Geistlich Extraction Socket Management Geistlich ExtractionSocket | Page 7

Geistlich Bio-Gide ® – more new bone 12 Seal the socket Due to its bilayer structure, the Geistlich Bio-Gide ® membra- ne not only prevents ingrowth of soft tissue, but also acts as a guide for the appropriate early blood vessel 13 development and new bone formation 12 . The collagen matrix of Geistlich Mucograft ® Seal specially de- signed for soft-tissue regeneration is recommended to be used in combination with Geistlich Bio-Oss ® Collagen after tooth extraction, when the alveolar buccal walls are preserved. 14 Geistlich Bio-Gide ® : › › allows for uneventful wound healing in an open healing approach 2,3 › › provides for more new bone formation when combined with Geistlich Bio-Oss ® vs. Geistlich Bio-Oss ® without membrane 12 Clinical data demonstrates that Geistlich Mucograft ® Seal: › › may enhance early wound healing 15 › › in combination with Bio-Oss ® Collagen significantly reduces the bone loss when compared to spontaneous healing 1 › › offers flexibility in the therapy concepts: from early implantation 8–10 weeks after extraction through to late implantation or bridge restoration 14 References 1 Jung RE, et al. J Clin Periodontol. 2013 Jan;40(1):90-8. 2 Cardaropoli D, et al. Int J Periodontics Restorative Dent. 2012 Aug;32(4):421-30. 3 Cardaropoli D, et al. Int J Periodontics Restorative Dent. 2014 Mar-Apr;34(2):211-7. 4 Buser D, et a l. J Dent Res. 2013 Dec;92(12 Suppl):176S-82S. 5 Jensen SS, et al. J Periodontol. 2014 Nov;85(11):1549-56. 6 Nevins M, et al. Int J Periodontics Restorative Dent. 2006 Feb;26(1):19-29. 7 Chen ST, et al. Clin Oral Implants Res. 2007 Oct;18(5):552-62. 8 Lindhe J, et al. Clin Oral Implants Res. 2014 Jul;25(7):786-90. 9 Schlee M & Esposito M. Clin Oral Implants Res. 2014 Jul;25(7):786-90. Conclusion › › + 93 % ridge width maintained with Geistlich Bio-Oss ® Collagen and Geistlich Bio-Gide ® 2,3 › › + 83 % ridge width maintained with Geistlich Bio-Oss ® Collagen and Geistlich Mucograft ® Seal 1 10 Shakibaie-M B. Int J Periodontics Restorative Dent. 2013 Mar-Apr;33(2):223-8. 11 Lee DW, et al. Int J Oral Maxillofac Implants. 2009 Jul-Aug;24(4):609-15. 12 Perelman-Karmon M, et al. Int J Periodontics Restorative Dent. 2012 Aug;32(4):459-65. 13 Rothamel D, et al., Clin. Oral Implants Res. 2005;16:369–378. 14 Geistlich Mucograft ® Seal Advisory Board Meeting Report 2013. Data on file, Geistlich Pharma AG, Wolhusen, Switzerland. In the following pages you will find a collection of documen- ted clinical cases showing a great variety of treatment concepts with different Biomaterials. 15 Thoma DS, et al. J Clin Periodontol. 2012 Feb;39(2):157-65. * The definition of an intact extraction socket varies among experts and includes buccal bone defects of 0 to 50 %. Buccal x z Lingual y w x + y = –43 % z + w = –21 % Buccal x z Lingual w x + y = –17 % z + w = –8 % lost bone volume lost bone volume residual bone residual bone based on Jung et al., JCP 2013 y based on Jung et al., JCP 2013 Ridge resorption with spontaneous healing after 6 months 1 Ridge Preservation with Geistlich Bio-Oss ® Collagen and Geistlich Mucograft ® Seal after 6 months 1 6