Bio-Oss bonegraft Bangkok, Thailand.

www.silomdental.com

Implantology

Today implant procedures increasingly take into account not only purely functional but also aesthetic aspects. In about 40% of all implantations, clinicians include regenerative procedures to build up bone and soft tissue. The use of bone substitutes and membranes is now one of the standard therapeutic approaches

Dehiscence

Buccal bone dehiscence at the implant.

Filling of the defect with Geistlich Bio-Oss.

Covering with Geistlich Bio-Oss.

Complete regeneration of the defect 8 months postoperatively.

Fenestration

Bone loss over apical implant thread.

Application of Geistlich Bio-Oss.

Covering with Geistlich Bio-Oss.

Good healing of hard and soft tissue 13 months postoperatively.

Extraction socket

Following extraction: Application of a volume of Geistlich Bio-Oss Collagen corresponding to the tooth root.

Insertion to the level of the crestal bone margin.

Covering the socket with a soft-tissue graft.

Good soft-tissue situation 6 weeks postoperatively allows for implant placement.

Ridge augmentation

Occlusal view after opening the defect.

Application of Geistlich Bio-Oss.

Covering with Geistlich Bio-Oss.

Optimal bone support for implant insertion 6 months postoperatively.

Horizontal augmentation

Defect with major horizontal bone loss.

Corticocancellous bone graft from the chin region.

Contouring with Geistlich Bio-Oss and covering with Geistlich Bio-Gide.

Suitable bone site for implant insertion 6 months postoperatively.

Vertical augmentation

Defect exposed after opening.

Augmentation with Geistlich Bio-Oss (addition of autogenous bone should be considered).

A shape-retaining membrane, fixed buccaly with 2 screws, protects the graft.

Suitable bone support for implant insertion 6 months postoperatively.

Ridge reconstruction

Computed tomogram shows horizontal and vertical bone deficit.

Clinical appearance preoperatively.

Augmentation with a mixture of iliac crest chips and Geistlich Bio-Oss, covered with titanium mesh.

Stable bone support for implantation 12 months postoperatively.

Periodontology

Regenerative treatment of periodontally damaged teeth is a demanding task.
In addition to the appropriate flap technique and application of the regenerative materials, it requires control of the bacterial infection that caused the periodontitis.
A pre- and post-operative hygiene phase and patient motivation are therefore basic requirements for therapeutic success.

Aims of regenerative treatment
• Restoration of the complete tooth attachment apparatus with bone, cementum, and ligament
• Prevention of long junctional epithelial down growth as a risk factor for later, renewed periodontitis
• Long-term tooth retention
• Positive aesthetic appearance

Intraosseous defects (1-3 walls)

2-wall bone defect with a vertical dimension of approx. 9 mm.

Filling the pocket with Geistlich Bio-Oss Collagen.

Application of Geistlich Bio-Oss Perio over the defect.

Stable-tissue situation 1 year portoperatively.

Furcation defect (class I-II)

Class II furcations defect.

Filling the defect with Geistlich Bio-Oss Collagen.

Covering with Geistlich Bio-Oss Perio and apical fixation with pins.

Wound closure.

Sinus floor elevation

Crestal procedure/Summer's technique (internal)

Crestal approach with asteotome : elevate Schneiderian membrane carefully.

Augmentation with Geistlich Bio-Oss and implant insertion Loading after 6-8 months.

Lateral/fenestration technique (external)

Insufficient bone thickness posteriorly.

Open a lateral window; carefully elevate the sinus mucosa using a blunt periosteal elevator.

Application of Geistlich Bio-Oss if Schneiderian membrane is thin or ruptures.

Cover the lateral window with Geistlich Bio-Oss.