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.”
“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.
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.