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YOICHI TANAKA

YOKOHAMA, Japan

Clinical case description:

Ridge-Preservation Open membrane technique with Geistlich Bio-Gide® and Geistlich Bio-Oss®, implant Placement. A case report:

 

CASE

 

37years old female

 

First visit 2016.10

No medical history

 

2016.12.

 

45 extraction, and debridement of the inflammatory tissue.

Filling with Geistlich Bio-Oss® (small granules 0.25-1mm)

Buccal bone wall replaced by Geistlich Bio-Gide® (13×25mm) double-layer technique

Geistlich Bio-Gide® is sutured with a modified cross-mattress suture with 4-0 PTFE, allowing optimal adaptation between the borders of the soft tissues and the collagen matrix

 

Situation after 17days after surgery

Note the epithelium has become stretched

 

2017.7

Clinical situation after 8 months of healing,

Maintains the alveolar volume

45 implant placement(Nobel active Rp4.3*11.5mm)

primary stability is very good

Final prosthetic and well maintained the alveolar volume

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<p>Note the absence of the buccal bone wall</p>

Note the absence of the buccal bone wall

<p>Scheduled extraction</p>

Scheduled extraction

<p>45 tooth fracture</p>

45 tooth fracture

<p>45 tooth fracture</p>

45 tooth fracture

<p>Buccal bone wall replaced by Geistlich Bio-Oss<sup>®</sup> and Geistlch Bio-Gide<sup>®</sup> (13×25mm) double-layer technique</p>

Buccal bone wall replaced by Geistlich Bio-Oss® and Geistlch Bio-Gide® (13×25mm) double-layer technique

<p>Buccal bone wall replaced by Geistlich Bio-Oss<sup>®</sup> and Geistlich Bio-Gide<sup>®</sup> (13×25mm) double-layer technique</p>

Buccal bone wall replaced by Geistlich Bio-Oss® and Geistlich Bio-Gide® (13×25mm) double-layer technique

<p>Buccal bone wall replaced by Geistlich Bio-Oss<sup>®</sup> and Geistlich Bio-Gide<sup>®</sup> (13×25mm) double-layer technique</p>

Buccal bone wall replaced by Geistlich Bio-Oss® and Geistlich Bio-Gide® (13×25mm) double-layer technique

<p>Well maintained the alveolar volume</p>

Well maintained the alveolar volume

<p>Well maintained the alveolar volume</p>

Well maintained the alveolar volume

<p>Post-ext 8month</p>

Post-ext 8month

<p>Well maintained the alveolar volume</p>

Well maintained the alveolar volume

<p>Well maintained the alveolar volume</p>

Well maintained the alveolar volume

<p>Well maintained the alveolar volume</p>

Well maintained the alveolar volume

<p>Well maintained the alveolar volume</p>

Well maintained the alveolar volume

<p>45 implant placement</p>

45 implant placement

<p>45 implant placement</p>

45 implant placement

Pre-surgery


							<p>Note the absence of the buccal bone wall</p>

							<p>Scheduled extraction</p>

							<p>45 tooth fracture</p>

							<p>45 tooth fracture</p>

Surgery


							<p>Buccal bone wall replaced by Geistlich Bio-Oss<sup>®</sup> and Geistlch Bio-Gide<sup>®</sup> (13×25mm) double-layer technique</p>

							<p>Buccal bone wall replaced by Geistlich Bio-Oss<sup>®</sup> and Geistlich Bio-Gide<sup>®</sup> (13×25mm) double-layer technique</p>

							<p>Buccal bone wall replaced by Geistlich Bio-Oss<sup>®</sup> and Geistlich Bio-Gide<sup>®</sup> (13×25mm) double-layer technique</p>

Outcome


							<p>Well maintained the alveolar volume </p>

							<p>Well maintained the alveolar volume </p>

							<p>Post-ext 8month</p>

Follow-up after at least 6 months


							<p>Well maintained the alveolar volume </p>

							<p>Well maintained the alveolar volume </p>

							<p>Well maintained the alveolar volume </p>

							<p>Well maintained the alveolar volume </p>

							<p>45 implant placement</p>

							<p>45 implant placement</p>