A Total Solution Provider for Every Biomaterial

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By: Dental Product Shopper
10/20/2023

From allografts and xenografts to biologics and palate-free matrices, Geistlich offers a full portfolio of premium regenerative bone and soft tissue substitutes for every patient situation

Stable and sturdy. Whether we’re talking about buildings or dental implants, the basic principle is the same. Nothing lasts long unless it’s made with reliable materials and built on a strong, solid foundation.

 

For long-term comfort and restorative longevity, implants require a predictable bone width along with strong socket walls for implant support. Additionally, implant patients often present with varied degrees of bone loss due to extractions and the normal aging process. To ensure successful restorations, many clinicians, including Samar Shaikh, BDS, MS, rely on an expansive line of bone and soft tissue regeneration solutions from Geistlich.

 

“I would say that the majority of implant patients would benefit from bone regeneration for optimal implant placement,” explained Dr. Shaikh, who is a periodontist and assistant professor at Tufts University, School of Dental Medicine. “When we’re extracting a tooth and eventually replacing it with an implant, we always add bone to the socket because we want to make sure we have a predictable bone width, which ensures a well-supported foundation in which to place the implant.”

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Nearly 4 decades ago, Geistlich developed a patented process for manufacturing bone material without the organic material that can cause immunological reactions. Today, the company offers a complete portfolio of bone regeneration materials—including bone substitutes, membranes, matrices, and growth factors—for every patient treatment.

 

“In my experience, I have found that Geistlich has a whole portfolio of materials to support your regenerative needs,” she shared.

 

Owing to the fact that no two patients are alike, Dr. Shaikh keeps an assortment of Geistlich products at the ready, and chooses her materials on a procedure-to-procedure basis.

 

Meet the Xenografts

 

She begins with Bio-Oss Collagen which is a xenograft porcine bone substitute that combines the predictability of Bio-Oss with the addition of 10% collagen. The Bio-Oss Collagen also adheres well to the defect site and is absorbed after a few weeks. It does not replace the barrier function of a membrane and is indicated for several therapeutic areas, including ridge preservation, minor bone augmentation, and periodontal regeneration.

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“Bio-Oss Collagen is great because it is packaged in the form of a block which allows for ease of handling, and takes the shape of the defect and is easy to manipulate,” she shared. “Because the chemical composition is 90% xenograft and 10% collagen, the collagen is important for cell growth, repair, and promotes regeneration along with the bone minerals.”

 

While Dr. Shaikh reaches for Bio-Oss Collagen for smaller sockets, she uses Bio-Oss particles for larger augmentations, such as a sinus lift or a ridge augmentation in which she’s trying to gain 8-10 millimeters of bone. Available in both small granules of 0.25-to 1-mm and large granules of between 1- and 2-mm, Bio-Oss particles adapt easily to defect sites and surrounding surface contours.

 

“The large Bio-Oss particles provide enhanced stability and promote angiogenesis,” she explained.

 

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Allograft Solutions

 

vallos allografts are 100% natural bone graft substitutes that do not contain synthetic carriers and are put through a stringent donor selection and proprietary aseptic processing that protects the native integrity of the graft. A cell-friendly structure encourages cellular attachment and infiltration into the scaffold. Additionally, vallos is both osteoconductive, providing an ideal surface for osteoblasts to attach and proliferate, while also osteoinductive, offering the growth factors present in demineralized

bone for healthy bone formation.

 

“Allografts such as vallos are popular because they have a moderate resorption rate, and so I use this material in intact socket walls. They are also commonly used to regenerate bone around teeth. Their primary function is space maintenance to allow for adequate bone regeneration for implant placement.”

 

Cocktails, Anyone?

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In dentistry, one size never fits all, and no two patient cases are ever identical. With xenografts and allografts both offering very different properties, it is not unusual to use a combination of the two materials for certain treatments, a situation commonly referred to as a “cocktail.”

 

“One of the best properties of an allograft is that it’s osteoinductive, so it can initiate bone formation from the surrounding cells, while xenografts are osteoconductive which means they act as a scaffold,” Dr. Shaikh explained.

 

“Sometimes a combination of both is ideal for situations such as socket grafting with missing walls, ridge augmentation, and even a sinus lift,” Dr. Shaikh added. 

 

Geistlich Bio-Gide is a porcine, resorbable collagen membrane that offers optimal tissue integration and wound stabilization. The smooth side of Bio-Gide provides a framework for bone cells and blood vessels, while the rough, open-pored layer side serves as a framework for bone cells and blood vessels.

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“I’ve used Bio-Gide when, after an extraction, one of the walls is missing or has a defect, maybe because of an infection, a weak wall, or a combination of reasons,” Dr. Shaikh explained. “The Bio-Gide membrane allows for cell occlusion by preventing the gingival epithelial cells from infiltrating the socket, allowing for proper bone regeneration. Bio-Gide has an extended resorption time of about 6-12 weeks, which gives me the additional time needed for bone regeneration. It adapts well to the site and is easy to manipulate.”

 

A Total Solution Provider For Bone Regeneration

 

Known in the industry as a total solution provider for all regenerative biomaterials, Geistlich maintains a solid reputation for safe, tested, naturally sourced, and quality biomaterials that support predictable outcomes.

 

“Geistlich offers the 3 essential components of bone regeneration—allograft, xenograft, and biologics—that have all gone through clinical trials and a strict validation process that ensure the bone grafts are premium quality,” shared Dr. Shaikh. “Geistlich is such a reliable company, and their customer support is excellent.”

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