Staged approach after implant placement
“Geistlich Fibro-Gide® off ers promising new avenues in conservative soft-tissue augmentation of edentulous ridges and gingiva around implants and seems to be an alternative to autologous tissue grafts.”
Insufficient Soft-Tissue Around Implants in a Fully Edentulous Maxilla
Aim / Approach: Increasing the thickness of soft-tissue around dental implants in an edentulous ridge with Geistlich Fibro-Gide®.
Conclusion: Geistlich Fibro-Gide® reduces morbidity, especially in larger cases where bigger grafts are needed.
Baseline: fully edentulous upper jaw.
Re-entry after placement of two anterior equicrestal implants and two-staged hard-tissue augmentation in both posterior regions.
Covering the inserted 4 equicrestal implants, by using two pieces of Geistlich Fibro-Gide® (3 mm thickness) . They were extended from the buccal aspect over the occlusal to the palatal aspect covering and thickening the alveolar ridge on both sides.
Tension-free wound closure using matress sutures (Nylon 5-0, Resorba) for fl ap fixation and single sutures (Mopylen 6-0, Resorba) for wound adaptation. Two implants in the front have been covered with transmucosal healing abutments.
Healing situation 2 days post-surgery.
1 week post-surgery: uneventful soft-tissue healing and suture removal.
Soft-tissue situation 6 weeks post-surgery. Mattress sutures were removed 2 weeks post-surgery.
A second surgical procedure is required for uncovering the implants: wound healing with stable soft-tissue situation 10 days after uncovering.
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