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Hadi ANTOUN

Paris, France

Clinical case description:

Woman, 47 years old with a good systemic health. Non smoker. Good plaque control. Old history of periodontitis, now stabilized. The objective was to stop bone loss and regenerate bone around the implant.

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<p>The initial panoramic shows bone loss.</p>

The initial panoramic shows bone loss.

<p>The radio shows the circumferential peri-implant defect which may be regenerated with a GBR.</p>

The radio shows the circumferential peri-implant defect which may be regenerated with a GBR.

<p>Geistlich Bio-Gide<sup>®</sup> is cut according to the shape of the defect with an overlap of 2 to 3 mm beyond the contour.</p>

Geistlich Bio-Gide® is cut according to the shape of the defect with an overlap of 2 to 3 mm beyond the contour.

<p>Application of Geistlich Bio-Oss<sup>®</sup> into the defect.</p>

Application of Geistlich Bio-Oss® into the defect.

<p>Geistlich Bio-Gide<sup>®</sup> is used to cover and protect the site during the healing.</p>

Geistlich Bio-Gide® is used to cover and protect the site during the healing.

<p>Flap closure was carried out with 4/0 non-resorbable sutures</p>

Flap closure was carried out with 4/0 non-resorbable sutures

<p>7 days follow up. Healing without complication.</p>

7 days follow up. Healing without complication.

<p>Follow up at 1 year. Clinical view. The soft tissue follows nicely the marginal contour.</p>

Follow up at 1 year. Clinical view. The soft tissue follows nicely the marginal contour.

<p>Radiographic picture after 1 year. The bone level is stable and the mesial and distal defects appear to be filled.</p>

Radiographic picture after 1 year. The bone level is stable and the mesial and distal defects appear to be filled.

Pre-surgery


							<p>The initial panoramic shows bone loss.</p>

							<p>The radio shows the circumferential peri-implant defect which may be regenerated with a GBR.</p>

Surgery


							<p>Geistlich Bio-Gide<sup>®</sup> is cut according to the shape of the defect with an overlap of 2 to 3 mm beyond the contour.</p>

							<p>Application of Geistlich Bio-Oss<sup>®</sup> into the defect.</p>

							<p>Geistlich Bio-Gide<sup>®</sup> is used to cover and protect the site during the healing.</p>

							<p>Flap closure was carried out with 4/0 non-resorbable sutures</p>

Outcome


							<p>7 days follow up. Healing without complication.</p>

Follow-up after at least 6 months


							<p>Follow up at 1 year. Clinical view. The soft tissue follows nicely the marginal contour.</p>

							<p>Radiographic picture after 1 year. The bone level is stable and the mesial and distal defects appear to be filled. </p>