Australasian Dentist Implant Dentistry Today No 15

Implant Dentistry Today 8 Con usion: Geistlich Bio-Gide® Shape in combination with Geistlich Bio-Oss® Collagen preserved largely the ridge dimensions after tooth extraction. Implant can be placed without need of a second bone grafting at time of implant placement. n elayed implant placement with a thin and defective buccal bone wall Restoration surgery by: r. aniele Cardaropoli, Torino, Italy im: Delayed implant placement to restore tooth 34. Minimally invasive procedure without mobilisation of the flap to cover the graft: healing by secondary intention (open healing). Fig 4. Geistlich Bio-Gide® Shape a) with the smooth side (outwards) and b) the rough side (inwards). Fig 8. Clinical situation 1 week after extraction. Geistlich Bio-Gide® was left exposed and the wound heals uneventfully by secondary intention. Fig 12. Soft tissue conditioning 9 months after tooth extraction. Fig 3. Empty alveolus with a thin and defective bone wall. Fig 7. Suturing with 3 single knots each on buccal and lingual site to fix the bone graft and one additional suturing to maintain the papillae. Fig 11. Ridge preservation provided an optimal ridge width for implant placement without re-grafting 5 months post-extraction. Fig 2. Raising of a flap was necessary to remove the tooth because of the internal root resorption (34). Fig 6. After application of the collagen membrane, the alveolus is filled with Geistlich Bio-Oss® Collagen. Fig 10. Follow-up 4 weeks after tooth extraction. Fig 1. Pre-surgery occlusal view. Fig 5. Geistlich Bio-Gide® Shape in place, applied dry within the alveolus. Fig 9. Clinical situation immediately after suture removal 2 weeks after extraction. Dr. Daniele Cardaropoli