Advanced approach - Early implant placement
Early implant placement may offer advantages in terms of soft and hard tissue preservation results1. When this therapy option is combined with simultaneous augmentation using Geistlich Bio-Oss® or Geistlich Bio-Oss® Collagen and Geistlich Bio-Gide®, predictable results can be expected2.
Sealing the socket with Geistlich Mucograft® Seal can further improve soft-tissue parameters in extraction sockets with preserved buccal walls2.
Spontaneous healing or early implant placement with Geistlich Bio-Oss® Collagen and Geistlich Mucograft® Seal.
Clinical case: Early implant placement with GBR after spontaneous healing.
After tooth extraction without flap elevation, the socket is carefully debrided to remove any inflammatory tissue. The soft tissues are allowed to heal for 4-8 weeks depending on the tooth diameter.
Following soft-tissue healing, implant surgery is performed. Special attention is paid to a correct prosthetic position of the implant in all three dimensions with good primary stability.
The typical crater-like defect on the facial aspect of the implant is augmented with locally harvested autogenous bone chips covered by a superficial layer of Geistlich Bio-Oss®.
The augmentation area is then covered with a Geistlich Bio-Gide® membrane to provide a temporary barrier function.
Following the flap release by means of a mucoperiosteal incision, a tension-free primary wound closure is achieved. Provisional implant prosthesis is performed after 8 weeks.
Early implant placement in combination with simultaneous ridge contour augmentation using Geistlich Bio-Oss® and Geistlich Bio-Gide® leads to pleasing aesthetic outcome3.
Clinical case: Early implant placement with socket sealing for improvement of soft-tissue parameters.
Empty extraction socket with de-epithelialised wound margins.
Extraction socket filled with Geistlich Bio-Oss® Collagen.
Extraction socket filled with Geistlich Bio-Oss® Collagen and Geistlich Mucograft® Seal and sutured with single interrupted sutures.
3 days after extraction and therapy with Geistlich Mucograft® Seal.
10 weeks after extraction at implant placement pre-op clinical situation.
Clinical situation of implant in place after 10 weeks.
The use of Geistlich Bio-Oss® Collagen and Geistlich Mucograft® Seal minimises invasion and maximises soft-tissue outcomes2.
References:
- Sanz M, et al.: Clin Oral Implants Res 2012; 23 Suppl 5: 67-79.
- Geistlich Mucograft Seal Advisory Board Meeting Report, 2013. Data on file Geistlich Pharma AG, Wolhusen, Switzerland.
- Buser D, et al.: J Periodontol 2011; 82: 342-49.
- Treatment concept for extraction sockets
- Solutions after tooth extraction
- Technical guidelines – Geistlich Mucograft® Seal and Geistlich Bio-Oss® Collagen
- Geistlich Combi-Kit Collagen – The Master’s Choice
- Geistlich News - Ridge Preservation
- Extraction Sockets - Tooth out - What's next?
- Surgical video Dr. Happe – Geistlich Combi-Kit Collagen in ridge preservation
- Surgical video Dr. Cardaropoli – Geistlich Combi-Kit Collagen in ridge preservation
- Surgical video Dr. Janssen - Geistlich Combi-Kit Collagen in ridge preservation
- Surgical video Dr. Cavalcanti - Ridge Preservation, Preserved Buccal Bone Wall
- Patient information video – Extraction socket management