Simultaneous approach with guided bone regeneration (GBR)
“Geistlich Fibro-Gide® shows an uneventful tissue integration with simultaneous GBR procedures in a preliminary human study after two months of healing.”
Guided Bone Regeneration With Simultaneous Soft-Tissue Augmentation in the Anterior Maxilla
Aim / Approach: Guided Bone Regeneration (GBR) procedure with autologous bone chips, Geistlich Bio-Oss® and Geistlich Bio-Gide® simultaneously with soft-tissue augmentation using Geistlich Fibro-Gide®.
Conclusion: Guided Bone Regeneration (GBR) can be performed simultaneously with soft-tissue augmentation with Geistlich Fibro-Gide®.
Baseline frontal view: missing central incisor.
Baseline occlusal view: The facial contour is fl attened by physiological dimensional ridge alterations post-extraction.
Full-thickness flap using one releasing incision in the distal aspect of the canine. Simultaneous contour augmentation using GBR was performed with autogenous bone chips to cover the exposed implant combined with a layer of Geistlich Bio-Oss® and Geistlich Bio-Gide®.
Application of Geistlich Fibro-Gide® on top of the augmented area. A tension-free primary wound closure was obtained by a periosteal releasing incision.
Suture removal after 14 days. Please note the uneventful wound healing and an increase in soft-tissue volume.
2 months follow-up combined with abutment connection.
Occlusal view of fi nal restoration 2 years post-surgery.
