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

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

Dr. Mario Beretta · Italy
 · October 31, 2023
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"In this GBR surgery, I used REGENFAST ® to speed up the healing process and to reduce treatment time. After 5 months, the newly formed bone was really hard and mature. Post-op discomfort proved to be less than with the standard procedure."

The Situation

The patient (24 years old, female, no previous pathologies) presented with severe horizontal atrophy at an edentulous saddle in site 35. The situation was not compatible with the planned insertion of an implant of correct diameter and length.
A Case Series was published in February 2024.1


Approach & Result

1 | The presence of severe horizontal atrophy in the edentulous site is clinically visible.
1 | The presence of severe horizontal atrophy in the edentulous site is clinically visible.
2 | After flap elevation, Geistlich Bio-Oss® is mixed with REGENFAST® and positioned at the level of the defect for the reconstruction of the alveolar crest.
2 | After flap elevation, Geistlich Bio-Oss® is mixed with REGENFAST® and positioned at the level of the defect for the reconstruction of the alveolar crest.
3 | A Geistlich Bio-Gide® Compressed membrane is fixated with surgical pins first on the lingual side and then on the vestibular side.
3 | A Geistlich Bio-Gide® Compressed membrane is fixated with surgical pins first on the lingual side and then on the vestibular side.
4 | Soft tissues healing after 7 days.
4 | Soft tissues healing after 7 days.
5 | Reopening after 5 months and taking a trephine biopsy for histology.
5 | Reopening after 5 months and taking a trephine biopsy for histology.
6 | An implant (3.8 × 9 mm) is placed and the site is augmented again with Geistlich Bio-Oss® mixed with REGENFAST® and stabilized with Geistlich Bio-Gide® Compressed.
6 | An implant (3.8 × 9 mm) is placed and the site is augmented again with Geistlich Bio-Oss® mixed with REGENFAST® and stabilized with Geistlich Bio-Gide® Compressed.
7 | Radiographic image after 3 months at the time of reopening.
7 | Radiographic image after 3 months at the time of reopening.
8 | Healing with the provisional.
8 | Healing with the provisional.
9 | Histological ground section of the regenerated site.
9 | Histological ground section of the regenerated site.
1 | The presence of severe horizontal atrophy in the edentulous site is clinically visible.
2 | After flap elevation, Geistlich Bio-Oss® is mixed with REGENFAST® and positioned at the level of the defect for the reconstruction of the alveolar crest.
3 | A Geistlich Bio-Gide® Compressed membrane is fixated with surgical pins first on the lingual side and then on the vestibular side.
4 | Soft tissues healing after 7 days.
5 | Reopening after 5 months and taking a trephine biopsy for histology.
6 | An implant (3.8 × 9 mm) is placed and the site is augmented again with Geistlich Bio-Oss® mixed with REGENFAST® and stabilized with Geistlich Bio-Gide® Compressed.
7 | Radiographic image after 3 months at the time of reopening.
8 | Healing with the provisional.
9 | Histological ground section of the regenerated site.

Download the Case

Related links
Find out more about REGENFAST® on our product page

Reference

1. Beretta M, et al.: Int J Periodontics Restorative Dent. 2024 Feb 16;0(0):1-23.

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About the author

Dr. Mario Beretta | Italy

Associate Professor, University of Milan, Italy

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