HANSAmed Extraction Socket Management

Advanced Approach

Early implant placement

Early implant placement may offer advantages for preservation of the soft and hard tissues1. When this treatment option is combined with an augmentation procedure using a pairing of Geistlich Bio-Oss® or Geistlich Bio-Oss Collagen® with Geistlich Bio-Gide®, predictable results can be achieved. Sealing the socket with Geistlich Mucograft® Seal can further improve soft-tissue parameters in extraction sockets with preserved buccal walls.2

Day 0  8-10 weeks * Geistlich Mucograft® Seal report on the meeting of the Advisory Committee, 2013, data on file.

** Geistlich Mucograft® Seal report on the meeting of the Advisory Committee, 2013, data on file.

***Hämmerle C. et al., ITI Consensus Statement FDDH; EM: supplementation.

Clinical case: Early implant placement with simultaneous autogenous bone augmentation procedure in combination with Geistlich Bio-Oss® and Geistlich Bio-Gide® 

Case by Prof. Daniel Buser, Berne, Switzerland

After tooth extraction without flap elevation, the socket is carefully debrided to remove any inflammatory tissue. The soft tissues are allowed to heal for 4-8 weeks depending on the tooth diameter.
Following soft-tissue healing, implant surgery is performed. Special attention is paid to a correct prosthetic position of the implant in all three dimensions with good primary stability.
The typical crater-like defect on the facial aspect of the implant is augmented with locally harvested autogenous bone chips covered by a superficial layer of Geistlich Bio-Oss®.
The augmentation area is then covered with a Geistlich Bio-Gide® membrane to provide a temporary barrier function.
Following the flap release by means of a mucoperiosteal incision, a tension-free primary wound closure is achieved. Provisional implant prosthesis is performed after 8 weeks.
The clinical and radiographic follow-up at 7.5 years shows a pleasing esthetic long-term outcome and an intact facial bone wall in the CBCT.

The use of Geistlich Bio Oss Collagen® and Geistlich Mucograft® Seal is minimally invasive and maximizes soft-tissue outcomes.2.

 

Clinical case: Early implant placement with socket sealing for improvement of soft tissue parameters. 

Clinical situation before extraction.
Extraction socket with de-epithelialized wound margins.
Extraction socket filled with Geistlich Bio-Oss Collagen®.
Extraction socket filled with Geistlich Bio-Oss Collagen® and Geistlich Mucograft® Seal and sutured with single-interrupted sutures.
3 days after extraction and treatment with Geistlich Mucograft® Seal.
Pre-operative clinical outcome 10 weeks after extraction, prior to implant placement.
Radiograph 10 weeks post implant placement.
Radiograph of implant in place after 10 weeks.
REFERENCES
  1. Sanz M, et al.: Clin Oral Implants Res 2012; 23 Suppl 5: 67-79.
  2. Geistlich Mucograft Seal Advisory Board Meeting Report, 2013. Data on file Geistlich Pharma AG, Wolhusen, Switzerland.
  3. Buser D, et al.: J Periodontol 2011; 82: 342-49.
CAUTION

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

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