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Major Bone Augmentation with Geistlich Bio-Oss® and REGENFAST®

Treatment of a horizontal bone defect and soft-tissue deficit in the distal mandible

Dr. Jacques Hassid · France
 · November 22, 2023
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"I’ve used REGENFAST® several times for different treatments (gingival graft, peri-implantitis, GBR). My feelings after 1 year are: simplicity of use, speed-up of wound healing, no adverse reaction, easier handling and mixing with Geistlich Bio-Oss®."

The Situation

The patient (65 years old, female) was referred to our clinic with discomfort during masticatory function. The clinical and radiographic examination revealed an aggressive circumferential peri-implantitis lesion around an implant placed 3 years previously and a bone cyst beside the teeth.

1 | Pre-operative situation: Implants on 36 and 37
1 | Pre-operative situation: Implants on 36 and 37
2 | Probing pocket depth (PPD) = 6 mm on implant 46
2 | Probing pocket depth (PPD) = 6 mm on implant 46
3 | Crestal and vertical incision and flap elevation; defects are visible, cleaning with the AIR-Flow® and decontamination with 0.2% CHX
3 | Crestal and vertical incision and flap elevation; defects are visible, cleaning with the AIR-Flow® and decontamination with 0.2% CHX
4 | Application of REGENFAST® before the addition of Geistlich Bio-Oss®
4 | Application of REGENFAST® before the addition of Geistlich Bio-Oss®
5 | Filling of the defects with Geistlich Bio-Oss® mixed with REGENFAST®
5 | Filling of the defects with Geistlich Bio-Oss® mixed with REGENFAST®
6 | Tension-free flap repositioning using sutures (6-0 slower resorption)
6 | Tension-free flap repositioning using sutures (6-0 slower resorption)
7 | Post-op view after 15 days, suture removal
7 | Post-op view after 15 days, suture removal
8 | At 1-year follow-up no signs of bleeding on probing, thin gingiva noticed and good oral hygiene
8 | At 1-year follow-up no signs of bleeding on probing, thin gingiva noticed and good oral hygiene
9 | Radiographic control at 1 year shows a stable bony situation
9 | Radiographic control at 1 year shows a stable bony situation
1 | Pre-operative situation: Implants on 36 and 37
2 | Probing pocket depth (PPD) = 6 mm on implant 46
3 | Crestal and vertical incision and flap elevation; defects are visible, cleaning with the AIR-Flow® and decontamination with 0.2% CHX
4 | Application of REGENFAST® before the addition of Geistlich Bio-Oss®
5 | Filling of the defects with Geistlich Bio-Oss® mixed with REGENFAST®
6 | Tension-free flap repositioning using sutures (6-0 slower resorption)
7 | Post-op view after 15 days, suture removal
8 | At 1-year follow-up no signs of bleeding on probing, thin gingiva noticed and good oral hygiene
9 | Radiographic control at 1 year shows a stable bony situation
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About the author

Dr. Jacques Hassid | France

Dental Surgeon in Colmar, France

Clinical Case
5’
Root coverage of multiple gingival recessions with Geistlich Fibro-Gide® and REGENFAST®
Next Level Soft Tissue Regeneration →
Expert Article
2’
Guided Bone Regeneration with REGENFAST®: Preliminary histological features
The Synergistic Potential of REGENFAST® and Geistlich Bio-Oss®. →
Interview
3’
“I have achieved impressive pocket reduction and clinical attachment gain.”
Feedback on using REGENFAST® →
Clinical Case
2’
Treatment of an infrabony defect in the distal mandible
Feedback on using REGENFAST® →
Clinical Case
5’
Root coverage of multiple gingival recessions with Geistlich Fibro-Gide® and REGENFAST®
Next Level Soft Tissue Regeneration →
Expert Article
2’
Guided Bone Regeneration with REGENFAST®: Preliminary histological features
The Synergistic Potential of REGENFAST® and Geistlich Bio-Oss®. →
Interview
3’
“I have achieved impressive pocket reduction and clinical attachment gain.”
Feedback on using REGENFAST® →
Clinical Case
2’
Treatment of an infrabony defect in the distal mandible
Feedback on using REGENFAST® →