“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
- 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.
- 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
- 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