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Zaur Eristov

Moscow, Russia

Clinical case description:

Guided bone regeneration with the open-healing technique.

 

After augmentation procedure it is rather complicated to get the perfect wound closure in some cases. In this scenario the open healing technique with Geistlich Bio-Gide® membrane should be applied. A great benefit of this technique is keratinized gingiva preservation. Good open healing is possible due to quick transmembrane vascularization, as a result of which the membrane is being rapidly transformed into granulative tissue and gives excellent sealing. Antibiotics for 5 days and gentle treatment of the surgery site are prescribed to the patient in the postoperative period.

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<p>#1. Tooth 2.4. After crown removal significant destruction of the root has been revealed.  #2. Periapical x-ray:  unsuccessful endodontic treatment, lesion in the furcation area.  #3. Clinical photo of the extraction site. Pronounced vestibular bone defec</p>

#1. Tooth 2.4. After crown removal significant destruction of the root has been revealed. #2. Periapical x-ray: unsuccessful endodontic treatment, lesion in the furcation area. #3. Clinical photo of the extraction site. Pronounced vestibular bone defec

<p>#5. Filling the defect with Geistlich Bio-Oss<sup>®</sup> material. #6. Geistlich Bio-Gide<sup>®</sup> membrane placement. #7. Suturing according to the technique of the open healing. Vestibular view. #8. Occlusal view.</p>

#5. Filling the defect with Geistlich Bio-Oss® material. #6. Geistlich Bio-Gide® membrane placement. #7. Suturing according to the technique of the open healing. Vestibular view. #8. Occlusal view.

<p>#9. Clinical situation in 4 months (Vestibular view). #10. Clinical situation in 4 months (Occlusal view).  #11. View of the augmented bone after flap rising.  #12.View after implant opening</p>

#9. Clinical situation in 4 months (Vestibular view). #10. Clinical situation in 4 months (Occlusal view). #11. View of the augmented bone after flap rising. #12.View after implant opening

<p>#13. OP in 4 months after implant placement.  #14. Clinical photo after final prosthetic rehabilitation (vestibular view).  #15. Occlusal view. #16. OP in 6 months after final prosthetic rehabilitation</p>

#13. OP in 4 months after implant placement. #14. Clinical photo after final prosthetic rehabilitation (vestibular view). #15. Occlusal view. #16. OP in 6 months after final prosthetic rehabilitation

Pre-surgery


							<p>#1. Tooth 2.4. After crown removal significant destruction of the root has been revealed.  #2. Periapical x-ray:  unsuccessful endodontic treatment, lesion in the furcation area.  #3. Clinical photo of the extraction site. Pronounced vestibular bone defec</p>

Surgery


							<p>#5. Filling the defect with Geistlich Bio-Oss<sup>®</sup> material. #6. Geistlich Bio-Gide<sup>®</sup> membrane placement. #7. Suturing according to the technique of the open healing. Vestibular view. #8. Occlusal view.</p>

Outcome


							<p>#9. Clinical situation in 4 months (Vestibular view). #10. Clinical situation in 4 months (Occlusal view).  #11. View of the augmented bone after flap rising.  #12.View after implant opening</p>

Follow-up after at least 6 months


							<p>#13. OP in 4 months after implant placement.  #14. Clinical photo after final prosthetic rehabilitation (vestibular view).  #15. Occlusal view. #16. OP in 6 months after final prosthetic rehabilitation</p>