• 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/