Use of Geistlich Bio-Oss Pen ® and Geistlich Bio-Gide ® to carry out
simultaneous GBR augmentation around an implant
by Dr. Paul Stone
Fig. 2 The Geistlich Bio-Oss ® graft particles
completely filling the crestal and small buccal
defects.
Fig. 1 An intra-operative view of surgical site 36
showing the implant site osteotomy and
associated crestal and buccal bone defect.
A
3.5-y
Follo ear
w-up
Fig. 3 A Geistlich Bio-Gide ® membrane adapted
over the implant and graft material ensuring
exclusion of non-osteogenic tissues.
B
3.5 years after grafting 9 months after grafting 3.5 years after grafting
Fig. 4, A First x-ray follow-up: 4 months after im-
plant loading (9 months after grafting and
implant placement).
Fig. 4, B Long-term x-ray follow-up: over 3 years
after implant loading (3.5 years after grafting
and implant placement). Fig. 5 Restored implant with cemented all-cera-
mic crown – restorative work carried out by
Elaine Halley, Cherrybank Dental Spa (9 months
after grafting and implant placement). Fig. 6 Stable clinical situation over 3 years after
implant loading with no evidence of any peri-im-
plant inflammation, probing depths or bleeding
(3.5 years after grafting and implant placement).
9 months after grafting
Single implant placement with concomitant ridge augmentation
with Geistlich Bio-Gide ® and Geistlich Bio-Oss ® Collagen for a
double-tooth gap in the lower front region
9.5-y
Follo ear
w-up
by Dr. Christian Ramel
Fig. 2 Geistlich Bio-Gide ® was apically positi-
oned underneath the mucoperiosteal flap and
deflected, then Geistlich Bio-Oss ® Collagen
was carefully put onto the defect region. The
aim was to over-augment the site, since consi-
derable soft-tissue pressure was to be expected.
Fig. 1 In horizontal aspect, a major bony defect
is visible. The ridge measures about 2 mm in
width in the central region.
A
Fig. 3 The collagen membrane was then laid
over the implant, and tucked underneath the
lingual mucosa.
B
9.5 years after grafting 6 months after grafting 9.5 years after grafting
Fig. 4, A First x-ray follow-up: 1 year after im-
plant loading showing healthy bony surrounding
structures. A stable slight horizontal remodeling
process is visible (6 months after grafting and
implant placement).
Fig. 4, B Long-term x-ray follow-up: 9 years after
implant loading showing a stable situation and
virtually no changes compared to the 1-year x-ray
(9.5 years after grafting and implant placement).
6 months after grafting
Fig. 5 The situation shortly after the insertion of
the reconstruction with stable, healthy peri-im-
plant mucosa (6 months after grafting and
implant placement). Fig. 6 Stable clinical situation 9 years after loa-
ding the implant. The buccal over-contouring
graft with Geistlich Bio-Oss ® and Geistlich Bio-
Gide ® remains stable (9.5 years after grafting
and implant placement).
2