x11mm was placed. A 2mm single unit was, also, screwed on the implant. After that, a full thickness flap was elevated and Geistlich Bio-Oss® 0.5mm xenograft was placed on the apicectomy area and around the implant. The bonegraft was covered with Geistlich Bio-Gide® membrane, the flap was sututred and a temporary crown was made. Three months later final impressions were taken and a screwed single crown was made

Clinical case description:

Abstract - A unique case of total mouth rehabilitation with Lefort I osteotomy in one operation

Clinical case description:

First visit and Examination : 21st November, 2015.

Gender : Female

Age : 25 yo

Chief complaint : drainage and mobility of an anterior teeth.

Dental history : An anterior teeth which the patient hit before had been disinfected at another dental clinic when it swelled.

Medical history : None.

11 Mesial periodontal pocket 8 mm BOP44.8%

Clinical case description:

Major bone augmentation with Bio-Oss^® mixed with autogenous bone and Bio-Gide

Clinical case description:

A 65 year old man.

Open Sinus Lift Area 13 to 17.

Using Geistlich Bio-Oss Pen^® Large granules and Membrane Geistlich Bio-Gide^® 25*25

Clinical case description:

Ridge Preservation 50 yers old women

Clinical case description:

Patient information

52 years old male

No medical history

C.C

#12 root fracture

Treatment plan

#12 immediate implant placement

Clinical case description:

52-year-old male was referred for replacement of 24~27 with an implant supported restoration.

A minimal native bone height is 1 mm.

Maxillary sinus floor elevation with simultaneous implant placement was performed with Geistlich Bio-Oss®. (Large granules)

Clinical case description:

Combi kit utilised to augment around implants in lower incisor sites

57 year old female ex smoker periodontal disease, stabilised and maintained

Patient wants to improve aesthetics of anterior teeth and bite

Clinical case description:

An elderly man presented with a catastrophic vertical root fracture on a root filled post crowned canine which had been in function with no problems for 20 years. The tooth was atraumatically extracted and socket left to heal for 8 weeks. A CBCT scan at 6 weeks confirmed the absence of a buccal plate, and a potentially difficult placement due to a horizontal and vertical defect. The patient had a medium tissue biotype, and was a low aesthetic risk in terms of smile line, according to the ITI SAC Classification.

An option of an advanced bone block grafting procedure had been discussed with the patient and he was consented for a human donor block, but would rather not have it if possible. He wanted to keep surgery to a minimum, as well as the time to be able to restore and load the tooth back to function.

It was decided to attempt a large augmentation, and a narrow diameter tissue level implant was placed, with a regular neck prosthetic platform at a deeper than normal position, and slightly more palatal. Autogenous bone chips were harvested around the area, and a GBR procedure was performed, using the Bio-oss pen to collect the patient’s own blood, and then the area grafted and covered with a bio-guide membrane, as a double layer technique. A closure screw was placed and the implant completely submerged, with a periosteal release achieving a tension free primary wound closure.

A second stage procedure was performed 3 months later, moving keratinised palatal tissue over to the buccal aspect, and placing a bevelled healing cap. A tissue level open tray impression was taken and the crown fitted two weeks later, with a screw retained palatal access hole, for retrievability. The crown was placed into right side group function, with the adjacent upper right first premolar. The patient was instructed on daily oral hygiene measures to use super-floss circumferentially around the implant crown.