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Extraction socket management with REGENFAST®

Ridge reconstruction before implant placement

Dr. Federico Rivara · Italy
 · October 25, 2023
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"After the extraction, I realized that the buccal wall was missing and I had to leave the membrane exposed. The regenerative potential of the site could be poor, so I decided to boost the biomaterials’ effect with polynucleotides and hyaluronic acid."

The Situation

The patient (45 years old, female, non-smoker, no previous pathologies) is referred for extraction of tooth 45 and immediate implant placement. The site showed an increased probing depth and a marked bone loss.

1 | Initial situation: the tooth has been treated endodontically without success.
1 | Initial situation: the tooth has been treated endodontically without success.
2 | The buccal bone is not intact.
2 | The buccal bone is not intact.
3 | Geistlich Bio-Oss® mixed with REGENFAST® is applied. Geistlich Bio-Gide® Compressed is rebutted vestibular and soaked with REGENFAST®.
3 | Geistlich Bio-Oss® mixed with REGENFAST® is applied. Geistlich Bio-Gide® Compressed is rebutted vestibular and soaked with REGENFAST®.
4 | The flap is repositioned in its initial position with 5-0 polyamide sutures, leaving the membrane to heal occlusally by second intention.
4 | The flap is repositioned in its initial position with 5-0 polyamide sutures, leaving the membrane to heal occlusally by second intention.
5 | After 5 months, the situation is stable and the keratinized tissue is restored.
5 | After 5 months, the situation is stable and the keratinized tissue is restored.
6 | An intermediate abutment is placed at the time of implant insertion.
6 | An intermediate abutment is placed at the time of implant insertion.
7 | The flap is moved vestibular and sutured.
7 | The flap is moved vestibular and sutured.
8 | At the control at 12 months, the papillae are preserved, and the proportion of keratinized tissue is ideal.
8 | At the control at 12 months, the papillae are preserved, and the proportion of keratinized tissue is ideal.
9 | The stability of the hard tissue is visible both with the 2D examination and at the 3D level (12 months).
9 | The stability of the hard tissue is visible both with the 2D examination and at the 3D level (12 months).
1 | Initial situation: the tooth has been treated endodontically without success.
2 | The buccal bone is not intact.
3 | Geistlich Bio-Oss® mixed with REGENFAST® is applied. Geistlich Bio-Gide® Compressed is rebutted vestibular and soaked with REGENFAST®.
4 | The flap is repositioned in its initial position with 5-0 polyamide sutures, leaving the membrane to heal occlusally by second intention.
5 | After 5 months, the situation is stable and the keratinized tissue is restored.
6 | An intermediate abutment is placed at the time of implant insertion.
7 | The flap is moved vestibular and sutured.
8 | At the control at 12 months, the papillae are preserved, and the proportion of keratinized tissue is ideal.
9 | The stability of the hard tissue is visible both with the 2D examination and at the 3D level (12 months).
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About the author

Dr. Federico Rivara | Italy

Clinica Dentale Rivara, Mantova, Italy

Expert Article
2’
Guided Bone Regeneration with REGENFAST®: Preliminary histological features
The Synergistic Potential of REGENFAST® and Geistlich Bio-Oss®. →
Clinical Case
2’
Treatment of an infrabony defect in the distal mandible
Feedback on using REGENFAST® →
Clinical Case
2’
Multiple recession coverage in the anterior maxilla
Soft Tissue Regeneration with Geistlich Fibro-Gide® and REGENFAST® →
Interview
3’
Hyaluronic Acid in Periodontology
Insights into Advanced Periodontal Treatments →
Expert Article
2’
Guided Bone Regeneration with REGENFAST®: Preliminary histological features
The Synergistic Potential of REGENFAST® and Geistlich Bio-Oss®. →
Clinical Case
2’
Treatment of an infrabony defect in the distal mandible
Feedback on using REGENFAST® →
Clinical Case
2’
Multiple recession coverage in the anterior maxilla
Soft Tissue Regeneration with Geistlich Fibro-Gide® and REGENFAST® →
Interview
3’
Hyaluronic Acid in Periodontology
Insights into Advanced Periodontal Treatments →