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Giovanni Salvi

Bern, Switzerland

Clinical case description:

> Access fl ap and removal of granulation tissue.

> Decontamination of exposed implant surface.

> Regenerative treatment to improve bony situation.

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<p>Radiograph at delivery of restoration displaying excess cement at the mesial and distal aspect of implant 45.</p>

Radiograph at delivery of restoration displaying excess cement at the mesial and distal aspect of implant 45.

<p>Geistlich Bio-Oss<sup>®</sup> was applied into the defect around implant 45. A Geistlich Bio-Gide<sup>®</sup> membrane was adapted over the Geistlich Bio-Oss<sup>®</sup> granules around the implant neck (not shown).</p>

Geistlich Bio-Oss® was applied into the defect around implant 45. A Geistlich Bio-Gide® membrane was adapted over the Geistlich Bio-Oss® granules around the implant neck (not shown).

<p>Post-surgical radiograph of the peri-implant defect filled with Geistlich Bio-Oss<sup>®</sup> granules.</p>

Post-surgical radiograph of the peri-implant defect filled with Geistlich Bio-Oss® granules.

<p>Clinical buccal situation of implant 45 nine years after regenerative therapy. A stable clinical and x-ray situation is in evidence.</p>

Clinical buccal situation of implant 45 nine years after regenerative therapy. A stable clinical and x-ray situation is in evidence.

Pre-surgery


					<p>Radiograph at delivery of restoration displaying excess cement at the mesial and distal aspect of implant 45.</p>

Surgery


					<p>Geistlich Bio-Oss<sup>®</sup> was applied into the defect around implant 45. A Geistlich Bio-Gide<sup>®</sup> membrane was adapted over the Geistlich Bio-Oss<sup>®</sup> granules around the implant neck (not shown).</p>

Outcome


					<p>Post-surgical radiograph of the peri-implant defect filled with Geistlich Bio-Oss<sup>®</sup> granules.</p>

Follow-up after at least 6 months


					<p>Clinical buccal situation of implant 45 nine years after regenerative therapy. A stable clinical and x-ray situation is in evidence.</p>