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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

<p>Treatment of a so called ''knife edge ridge&quot; (Cawood and Howel class IV ) edentulous jaw</p>

Treatment of a so called ''knife edge ridge" (Cawood and Howel class IV ) edentulous jaw

<p>Treatment of anterior and posterior atrophied maxilla using Geistlich Bio-Gide<sup>®</sup> and a 1:1 mixture Geistlich Bio-Oss<sup>®</sup> and autogenous granules.</p>

Treatment of anterior and posterior atrophied maxilla using Geistlich Bio-Gide® and a 1:1 mixture Geistlich Bio-Oss® and autogenous granules.

<p>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<sup>®</sup> and autogenous granules)</p>

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)

<p>Formation of the desired amount of bone for implant placement in 9 months</p>

Formation of the desired amount of bone for implant placement in 9 months

Pre-surgery


							<p>Treatment of a so called ''knife edge ridge&quot; (Cawood and Howel class IV ) edentulous jaw </p>

Surgery


							<p>Treatment of anterior and posterior atrophied maxilla using Geistlich Bio-Gide<sup>®</sup> and a 1:1 mixture Geistlich Bio-Oss<sup>®</sup> and autogenous granules.</p>

Outcome


							<p>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<sup>®</sup> and autogenous granules)</p>

Follow-up after at least 6 months


							<p>Formation of the desired amount of bone for implant placement in 9 months</p>