Geistlich - Indication sheets X1 - Failure Management

31194.1/0611/e

Indication sheet X1

Failure Management
Literature References
1 Azzi R, Etienne D, Takei H, Fenech P: Surgical thickening of the existing gingiva and reconstruction of interdental papillae around implant-supported
restorations. Int J Periodontics Restorative Dent 2002, 22, 71-77
2 Tinti C, Parma-Benfenati S: Clinical classification of bone defects concerning the placement of dental implants. Int J Periodontics Restorative Dent 2003,
23, 147-155
3 Mellonig JT, Griffiths G, Mathys E, Spitznagel J: Treatment of the failing implant: case reports. Int J Periodontics Restorative Dent 1995 Aug, 15(4), 384-395.
4 Hämmerle CHF: Membranes and bone substitutes in GBR. Proceedings of the 3rd European Workshop on Periodontology: Implant Dentistry Quintessence
Berlin 1999, 468-499
5 Scharf DR, Tarnow DP: Modified Roll Technique for localized alveolar ridge augmentation. Int J Periodontics Restorative Dent 1992, 12, 415-425

Clinical procedure of Dr Georgios Nikou, Dr Peter Thoolen,
and Prof. Anton Sculean, University of Nijmegen, Netherlands

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> Peri-implant bone atrophy and soft tissue recession in the aesthetic area.
Treatment with Bio-Oss®, Bio-Gide® and a soft tissue graft.

1. Indication profile
Region

x aesthetic region

non-aesthetic region
multiple tooth gap
x bone defect present
no bone defect present
comment: bone dehiscence and fenestration labial to implant, 10 months after
implant insertion
x bone augmentation indicated
inflamed
infected
uneventful
no recession x recession
x thin
thick
inadequate keratinised mucosa
comment: The tissue appears rather thin.
x soft tissue augmentation indicated
x yes
implant stable
no
x no
explantation indicated
yes
x single tooth gap

Bony situation

Soft tissue situation

Status of implant

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