Ridge Preservation with scar-free soft tissue healing

Fast, esthetic healing and successful delayed implant placement
Prof. Stefan Fickl · Germany · April 22, 2024
This case demonstrates predictable Ridge Preservation with Geistlich Bio-Oss® Collagen and Geistlich Mucograft® Seal, achieving scar-free soft tissue healing and mature bone volume for delayed implant placement at 4 months.

Clinical Challenge

Maintaining ridge volume and ensuring high-quality, esthetic soft tissue regeneration are critical in the anterior zone. In this case, both hard and soft tissues were preserved with no visible scarring, leading to a highly esthetic result.

Clinical Situation

The patient required extraction of a single anterior tooth. Atraumatic and minimally invasive techniques were used to prepare the site for delayed implant placement. The buccal bone wall was preserved, making it suitable for Ridge Preservation.

Treatment Protocol

  1. Extraction & Socket Management
    • Tooth extraction with minimal trauma
    • De-epithelialization of the sulcus using a diamond bur
    • Socket filled with Geistlich Bio-Oss® Collagen to preserve ridge dimensions
  2. Soft Tissue Sealing
  3. Wound Healing & Outcome
    • Day 3: Initial soft tissue healing with no signs of inflammation
    • Day 10 (suture removal): Healthy tissue closure with no scarring
    • At 9 weeks: Advanced soft tissue maturation with natural contours
  4. Implant Placement & Final Restoration
    • At 4 months: Adequate bone quality and volume confirmed
    • Implant placed without the need for further grafting
    • At 11 months: Final restoration completed with excellent esthetic integration

Clinical Approach

A minimally invasive extraction and socket preservation protocol supported optimal tissue regeneration. Geistlich biomaterials played a key role in achieving fast healing with natural esthetic results.

Conclusion

Ridge preservation with Geistlich Bio-Oss® Collagen and Geistlich Mucograft® Seal enabled scar-free soft tissue healing and stable bone formation. At 4 months post-extraction, the implant was placed without complications, and final restoration at 11 months delivered a highly satisfactory esthetic and functional result.


Prof. Stefan Fickl

Department of Periodontology
University Hospital Würzburg