HANSAmed Geistlich Fibro Gide

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Geistlich Fibro-Gide®

1. Does Geistlich Fibro-Gide® increase its volume after implantation?

The device will gain approx. 25% in volume once wet. This increase in volume has to be taken into account when deciding upon final dimensions. A generous flap design is the key to full submersion of the matrix.

2. What is the indication of Geistlich Fibro-Gide®?

Geistlich Fibro-Gide® is intended to be used for soft-tissue regeneration at the alveolar ridge. Indications of Geistlich Fibro-Gide® are insufficient soft-tissue volume and recession defects.

3. What is Geistlich Fibro-Gide® made of?

Geistlich Fibro-Gide® is a porcine, porous, resorbable and volume-stable collagen matrix specifically designed for soft-tissue regeneration. The matrix is made of reconstituted collagen undergoes smart chemically cross-linking to improve volume stability of the device while maintaining its excellent biocompatibility.

4. Is Geistlich Fibro-Gide® resorbable?

In vivo animal models have shown good integration of Geistlich Fibro-Gide®into the surrounding soft-tissue while maintaining stability.

5. Is Geistlich Fibro-Gide® an alternative to free gingival graft (FGG) or to connective tissue grafts (CTG)?

Geistlich Fibro-Gide® is an alternative to autologous connective tissue grafts (CTG) for soft-tissue volume augmentation around dental implants and natural teeth. Geistlich Fibro-Gide® obviously has the advantage of reducing patient morbidity since there is no additional harvest site. Furthermore, there is no risk of necrosis when using Geistlich Fibro-Gide® compared to CTG.

6. Does Geistlich Fibro-Gide® need pre-treatment?

Geistlich Fibro-Gide® is ready to be applied to the defect and does not need pretreatment or conditioning before application. Geistlich Fibro-Gide®possesses excellent hydrophilic characteristics that lead to a rapid hydration of the collagen matrix (patient’s own blood and/or sterile saline). When applied dry to the defect site, the matrix will hydrate easily by soaking up patient’s own blood and/or sterile saline very fast.

7. Should Geistlich Fibro-Gide® be handled/applied wet or dry?

Geistlich Fibro-Gide® can be applied either in a dry or wet state subject to individual preference: pre-wetting can be done with blood and/or sterile saline. Geistlich Fibro-Gide® can be cut and trimmed both in a dry or wet state, using scissors and/or a scalpel. The scalpel is recommended for dry handling. Using a scalpel will help to obtain smooth edges and tapers for improved wound adaptation and precise fit of the matrix.

8. Does Geistlich Fibro-Gide® increase its volume after implantation?

The device will gain approx. 25% in volume once wet. This increase in volume has to be taken into account when deciding upon final dimensions. A generous flap design is the key to full submersion of the matrix.

9. Which flap design is recommended when using Geistlich Fibro-Gide®?

Use your preferred flap design. A generous preparation of the flap is key to promoting successful healing by complete coverage of Geistlich Fibro-Gide®(submerged healing). Different surgical techniques, such as tunneling and/or envelope techniques are currently being clinically tested (not all under studies).

10. What suture should be used with Geistlich Fibro-Gide®?

Clinical experience has shown that tension-free wound closure is a key factor in preventing dehiscence. In open flap procedures for augmentation at the alveolar ridge a horizontal mattress suture is recommended to stabilize the matrix (5.0-6.0). In recession coverage single sutures (7.0) have been used for stabilization.

11. How should the flap be closed with Geistlich Fibro-Gide® underneath?

A tension-free closure of the flap is key to a successful and complication-free healing and avoidance of any dehiscences during the healing phase. 

12. Are antibiotics needed after treatment with Geistlich Fibro-Gide®?

After treatment with Geistlich Fibro-Gide®, please follow the same postsurgical management that is usually applied with connective tissue grafts. 

13. How much thickness of Geistlich Fibro-Gide® is required in order to obtain a thickening of the soft-tissue comparable to when connective tissue graft (CTG) is used?
Clinical studies have shown a physiological increase in thickness when using CTG as the gold standard of 0.35 to 3.2 mm. Clinical studies have shown that treatment with Geistlich Fibro-Gide® results in an increase of 1-2 mm of thickness which is equivalent to results obtained with CTG. Geistlich Fibro-Gide® is provided with a thickness of 6 mm which gives freedom to the surgeon to trim it to the desired size and to use the collagen matrix for thickening of tissues under pontics where more volume might be required. For lateral soft-tissue augmentation, it is recommended to reduce the thickness of Geistlich Fibro-Gide® in order to achieve a tension-free, primary wound closure.  
CAUTION

CAUTION: Federal law restricts these devices to sale by or on the order of a dentist or physician.

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