Minimally invasive periodontal treatment using Geistlich Fibro-Gide®

Buccal pedicle flap for soft-tissue thickening

Dr. Giorgio Tabanella · Italy
 · July 21, 2023

BioBrief - Soft-Tissue Management

The Situation

Patient presented with a fi stula buccal to area #21 associated to a chronic peri-apical lesion and external root resorption. Also tooth #11 showed a chronic peri-apical lesion. Her chief complaint was the misalignment of her teeth. The clinical situation revealed the presence of bleeding upon probing and generalized moderate periodontal disease (Stage II, Grade 1) as well as multiple endodontic failures. 


The Approach

The aim of the treatment is to eradicate periodontal disease and restore esthetics and function. Treatment planning: non surgical and surgical periodontal treatment, orthodontic alignment, extraction of both central incisors, immediate implant placement and GBR, peri-implant soft tissue boosting with the “Buccal Pedicle Flap”, full ceramic CAD-CAM restorations.


The Outcome

The fi nal outcome is showing esthetics as well as biomimetics and function. The use of the “Buccal Pedicle Flap” allowed to boost the peri-implant mucosa with a minimally invasive approach. The combination of Geistlich Fibro-Gide® and “Buccal
Pedicle Flap” had the main advantage of reducing the morbidity generally associated with CT harvesting.


Keys to Success

  • Prosthetic driven implant insertion
  • Good volume of the buccal bone balcony after Guided Bone Regeneration
  • Peri-implant soft tissue management to increase thickness of the tissue
  • Allow for Soft tissue maturation

About the author

Dr. Giorgio Tabanella | Italy

Giorgio Tabanella – Rome, IT Periodontics and Implantology – USC-University of Southern California Los Angeles USA - DDS,MS, Diplomate of the American Board of Periodontology
Dr. Tabanella is a Diplomate of the American Board of Periodontology, Active Member of the Italian Academy of Esthetic Dentistry and author of the book “Retreatment of failures in dental medicine”. He graduated from the University of Southern California-Los Angeles-USA where he obtained the Certifi cate in Periodontics as well as the Master of Science in Craniofacial Biology. He is Director of O.R.E.C.-Oral Reconstruction and Education Center (,
reviewer and author of original articles.