• Maximizeboneformationfollowingmaxillarysinus
augmentationwithsimultaneousimplantplacement•
Minimizealveolarridgeremodelingfollowingtooth
extractionandimmediateimplantplacement•
Achieveadequateimplantosseointegrationforthe
functionalrehabilitationoftheupperleftsextant
OBJECTIVES COnCluSIOn
Beforeextraction 1yearafterimplantplacement
Practitionersareoftentimespresentedwithchallengingclinicalscenarios,thatrequireacoordinatedmultidisciplinaryteamapproach,inordertopredictablymeetpatients’expectationsandtoachievelong-termsuccessfuloutcomes.Immediateimplantplacementfollowingtoothextractionandmaxillarysinusaugmentationaretwosurgicalmodalitiesthatarecommonlyindicatedintherehabilitationofedentulouspatients.
Itiscrucialtoselectabonegraftingmaterialwithinherentpropertiesthatwillallowforadequatemanagementoftheperi-implantgapthatnormallyresultsfromimmediateimplantplacement,andtomaximizetheregenerativeoutcomesfollowingmaxillarysinusaugmentation.EvidenceintheliteraturehasconsistentlyshownthattheuseofGeistlichBio-Oss®,aloneorincombinationwithautogenousbone,isasafeandpredictablechoicetomeetthosetherapeuticgoals.1,2,3,4Additionally,theapplicationofanresorbablemembrane,suchasGeistlichBio-Gide®,tocoverthewindowindirectmaxillarysinusaugmentationproceduresmaycontributetomaximizeboneformationintheantralcavitybyprovidingabarriereffectthatpreventssoft-tissueinvasionintotheosteogeniccompartment.
• Maxillarysinusaugmentation,immediateimplantplacement
andperi-implantbonegraftingwerecombinedforthesuccessful
managementofamaxillaryedentulousspaninapatient
exhibitingparafunctionalhabits•
GeistlichBio-Oss®andGeistlichBio-Gide®wereutilizedin
conjunctiontoreducetheriskofmorbidityassociatedwith
autogenousboneblockharvestingandtomaximizethe
regenerativeoutcomeinacomplexclinicalscenario
SimultaneouS maxillary SinuS augmentation and immediate implant
placement
dr. gustavo avila-ortiz (iowa city, iowa)
extraction SocKet managementclinician
SinuS Floor eleVation
dr. christopher Barwacz (iowa city, iowa)
clinician “our biomaterial of choice for the management of
peri-implant gaps and maxillary sinus grafting is a slow-resorbing
bone substitute with excellent osteoconductive properties, such as
geistlich Bio-oss®”
1 vonArxetal.,20062 Maioranaetal.,2005
3 Maioranaetal.,20114 Cordaroetal.,2011
http://www.geistlich-na.com/en-us/professionals/therapeutic-area/sinus-floorelevation/scientific-background/http://www.geistlich-na.com/en-us/professionals/therapeutic-area/extraction-socketmanagement/scientific-background/http://www.geistlich-na.com/en-us/professionals/bone-substitutes/bio-oss/user-benefits/
1 Baselinevolumetricreconstructionofthemaxillausing
CBCTtechnology2 Buccalviewoftheareaofinterest3
Schneiderianmembranewascarefullyelevatedtoprevent aperforation4
Osteotomiestoattemptimmediateimplantplacementwere
performedonbothalveolarsockets5
Implantswereplacedwithprimarystability;Peri-implantgap
andmaxillarysinuscavityweregraftedusingGeistlichBio-Oss®
6 GeistlichBio-Gide®wastrimmedandappliedoverthelateral
windowinordertomaximizetheregenerativeresponse7
Post-surgicalocclusalviewat4weeks8
Buccalviewofthefinalprosthesis,deliveredatapproximately
6monthsfollowingimplantplacementandmaxillarysinusgrafting9
Periapicalradiographdemonstratingstablemarginalbonelevels
andconsolidationofthegraftingmaterialat1yearafter
implantplacement
GeistlichBio-Oss®
GeistlichBio-Gide®
GeistlichSmartScraper
material Selection
Customer Care Toll-free 855-799-5500
www.geistlich-na.com
geistlich pharma north america,
inc.202CarnegieCenterPrinceton,NJ08540G-316-16P
For more inFormation
caution:
Federallawrestrictsthesedevicestosalebyorontheorderofadentistorphysician.
indications:GeistlichBio-Oss®isindicatedforthefollowinguses:Augmentationorreconstructivetreatmentofthealveolarridge;Fillingofperiodontaldefects;Fillingofdefectsafterrootresection,apicoectomy,andcystectomy;Fillingofextractionsocketstoenhancepreservationofthealveolarridge;Elevationofthemaxillarysinusfloor;FillingofperiodontaldefectsinconjunctionwithproductsintendedforGuidedTissueRegeneration(GTR)andGuidedBoneRegeneration(GBR);andFillingofperi-implantdefectsinconjunctionwithproductsintendedforGBR.
Warnings:Possiblecomplicationswhichmayoccurwithanysurgeryincludeswellingatthesurgicalsite,flapsloughing,bleeding,localinflammation,boneloss,infectionorpain.
indications:GeistlichBio-Gide®isindicatedforthefollowinguses:Augmentationaroundimplantsplacedinimmediateanddelayedextractionsockets;Localizedridgeaugmentationforlaterimplantation;Alveolarridgereconstructionforprosthetictreatment;Fillingofbonedefectsafterrootresection,cystectomy,removalofretainedteeth;GBRindehiscencedefects;andGTRproceduresinperiodontaldefects.Warnings:Astheyarecollagenproducts,allergicreactionsmaynotbetotallyexcluded.Possiblecomplicationswhichmayoccurwithanysurgeryincludeswellingatthesurgicalsite,flapsloughing,bleeding,dehiscence,hematoma,increasedsensitivityandpain,boneloss,redness,andlocalinflammation.
Formoreinformationoncontraindications,precautions,anddirectionsforuse,pleaserefertotheGeistlichBio-Oss®andGeistlichBio-Gide®InstructionsforUseat:www.geistlich-na.com/ifu
CASE prESEnTATIOn
1 2 3
Jaw Region RestorativeStatus GingivalBiotype
UpperJaw Anterior Tooth Thick
LowerJaw Posterior Implant Thin
materialtechnique
•GeistlichBio-Oss®,GeistlichBio-Gide®,GeistlichSmartScraper•MaxillarySinusAugmentation/Peri-ImplantGapManagement
44 5 6
7 8 9
1 2 3
http://www.geistlich-na.com/en-us/professionals/bone-substitutes/bio-oss/user-benefits/http://www.geistlich-na.com/en-us/professionals/membranes/bio-gide/user-benefits/http://www.geistlich-na.com/en-us/professionals/bone-harvesting-instruments/smartscraper/