“Implant therapy should restore the natural anatomical structures as closely as possible in order to avoid subsequent periimplant problems."

Lateral and vertical bone regeneration with simultaneous soft tissue augmentation

Dr. Arnd Lohmann · Germany
 · July 21, 2023

BioBrief - Complex Augementation

The Situation

  • After extraction of the periodontally damaged tooth (35) the preoperative CBCT imaging shows reduced vertical bone volume in sector 35–37. A lateral and vertical bone regeneration was necessary.
  • The goal of treatment was a late implant placement after bone regeneration and creation of stable periimplant soft tissue for long-term implant preservation.


The Approach

  • Customized Bone Regeneration (Yxoss CBR®)
  • Coverage of the graft with Geistlich Bio-Gide® for the purpose of Guided Bone Regeneration (GBR)
  • Soft tissue thickening using Geistlich Fibro-Gide® implantation
  • Vestibuloplasty with Geistlich Mucograft® for regeneration of keratinized mucosa


The Outcome

  • Approx. 5 mm of vertical bone regeneration
  • The potential occurrence of a dehiscence associated with a wound opening and exposure of Yxoss CBR® was able to be prevented with Geistlich Fibro-Gide®.
  • On one hand, the quality of the periimplant soft tissue was improved by the soft tissue thickening with


Key to Success

  • Preoperative professional dental cleaning
  • Fixing the titanium scaffold
  • Full coverage of Yxoss CBR® with Geistlich Bio-Gide® and Geistlich Fibro-Gide®
  • Completely tension-free wound closure (wound edges should overlap by 5–10 mm)
  • Creation of an at least 2–3 mm wide zone of keratinized mucosa around the implants


About the author

Dr. Arnd Lohmann | Germany

Master of Science in Implantology (MSc), Specialist for implantology
Bremen, Germany