PurgoRegen

Clinical
Cases

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 01
E xtraction socket

Contents 1. Extraction socket 03

2. Horizontal-Vertical bone defect 14
3. Sinus pneumatization and vertical bone defect 36
4. Dehiscence and vertical bone defect 41
Guided open wound healing
with biologized hybrid bone Case Summary
substitute materials

1. Extraction socket
Prof. Dr. Dr. Dr. Shahram Ghanaati 1, Dr. Sarah Al-Maawi 2
1,2
Goethe-University Frankfurt, Department of Oral and Maxillofacial Plastic Surgery, Germany

Case Summary
1. Pre-operation. Situation prior to extraction. Situation after extraction. Socket preservation
Nationality German Age Mid-sixties with The Graft Collagen soaked in liquid PRF
for biologization.
Chief Complaint #26 tooth fracture because of several caries.

Grafting 6
1. Tooth extraction. Area
Treatment Plan 2. Socket preservation.
3. 6 months after bone grafting, implant placed (one-piece ceramic implant).

Category Products Method Description of the method

Soaking into the PRF

Bone graft THE Graft Collagen
liquid

Materials
Membrane Solid PRF membrane Covered solid PRF without other membrane.

Guided open wound With this method, the wound closure is Coverage THE Graft Collagen
Suture Resorbable suture with solid PRF.
healing guided by no force but only adaptation.

Category Indication Approach Surgical Procedures

■ Alveolar ridge
■ Implantology ■ Extraction sockets ■ One-stage
preservation
□ Periodontology □ Dehiscence □ Intra-socket □ Two-stage

□ Fenestration □ Bone augmentation □ Immediate placement/Immediate loading

Methods □ Horizontal bone loss □ Ridge Split □ Simultaneous approach

□ Vertical bone loss □ Lateral ■ Staged/Delayed approach

□ Sinus pneumatization □ Crestal

□ Furcation

□ Peri-implantitis 8. Intra-second operation. Building a full-thickness 9. Intra-second operation. Implantation of a SDS

one-piece ceramic implant.

Bone loss observed around

the fractured root rest. 8 weeks after implantation.

Conclusion
Collagenated bone graft material, THE Graft Collagen allows to preserve the socket and to have a perfect implantation bed.
10. Intra-second operation. Coverage of the implant
placement.
means of guided open wound healing.

PurgoRegen EU Clinical Cases 05

Biological approach with tooth discs
Case Summary
immediate implants

1. Extraction socket
Dr. med. dent. Peter Randelzhofer
Implant Competence Centrum Munich, Germany

Case Summary
1. Pre-operation. Bad prognosis of tooth #21 and #22 2. Intra-operation. Implant site preparation at the 3. Intra-operation. Implant placement (Megagen Anyridge)
Nationality German Age Early thirties due to endodontic problem, years after a front tooth palatal aspect of the socket at #21 after careful with 35 Ncm. A tooth disc of 3 mm is prepared as a
trauma. extraction of tooth #21 and #22. natural cover to stabilize the dent gingival complex.
Chief Complaint #21, 22 had endodontic problem.

1. Extraction #21, 22. 1 2

Grafting
2. Immediate implant placement (2 stage) at #21 with simultaneously bone Area
grafting with mixed THE Graft and PRF.
Treatment Plan
3. Covered with a tooth disc at #21, 22.
4. Temporary bridge delivered.
5. Final prosthesis delivered.

Category Products Method Description of the method

Bone graft THE Graft Mixed with PRF Fill the gap concept.

Materials
Membrane None Instead of membrane, tooth discs covered.
4. Intra-operation. Augmentation with mixed 5. Intra-operation. Tooth discs in place to minimize CBCT right after implant placement.
THE Graft and PRF of the remaining space the risk of tissue resorption. Observed with a good stabilization due to the
between the implant and the socket #21 thread design of the any ridge implant with bone
Suture Glycolon and the socket itself #22. augmentation.

Category Indication Approach Surgical Procedures

■ Implantology ■ Extraction sockets Alveolar ridge □ One-stage

□ preservation

□ Periodontology □ Dehiscence ■ Intra-socket ■ Two-stage

□ Fenestration □ Bone augmentation ■ Immediate placement/Immediate loading

Methods □ Horizontal bone loss □ Ridge Split ■ Simultaneous approach

□ Vertical bone loss □ Lateral □ Staged/Delayed approach

□ Sinus pneumatization □ Crestal

□ Furcation 7. Provisional restoration. Screw retained temporary Stable tissue situation before 9. Final restorations. Zirconium abutment in place at #21.
on implant at #21 with pontic at #22 and
a magnetic approach at #11 to extrude
□ Peri-implantitis the tooth disc of the pontic area.

Right after augmentation of the

3 months after immediate loading.

Conclusion
10. Fabric restorations. Implant framework and 11. Final restorations. Final ceramic prosthetics Final outcome after prosthetic
Resorbable collagen membrane with a liquid PRF matrix results in very rapid peri-implant soft tissue closure (Guided Open Wound veneer preparation tooth #11. #11-22 as an oviate point. placement 12 months after implant placement
and bone grafting.
Healing).

PurgoRegen EU Clinical Cases 07

Immediate implant loading
Case Summary

1. Extraction socket
Dr. Torsten Conrad M.Sc.
Zentrum für innovative Zahnheilkunde, Bingen, Germany

Case Summary
1. Pre-operation. Labial view. Fracture of the 2. Pre-operation. Occlusal view. 3. Intra-operation. Piezo-based root rest extraction.
Nationality German Age vestibular root portion, after loss of the crown.

Chief Complaint #12 tooth fracture and remained root rest. Loss of the vestibular bone lamella.

1. Preoperative antibiosis IV, control vitamin D status. 2

Grafting
2. Preparation of a liquid and solid PRF matrix. Area
3. Decontamination of the extraction socket.
Treatment Plan
4. Bone grafting with THE Graft Collagen soaked with liquid PRF matrix.
5. Covering with resorbable membrane.
6. Immediately implant placement and loading with a long-term provisional.

Category Products Method Description of the method

Collagenated bone graft material was with a

Soaking into the PRF
Bone graft THE Graft Collagen LSCC-PRF low liquid matrix and trimmed to
liquid
compare the size of root rest.

Resorbable collagen membrane with a

Materials Membrane BioCover LSCC-PRF high membrane-matrix, crestal
coverage of the bone graft. 4. Intra-operation. THE Graft Collagen was soaked 5. Intra-operation. Adaptation of the bone graft Decontaminated alveolus
with liquid PRF and #12 root rest was extracted. (THE Graft Collagen) to replace the vestibular (HELBO laser) after preparation of the implant
bone lamella. bed and bone grafted.
Guided open wound
Suture PTFE 4.0 Fixation of the collagen membrane.
healing technique

Photodynamic laser
Others HELBO Laser Decontamination of the extraction socket.
therapy

Category Indication Approach Surgical Procedures

■ Implantology ■ Extraction sockets □ Alveolar ridge ■ One-stage

preservation
□ Periodontology □ Dehiscence ■ Intra-socket □ Two-stage

□ Fenestration ■ Bone augmentation ■ Immediate placement/Immediate loading

Methods □ Horizontal bone loss □ Ridge Split ■ Simultaneous approach

□ Vertical bone loss □ Lateral □ Staged/Delayed approach

7. Intra-operation. Implant placed 8. Intra-operation. Crestal covering of the bone
□ Sinus pneumatization □ Crestal (Camlog 3.8-17 mm Progressive Line). graft with resorbable collagen membrane Labial view.
(BioCover) and delivered provisional crown.
□ Furcation

□ Peri-implantitis

Right after augmentation of the

3 months after immediate loading.

Labial view. Labial view. Removed provisional crown. Labial view.

Conclusion

Resorbable collagen membrane with a liquid PRF matrix results in very rapid peri-implant soft tissue closure (Guided Open Wound
Healing).
PurgoRegen EU Clinical Cases 09
Bone augmentation performed simultaneously
with dental implant placement Case Summary

1. Extraction socket
Dr. Jérôme Surmenian
France

Case Summary
Nationality French Age Early sixties It shows bone loss Vertical and horizontal Teeth were extracted,
around tooth #36. bone loss around the mandibular left area was visible. implants were immediately placed.

Chief Complaint Patient with severe bone loss around #35.

1. Teeth extraction and immediate implant (2 stage). Grafting

2. Bone grafting with sticky bone (THE Graft with PRF). Area
5 6
Treatment Plan 3. Graft site was covered with PRF membrane.
4. Primary closure not achieved.
5. 2.5 months after healing period, 2 nd stage performed.

Category Products Method Description of the method

Mixed THE Graft (0.25- 1mm size) with PRF

Bone graft THE Graft Mixed with PRF
for making a sticky bone.
Materials
Membrane PRF membrane Covered with PRF membrane.

Sticky bone Covered with PRF

Suture Primary closure (THE Graft with PRF) was applied. membrane.

Category Indication Approach Surgical Procedures

■ Implantology ■ Extraction sockets Alveolar ridge □ One-stage

■ preservation

□ Periodontology □ Dehiscence □ Intra-socket ■ Two-stage

□ Fenestration ■ Bone augmentation ■ Immediate placement/Immediate loading

Methods ■ Horizontal bone loss □ Ridge Split ■ Simultaneous approach

■ Vertical bone loss □ Lateral □ Staged/Delayed approach

□ Sinus pneumatization □ Crestal

□ Furcation

□ Peri-implantitis 9. 2nd
We observed very good bone volume covering implants.

CBCT shows severe bone loss

and implant integration was Bone augmentation
achieved at 2.5 months. observed around implant.

Conclusion
Complete bone regeneration was achieved at 2.5 months post covering implants.
Vascularized bone was observed.
10. 2nd Removed cover screws. 11. 2nd Connected healing abutments. 12. 2nd Sutured.

PurgoRegen EU Clinical Cases 11

Posterior mandible bone atrophy treated with
osteo-immunology protocol Case Summary

1. Extraction socket
Dr. Jérôme Surmenian
France

Case Summary
Nationality French Age It shows severe bone Vertical and horizontal After extraction and area
loss around the endodontic tooth. bone loss around the mandibular right area was visible. cleaning, massive bone loss is observed.

Chief Complaint The patient had a severe bone loss around the endodontic tooth.

Grafting
1. Teeth extraction. Area
2. Graft grafted with sticky bone (THE Graft with PRF). 76
Treatment Plan

4. Primary closure was achieved, using a single interrupted suture.

Category Products Method Description of the method

Mixed THE Graft (0.25- 1mm size) with PRF

Bone graft THE Graft Mixed with PRF
for making a sticky bone.

Materials
Membrane Covered THE Cover and PRF membrane.
PRF membrane

Primary closure was achieved, using single Sticky bone Covered with THE Cover Covered with PRF
Suture Primary closure (THE Graft with PRF) was applied. membrane.
interrupted suture.

Category Indication Approach Surgical Procedures

■ Implantology ■ Extraction sockets Alveolar ridge □ One-stage

■ preservation

□ Periodontology □ Dehiscence □ Intra-socket ■ Two-stage

□ Fenestration ■ Bone augmentation ■ Immediate placement/Immediate loading

Methods ■ Horizontal bone loss □ Ridge Split ■ Simultaneous approach

■ Vertical bone loss □ Lateral □ Staged/Delayed approach

□ Sinus pneumatization □ Crestal

□ Furcation

□ Peri-implantitis Single interrupted sutured.

Clinically observed healthy soft tissue.

Radiographically observed New bone volume observed

severe bone loss. on CBCT.

Conclusion
2.5 months after healing, bone regeneration was achieved, and two implants were placed. We notice healthy new bone regeneration. 10. 2nd 11. 2nd Implants placement. 12. 2nd Implants placement.
elevation.

PurgoRegen EU Clinical Cases 13

 Horizontal ridge augmentation in
anterior atrophic mandible

2. Horizontal-Vertical bone defect

Dr. Colombo Fabrizio
Italy

Case Summary

02
Nationality Italian Age Mid-twenties

The patient presented for a treatment of a bilateral agenesis of the upper right
Chief Complaint
and left lateral incisors.

1. #12 and #22 implants (Megagen; Any Ridge) placement and

simultaneous GBR with xenograft biomaterial (Purgo; THE Graft) and
2 2
Collagen membrane (Purgo; BioCover). Grafting
2. After 6 months of healing, uncovering and implant loading Area
with two screwed retained acrylic temporary crowns.
Treatment Plan

Horizontal-Vertica l
3. After 6 months of soft tissue maturation, in order to obtain a
convex buccal architecture, a soft tissue management by a connective
tissue graft harvested from the palate was performed.
4. After 6 months of healing, temporary crowns were replaced

bone defect Category Products Method

Placement of xenograft
Description of the method

biomaterial on the THE Graft small particulate size was placed

Bone graft THE Graft
exposed implant surface on the wounds in the buccal area.
Materials area
Using collagen resorbable membrane for
Membrane BioCover Fixation with pins
horizontal ridge augmentation.

Suture Biotex Primary closure

Category Indication Approach Implant technique

■ Implantology □ Extraction sockets □ Alveolar ridge ■ One-stage

preservation
□ Periodontology □ Dehiscence □ Intra-socket □ Two-stage

■ Fenestration ■ Bone augmentation □ Immediate placement/Immediate loading

Methods ■ Horizontal bone loss □ Ridge Split ■ Simultaneous approach

□ Vertical bone loss □ Lateral □ Staged/Delayed approach

□ Sinus pneumatization □ Crestal

□ Furcation

□ Peri-implantitis

Final situation after horizontal

ridge augmentation with
Horizontal bone loss was GBR technique and soft
observed at the start of the tissue management with CTG
therapy. (connective tissue graft).

Conclusion

around the implants. The one-stage approach is a safe procedure with a short healing time, low invasiveness, and less number of surgeries. It is also
important to deliver a prosthesis that allows home and professional hygienic maintenance in the long term. The x-ray exam taken after 5 years of
follow-up shows the good stability of the regenerated bone.

PurgoRegen EU Clinical Cases 15

Case Summary Case Summary

2. Horizontal-Vertical bone defect

#12 #22
Lack of typical convex Lack of typical convex Placement of Final impression.
the alveolar ridge observed by CBCT exam. architecture of the buccal side of the lateral incisors architecture of the buccal side of the lateral incisors a connective tissue graft taken from the palate in used to stabilize the connective graft and placement
area (frontal view). area (lateral view). a buccal pocket at #22. of the temporary crowns.

#12 #22

Buccal fenestrations after Stabilization of the Buccal stabilization of the

implants placement. membrane of the palatal side and placement of collagen membranes. Delivering of two zirconia screwed retained Observed the good stability of the peri-implant
THE Graft on the buccal area. hard tissue.

Biotex completed
the primary closure. Clinical situation after 6 months of post-GBR healing. Placement of two healing abutments using a minimally

Placement of
Delivering of two screwed retained temporary acrylic Cosmetic evaluation after an additive odonto-plastic a connective tissue graft taken from the palate in
crowns during the uncovering surgical session. performed on the upper right and left central incisors. a buccal pocket at #12.

PurgoRegen EU Clinical Cases 17

“Kieler Sushi” two-stage horizontal
augmentation Case Summary

2. Horizontal-Vertical bone defect

Dr. Oliver Zernial
Germany

Case Summary #44 #46

High grade atrophic ridge under Radiographically showed Radiographically observed
Nationality German Age Late sixties bridge. need of ridge preservation and removal of #44.
vertical bone, leading to a two-stage surgery with
Chief Complaint #44-46 were missing teeth. horizontal augmentation.

2. Application of plasma stabilized "Kieler Sushi" which was made with

THE Graft, autologous bone chips, and PRP. Grafting
Area
6X4
Treatment Plan
4. Primary closure.
5. 8 months after GBR, implant placement.

7. 3 years control.

Category Products Method Description of the method

“Kieler Sushi”: Autologous bone with THE

THE Graft,
Bone graft Mixed Graft (large size) with Kieler Sushi technique
autologous bone
within 60 seconds for making a graft. Preparation of The plasma-stabilized
Materials Resorbable collagen removal of destroyed #44, and gaining autologous bone. “Kieler Sushi”, within 60 seconds Purgo "THE Graft", “Kieler Sushi” augmentation block was able to be used
Covered with resorbable collagen membrane Only bone harvesting with micro scraper, this results in PRP, and autologous bone chips according to without mechanical stabilization (pins, meshes, etc.).
Membrane membrane, the gain of “Kieler Sushi” required autologous bone and
refreshes also the bone.
Supramid 4-0,
Suture Primary Closure
Resolon 6-0

Category Indication Approach Surgical Procedures

■ Implantology □ Extraction sockets Alveolar ridge ■ One-stage

□ preservation

□ Periodontology □ Dehiscence □ Intra-socket □ Two-stage

□ Fenestration ■ Bone augmentation □ Immediate placement/Immediate loading

Methods ■ Horizontal bone loss □ Ridge Split □ Simultaneous approach

□ Vertical bone loss □ Lateral ■ Staged/Delayed approach

□ Sinus pneumatization □ Crestal Mobilization of muco Filled socket with parts of Extraordinary stability of
“Kieler Sushi”. the plasma stabilized only. "Kieler Sushi" with
THE Graft (L).
□ Furcation

□ Peri-implantitis

The alveolar ridge was 4 months after GBR + 4 months

after implant placement, a
implant placement and one satisfactory result can be
stage procedure. observed.

Conclusion
Sushi block with Two-stage procedure Additional coverage with
Standard case in implantology – A late sixties patient came to the clinic with a fractured tooth #44 that results in loss of bridge #47 and atrophic bone in THE Graft adopts perfect to the pretty complex requires coverage with a resorbable collagen
situation. membrane, due to the ability of the “Kieler Sushi” to
like the Khoury technique, block augmentation, or mesh surgery are scaring many patients because many cases are not treated with implants. glue on the defect no pins or screws are needed.

According to the “Kieler Sushi”, this case could have been done in one stage but due to the highest predictability, we used two-stage with this kind of
high-grade atrophies.
PurgoRegen EU Clinical Cases 19
 Vertical augmentation using
Case Summary Kieler Sushi Technique

2. Horizontal-Vertical bone defect

Dr. Oliver Zernial
Germany

Case Summary
Primary closure with Temporarily prosthetics
supramid 4-0 and resolon 6-0. with an occlusal splint. Full osseointegration with partial remodeling of Nationality German Age Early sixties
THE Graft was achieved. The augmentation site is
Chief Complaint #46, 47 were missing, #44, 45 were tooth fracture.
placement is ideally possible.

2. Applied the “Kieler Sushi” which was made with THE Graft, PRP, and
autologous bone chips (no shells, tenting screws, or meshes). Grafting
Area
7 6 5
Treatment Plan
4. Primary closure.
5. 4.5 months after GBR, implants placement (two-stage) and biopsy.
6. 8.5 months after 1 st GBR, 2nd
at same time.

Category Products Method Description of the method

Sticky bone (THE Graft (0.25-1 mm) and PRF)

Bone graft THE Graft Sticky bone
for Kieler Sushi technique.
The stable
situation at both implants, due to “Kieler Sushi” with Materials Resorbable collagen
THE Graft was not needed for soft tissue corrections. Covered with resorbable collagen membrane
Membrane membrane,
Therefore, "Kieler Sushi" augmentation technique with
THE Graft shows ideal grafting results.

Suture Primary closure

Category Indication Approach Surgical Procedures

■ Implantology □ Extraction sockets Alveolar ridge □ One-stage

□ preservation
□ Periodontology □ Dehiscence □ Intra-socket ■ Two-stage

□ Fenestration ■ Bone augmentation □ Immediate placement/Immediate loading

Methods ■ Horizontal bone loss □ Ridge Split □ Simultaneous approach

■ Vertical bone loss □ Lateral ■ Staged/Delayed approach

□ Sinus pneumatization □ Crestal

□ Furcation

□ Peri-implantitis

8.5 months after GBR + implant

placement, radiographically
observed bone increased
CBCT clearly showed vertical
augmentation are needed. placement.

Kieler Sushi is a special augmentation technique, based on the experience of Dr. Oliver Zernial, CMF from Kiel (Germany). It consists of
special treatment with autologous bone, blood concentrate, and bone graft. This special protocol results in a very stable, moldable, and
glueable bone with a very predictable augmentation.
Conclusion
An early sixties patient visited our clinic with horizontal and vertical atrophic situations #46-47. Teeth #44 and #45 were removed too. Two-stage
procedure with vertical augmentation in the molar region and ridge preservation after removal of pre-molar was performed. Due to the advantages

implant healing time, re-entry shows implants overgrown with bone. This case demonstrates the possibilities of only plasma stabilized Kieler Sushi
augmentation.
PurgoRegen EU Clinical Cases 21
Case Summary
Clearly showing the
need for vertical augmentation. Complex atrophy in the
right mandibular. Both pre-molars need to be removed.
anterior is like ridge preservation and distal almost
5 mm vertical need to be done.
After 4.5 months, both
(vertical and horizontal) augmentation areas are
expected good prosthetic results, showing no
been maintained.
implants with regular dimensions can be placed in the
prosthetic preferred position.
Three implants
(cone log, Camlog) in preferred position.
Shows the horizontal and
vertical augmentation from #44 to #47, a perfect
adaption of THE Graft with Kieler Sushi technique is
clearly visible (no stabilization with tenting screws or
meshes needed).
by CBCT, especially # 46 and #47 showed vertical
reconstruction of more than 4-5 mm.
implants with regular dimensions can be placed in the
prosthetic preferred position. Biopsy taken to verify the
good clinical result.
Vertical bone was
increased by “Kieler Sushi”, realigned and covered
with PRF.
Case Summary
2. Horizontal-Vertical bone defect
Due to the big volume of Re-entry was showing the marvelous bone Gingiva could have moved labially so that
the augmented site with vertical components a collagen growth of THE Graft with the “Kieler Sushi” technique soft tissue corrections could have been avoided. Not only bony but also soft tissue regeneration is more
as the implants needed to be released from than needed so no corrections are needed, and the
membrane (also no pins used due to “Kieler Sushi”). overgrowing bone. long-term prognosis is very good.
Clinical results are
satisfying in both, vertical and horizontal. Extreme good
remodeling of THE Graft, which can be handled easily
via the “Kieler Sushi” technique.
Osteocytes in new bone are
visible, basal osteoid can be seen. Full integration of
THE Graft is seen.
Full healing of
three implants after additional four months.
PurgoRegen EU Clinical Cases 23
Restricted front tooth area after traumatic injury
and implant approach Case Summary

2. Horizontal-Vertical bone defect

Dr. med. dent. Peter Randelzhofer
Implant Competence Centrum Munich, Germany

Case Summary
1. Pre-operation. Radiographically observed vertical Implants placed at #11 and Autologous bone with PRF to
Nationality German Age Late thirties bone loss after extraction at #11-22. #22 (Megagen Anyridge) a bridge reconstruction. cover the sensible structures at the implant surface.
And sticky bone was prepared (THE Graft with PRF).
Chief Complaint #11-22 teeth missing.

1. Implants placement (2 stage) at #11, 22.

Grafting 1 1 2
(THE Graft and PRF) placed. Area
Treatment Plan 3. Double layered collagen membrane.
4. 2nd
for soft tissue grafting.
5. Final prosthesis delivered.

Category Products Method Description of the method

Layering,
THE Graft, Autogenous bone on implant surface with
Bone graft Sticky bone
autogenous bone over augmentation of sticky bone.
(THE Graft with PRF)
Materials
Membrane Ossixplus Double layering
Big shield of sticky bone Augmentation in place, Complete coverage of the
of THE Graft with PRF applied. stabilized due to PRF. augmented area with a collagen membrane in
double layer technique.
Suture Glycolon

Category Indication Approach Surgical Procedures

■ Implantology □ Extraction sockets □ Alveolar ridge □ One-stage

preservation
□ Periodontology □ Dehiscence □ Intra-socket ■ Two-stage

□ Fenestration ■ Bone augmentation ■ Immediate placement/Immediate loading

Methods ■ Horizontal bone loss □ Ridge Split ■ Simultaneous approach

■ Vertical bone loss □ Lateral □ Staged/Delayed approach

□ Sinus pneumatization □ Crestal

□ Furcation Tension free closure with anchor st

op and 9. Post-second operation. Radiographically observed
2nd stage surgery with punch BGT soft tissue bone increased vertically.
□ Peri-implantitis augmentation through a pouch preparation at the
implants and the pontic area.

Final zirconia bridge on

2 individual CAD CAM
6 months after extraction at abutments.
#11-22. With an acceptable functional
Vertical bone loss observed. as an esthetic outcome.

Conclusion
Simultaneous augmentation and implantation with THE Graft in combination with autologous bone and PRF can provide predictable results in horizontal
as vertical bone formation.
10. Final restorations. Soft tissue preparation and 11. Final restorations.
individualization by the help of a temporary situation with individualized impression posts, Observed good healing quality around the implants.
implant bridge.
temporary.

PurgoRegen EU Clinical Cases 25

Ridge augmentation with THE Graft in
combination with simultaneous implant Case Summary
placement and immediate temporization

2. Horizontal-Vertical bone defect

Dr. Marcus Engelschalk
Slow Digital Dentistry, Dental Clinic, Munich, Germany

Case Summary
1. Pre-operation. Initial situation of the patient 2. Pre-operation. Initial situation of the patient 3. Intra-operation. Situation after the removal
Nationality German at the time of diagnosis; frontal view. at the time of diagnostic; occlusal view. of prosthetic #11-13 and the extraction of tooth #12.

Multiple tooth lost caused by severe periodontitis and wrong dental treatment
Chief Complaint
in the past as well as wrong implant placements.
5-1 1-5
Grafting
1. Extraction and bone augmentation / augmentation of the ridge with
Area
immediate implant placement and immediate temporization in the upper jaw.
Treatment Plan 2. Explantation and additional implantation after healed bone
augmentation in the upper jaw.
3. Prosthetic reconstruction of the upper jaw.

Category Products Method Description of the method

THE Graft was mixed with PRGF according

In combination with to the Bti protocol for #15-11 as well as with
Bone graft THE Graft PRGF (#11-15) and with Hyaluronic acid for #21-25 to create a sticky
Hyaluronic acid (#21-25) bone graft and to improve the handling and
the healing potential of the graft.
Materials
Resorbable membranes were used to cover
In combination with a the augmentation material and were covered
Membrane SmartBrane 4. Simulation. Initial situation of the patient at the time 5. Simulation. Digital wax-up of the temporary based Digital wax-up of the temporary based
PRGF membrane themselves by a layer on PRGF membranes
of diagnostic; intraoral scan. on the implant planning with R2Gate software. on the implant planning with R2Gate software.
to improve the soft tissue healing.

Horizontal mattress
Suture Prolene 4.0, Ethicon by fully covering the augmentation areas and
suture
adapted to the temporary abutments.

Category Indication Approach Surgical Procedures

■ Implantology ■ Extraction sockets ■ Alveolar ridge ■ One-stage (#15-14 and #24-25)

preservation
□ Periodontology □ Dehiscence ■ Intra-socket ■ Two-stage (#13-23)

□ Fenestration ■ Bone augmentation ■ Immediate placement/Immediate loading

Methods ■ Horizontal bone loss ■ Ridge Split □ Simultaneous approach

■ Vertical bone loss □ Lateral □ Staged/Delayed approach

□ Sinus pneumatization □ Crestal ■ Digital Guide Surgery

7. Simulation. Implant position planning for immediate 8. Simulation. Implant position planning for immediate 9. Simulation. Implant position planning for immediate
implant placement at #25. implant placement at #22. implant placement at #14.
□ Furcation

□ Peri-implantitis

All-on-5 implants based

#14, 15 as well as #21, #23-27 prosthetic reconstruction of the
with severe periodontitis and upper jaw with new implant #11
clinical mobility grade II and and ridge augmentation
wrong positioned implant #11. (+ 1 year follow up).

Conclusion

split-mouth approach with PRGF and Hyaluronic acid in combination with THE Graft. The adaption was perfect after creating sticky bone portions. The 10. Intra-operation. Situation after extraction of all 11. Intra-operation. 12. Intra-operation. Inserting an implant through the guide
teeth in the upper jaw. osteosynthesis screws for stable positioning.
bone healing was in the planned dimension with a high-quality of newly formatted bone structure for placing an additional implant and to support the
placed implants at the time of augmentation.

PurgoRegen EU Clinical Cases 27

 Vertical and horizontal maxillary bone
Case Summary augmentation on mandibular atrophy

2. Horizontal-Vertical bone defect

Dr. Pablo Bustillo
Spain

Case Summary
13. Intra-operation. 14. Intra-operation. Picturing the alveolar crest and the 15. Intra-operation. Situation of the upper jaw before
placement to get access for bone augmentation. bone situation as well as cleaning the bone from bone augmentation. Nationality Spanish
granulate tissue.
The patient with vertical bilateral mandibular atrophy due to prolonged dental
Chief Complaint loss and the use of removable partial prostheses that caused a vertical bone
defect and dental destruction in those parts that supported the prosthesis.
Grafting
1. 3 months was expected for the maturation of soft and hard tissue. Area
2. Applied mixed THE Graft and autogenous (5:5) and covered with 4 6
Treatment Plan OpenTex-TR.
3. 6 months after GBR, removed OpenTex-TR, biopsy, and implants
placement.

Category Products Method Description of the method

Mixed autologous bone harvested from the

THE Graft, left and right oblique line as well as the chin
Materials Bone graft Mixed (5:5)
autogenous (50%) and small particle size, THE Graft
(50%).

Using reinforced PTFE membrane (30X40) for

Membrane OpenTex-TR Fixation with screws
vertical ridge augmentation.
Production process of the PRGF 17. Intra-operation. Creating sticky bone with activated 18. Intra-operation. Creating sticky bone with Hyaluronic
following the protocol of Prof. Anitua. PRGF and THE Graft. acid and THE Graft.
Category Indication Approach Implant technique

■ Implantology □ Extraction sockets Alveolar ridge □ One-stage

□ preservation

□ Periodontology □ Dehiscence □ Intra-socket ■ Two-stage

□ Fenestration ■ Bone augmentation □ Immediate placement/Immediate loading

Methods ■ Horizontal bone loss □ Ridge Split □ Simultaneous approach

■ Vertical bone loss □ Lateral ■ Staged/Delayed approach

□ Sinus pneumatization □ Crestal

□ Furcation

□ Peri-implantitis

19. Intra-operation. Bone augmentation with PRGF and 20. Intra-operation. Bone augmentation in place in the 21. Intra-operation. Applied of the PRGF membrane on
upper jaw at #15-25. the already placed resorbable membranes
(SmartBrane).

delivered. Radiographically
observed implants stable
Observed bone loss. without marginal bone loss.

22. Post-operation. Panorama view. Post operative

control x-ray after extractions, implant placement, Final prosthesis upper jaw, full arch monolithic
and bone augmentation. reconstruction. zirconia implant bridge. Smile line.

PurgoRegen EU Clinical Cases 29

 Vertical and horizontal reconstruction of the
Case Summary upper right posterior maxilla using allograft
cortical struts

2. Horizontal-Vertical bone defect

Dr. Stavros Eleftheriou
UK

Case Summary
RX control pre-op. Edentulous with left mandibular Incision.
atrophy. Nationality UK Age

Patient would like to restore the chewing function in the right side, with good
Chief Complaint
aesthetic results.
Grafting 6543
1. Regenerate the bone and allow 4 months of healing. Area
2. Place 3 implants and wait for 3 months for osseointegration.
Treatment Plan
3. Expose the implants + soft tissue surgery (if needed).
4. Patient referred to the restorative dentist.

Category Products Method Description of the method

The allograft cortical struts used to create the

Two type bone graft space with screws.
THE Graft,
Bone graft mixed with PRF for sticky THE Graft was mixed with allograft (50-50)
allograft
bone and S-PRF & A-PRF were used to prepare
Materials sticky bone.

GBR using PTFE Fixation OpenTex-TR A-PRF membranes were layered over the
Membrane PRF membrane
reinforced membrane (OpenTex-TR) and mixed with pins. grafted area.
THE Graft and autogenous bone graft (50:50%).

Category Indication Approach Implant technique

■ Implantology □ Extraction sockets Alveolar ridge □ One-stage

□ preservation

□ Periodontology □ Dehiscence □ Intra-socket ■ Two-stage

□ Fenestration ■ Bone augmentation □ Immediate placement/Immediate loading

Methods ■ Horizontal bone loss □ Ridge Split □ Simultaneous approach

■ Vertical bone loss □ Lateral ■ Staged/Delayed approach

□ Sinus pneumatization □ Crestal

□ Furcation

Re-open. Clinically observed vascularized new bone New bone is surrounded by residual □ Peri-implantitis
formation. bone.

Post Bone Regeneration

Allograft cortical struts secured surgery and post FGG (Free
with screws to create the space Gingival Graft) surgery. Picture
for the particulate bone grafting taken prior to referral to the
material (sticky bone). restorative Dentist.

Conclusion
The outcome of the bone grafting procedure was satisfactory in terms of the amount of bone achieved and the positioning of the

Therefore, THE Graft is a great biomaterial that I use on a regular basis on its own in many cases or in combination with allografts
Implants were placed Implants were placed. Good oral hygiene was maintained.
using temporary guide stents.
(and always using PRF) for large reconstructions.

PurgoRegen EU Clinical Cases 31

Case Summary Case Summary

2. Horizontal-Vertical bone defect

1. Pre-operative CBCT scan. It shows the narrow It shows
alveolar ridge. Soft tissue appearance 3 months Split thickness apically
post implants placement.
attached gingiva buccally. Implants exposed - cover
screws replaced with healing abutments (2 nd op).

Allograft cortical struts secured with screws to THE Graft is mixed with allograft (50:50) and A-PRF membranes layered over the grafted area.
create the space for the graft to heal protecting it combined with sticky bone, which is then packed
from the pressure from the soft tissue and from any in place.
muscular movement.

Passive closure achieved using 2 layers of sutures. About 4 months after the initial surgery. prior to implant placement.

Implants
Exposure of the grafted area - some screws have Drilling according to the implants system - parallel placed (2 stage) - cover screws in place
been removed. There is good amount of bone pins in place. (Southern Implants External Hex Msc).
regeneration for implant placement. Incision and

grafting procedure was satisfactory in terms of the

amount of bone achieved for implants placement.

PurgoRegen EU Clinical Cases 33

The use of porcine xenograft mixed with
allograft in combination with the Fast System Case Summary
for the reconstruction of a posterior mandibular

2. Horizontal-Vertical bone defect

horizontal and vertical defect
Dr. Stavros Eleftheriou
UK

Case Summary #46 #47

Severe bone CBCT radiography Vertical and horizontal bone loss
Nationality UK Age Mid-forties loss around the failing implants is observed. showing the severe vertical bone loss. of the posterior mandible right area.

The patient had two failed implants in the right posterior mandible and ended
Chief Complaint up in a large horizontal and vertical defect. Patient wanted to restore function
with implants.
Grafting
1. Create the necessary space for the graft to heal using a titanium plate
Area
with screws (Fast System by Dr. Choukroun). Graft using THE Graft and 7 6
allograft (50:50) and combine with S-PRF & A-PRF for sticky bone.
Treatment Plan 2. Wait for 4 months.
3. Removal of the titanium plate and screws and implant placement (1 st op).
4. Patients was referred to the restorative dentist.

Category Products Method Description of the method

THE Graft and allograft were mixed with PRF

Two type bone graft
THE Graft, and “Sticky Bone” was prepared, as per Dr.
Bone graft mixed with PRF for sticky
allograft Joseph Choukroun’s protocols.
Materials bone

Incision
The defect is grafted using the “Sticky Bone”
A-PRF membranes were layered over the lingually. allow for the tenting of the soft tissue (Choukroun’s (THE Graft and allograft were mixed (50:50) with PRF).
Membrane PRF membrane
grafted area. Fast system).

Category Indication Approach Implant technique

■ Implantology □ Extraction sockets □ Alveolar ridge □ One-stage

preservation
□ Periodontology □ Dehiscence □ Intra-socket ■ Two-stage

□ Fenestration ■ Bone augmentation □ Immediate placement/Immediate loading

Methods ■ Horizontal bone loss □ Ridge Split □ Simultaneous approach

■ Vertical bone loss □ Lateral ■ Staged/Delayed approach

□ Sinus pneumatization □ Crestal #46 #47

□ Furcation The
PRF membranes are layered over the titanium wound is sutured using 2 layers of sutures: 1. horizontal CBCT radiography showing substantial vertical
□ Peri-implantitis plate/grafted area. mattress sutures deep into the vestibulum to eliminate and horizontal bone gains.

4 months after bone grafting. The amount of

Bony defect following the loss of 2 implants.

Conclusion
The area appears to have healed well on the CBCT scan. Satisfactory bone formation and restoration of the anatomy of the mandible
is observed. The inferior alveolar canal is restored, which was compromised due to the bone loss. No graft particles could be seen The titanium plate and screws Implants inserted - just before seating them in place.
macroscopically as is the case with many other xenografts. are removed. Satisfactory bone formation is observed,
In my experience, Purgo “THE Graft” on its own, or in combination with allografts (for complex defects) and mixed with PRF is a great and the anatomy of the mandible is restored.
biomaterial.

PurgoRegen EU Clinical Cases 35

 Bi-Lateral sinus lift and horizontal bone
augmentation with simultaneous implant
placement

3. Sinus pneumatization and vertical bone defect

Dr. Jérôme Surmenian
France

Case Summary

03
Nationality French Age

Chief Complaint The patient had a severe bone loss around the endodontic tooth.

1. Lateral wall sinus lift and simultaneous implant placement at #14-#15-#16

(2 stage).
Grafting 6 5 4 4 5 6
2. Sticky bone (THE Graft with PRF) applied covered BioCover collagen Area
membrane at #14-#15-#16.
Treatment Plan 3. Lateral wall sinus lift and simultaneous implant placement at #24-#25-#26
(2 stage).

Sinus pneumatization an d
4. Sticky bone (THE Graft with PRF) applied at #24-#25-#26.
5. 3.5 months after healing, re-open for 2 nd stage performed
at #14-#15-#16, #24-#25-#26.

vertical bone defect

Category Products Method Description of the method

Mixed THE Graft with PRF for making a sticky

Bone graft THE Graft Sticky bone
bone.
Materials
BioCover Compared with/without collagen membrane
Membrane
at #14-#15-#16 used.

Suture Resorbable sutures

Category Indication Approach Surgical Procedures

■ Implantology □ Extraction sockets Alveolar ridge □ One-stage

□ preservation

□ Periodontology □ Dehiscence □ Intra-socket ■ Two-stage

□ Fenestration ■ Bone augmentation □ Immediate placement/Immediate loading

Methods ■ Horizontal bone loss □ Ridge Split ■ Simultaneous approach

■ Vertical bone loss □ Lateral ■ Staged/Delayed approach

■ Sinus pneumatization □ Crestal

□ Furcation

□ Peri-implantitis

Alveolar ridge augmented for

CBCT shows severe bone loss. implants placed stability.

Conclusion

PurgoRegen EU Clinical Cases 37

 Vertical and horizontal maxillary bone
Case Summary augmentation on edentulous patient

3. Sinus pneumatization and vertical bone defect

Dr. Pablo Bustillo
Spain

Case Summary
It shows severe It shows severe Lateral wall sinus lift and
bone loss. bone loss. simultaneous implant placement at #14-#15-#16, Nationality Spanish
#24-#25-#26 (2 stage).
The patient presenting vertical and horizontal maxillary atrophy after loss of 6
Chief Complaint
dental implants.
Grafting 7 7
1. Removed 6 failed implants.
Area
2. After 3 months healing period, a sinus lift was performed, and GBR with
Treatment Plan
3. After 7 months GBR, implants were placed, and a biopsy.
4. Final prosthesis were delivered.

Category Products Method Description of the method

Mixed autologous bone harvested from the

THE Graft, left and right oblique line as well as the chin
Bone graft Mixed (5:5)
autogenous (50%) and small particle size, THE Graft
Materials (50%).

Sticky bone Covered with BioCover Using reinforced PTFE membrane (30X40) for
Membrane OpenTex-TR Fixation with screws
(THE Graft with PRF) was applied at #14-#15-#16, membrane at #14-#15-#16 (No membrane used vertical ridge augmentation.
#24-#25-#26. at #24-#25-#26).

Category Indication Approach Implant technique

■ Implantology □ Extraction sockets □ Lateral □ Simultaneous extraction with GBR

□ Periodontology ■ Sinus pneumatization □ Crestal □ Simultaneous GBR with implantation

■ Vertical bone loss ■ Bone augmentation □ Immediate placement

Methods ■ Horizontal bone loss □ Alveolar ridge ■ Delayed implant placement

preservation
□ Fenestration □ Immediate loading

□ Furcation □ One-stage

Right Left □ Dehiscence ■ Two-stage

□ Periimplantitis
Incision

reconstructive ridge and osteo-integrated implant.

7 months after GBR. Clinical

Severe vertical and horizontal
bone loss was observed 3 like tissue after removal of the
months after failed implant preformed reinforced PTFE
removed. membrane.

Conclusion
After 3 months removed failed implants, left and right sinus lift were performed due to posterior maxillary atrophy. The maxillary alveolar ridge was
reconstructed with the use of OpenTex-TR (30x40) membranes in both quadrants to achieve a homogeneous volume of the entire maxilla. Under the
non-resorbable membranes, we obtained autologous bone from the left and right oblique line as well as the chin, to then be particulate and mixed
with THE Graft particles (0.25-1.0mm). Everything was stabilized by using thumbtacks and screws. After 7 months, the opening and placement of
Healing abutment #24-#25-#26 healing
in place. elevation at #24-#25-#26. There was also observed screws in place. dental implants were carried out.

PurgoRegen EU Clinical Cases 39

Case Summary

04
RX control pre-op. Edentulous patient with maxillary
atrophy after losing dental implants. Maxillary atrophy horizontal and vertical.

Dehiscence and
vertical bone defect
Sinus elevation maxillary Applied mixed autologous
bone harvested from the left and right oblique line as The ridge had enough height and width to place
well as the chin (50%) and small particle size, implants. The ridge was horizontally and
THE Graft (50%). vertically augmented.

Removed OpenTex-TR.
Good healing state of newly formed bone-like tissue New bone is surrounded by
and implant placement. was observed. residual bone. New vital bone 59.10%, residual bone
20.40%, and connective tissue 20.50%.

Implants were placed Soft tissue Good oral hygiene was maintained.
and harvested connective tissue, creating anatomy management was performed with harvested
scalloped for future placement in vestibular implants.
of implant coverage.
Peri-implantitis therapy
Case Summary

4. Dehiscence and vertical bone defect

Dr. Torsten Conrad M.Sc.
Zentrum für innovative Zahnheilkunde, Bingen, Germany

Case Summary
Peri-implant infection 2. Pre-operation. Buccal view. 3. Intra-operation.
Nationality German Age Early sixties occurred with pus. And condition after curettage.

Chief Complaint Patient visited with a pain around the mandibular right area.

1. Preoperative IV. antibiosis, control of vitamin D status.

Grafting
2. Preparation of a liquid and solid PRF matrix.
Area
3. Open curettage, decontamination of the surfaces. 6
Treatment Plan
4. Augmentation of the peri-implant defect.
5. Approximation of the wound margins (Guided Open Wound Healing).

Category Products Method Description of the method

Soaking into the PRF Collagenated bone graft material was with a
Bone graft THE Graft Collagen
liquid LSCC-PRF low liquid matrix and trimmed.

Covered with a LSCC-PRF high membrane-

Materials Membrane PRF membrane
matrix.
Guided open wound 4. Intra-operation. Removed granulation tissue and 5. Intra-operation. Prepared THE Graft Collagen Biologized THE Graft Collagen
Suture PTFE 4.0 Approximation of the wound margins. bone sequestrum. with a liquid PRF matrix. cut in smaller pieces for augmentation.
healing technique

Photodynamic Laser Local decontamination of the tissue and

Others Helbo-Laser
therapy implant surface.

Category Indication Approach Surgical Procedures

■ Implantology □ Extraction sockets □ Alveolar ridge □ One-stage

preservation
□ Periodontology □ Dehiscence □ Intra-socket □ Two-stage

□ Fenestration ■ Bone augmentation □ Immediate placement/Immediate loading

Methods □ Horizontal bone loss □ Ridge Split ■ Simultaneous approach

□ Vertical bone loss □ Lateral □ Staged/Delayed approach

□ Sinus pneumatization □ Crestal

7. Intra-operation. THE Graft Collagen was grafted. 8. Intra-operation. Preparation of the solid PRF matrix. 9. Intra-operation. Bone grafted and crestal coverage
□ Furcation with the PRF membrane.

■ Peri-implantitis

Radiographically observed
periimplantitis
9 months after bone
fracture around #46i. augmentation.

Conclusion
10. Intra-operation. Sutured with wound margins with
The collagenated bone graft, THE Graft Collagen is very well suited for the augmentation of bony defects in the context of periimplantitis PTFE suture. Final prosthesis delivered.
therapy. In combination with PRF, wound closure can be dispensed with.

PurgoRegen EU Clinical Cases 43

Peri-implant augmentation of a
horizontal and vertical defect with Case Summary
guided open wound healing

4. Dehiscence and vertical bone defect

Dr. Torsten Conrad M.Sc. 1, Prof. Dr. Dr. Dr. Shahram Ghanaati 2
1 Zentrum für innovative Zahnheilkunde, Bingen, Germany
2 Deputy Director of Department for Oral, Cranio-Maxillofacial and Facial Plastic Surgery, Medical Center of the Goethe University Frankfurt, Germany

Case Summary
1. Pre-operation. Occlusal view. 2. Pre-operation. Buccal view. 3. Intra-operation. Implant preparation.
Nationality German Age Mid-sixties

Chief Complaint Horizontal and vertical bone loss.

1. Preoperative antibiosis IV., control of vitamin D status.

Grafting
2. Preparation of a liquid and solid PRF matrix. Area
3. Implantation. 6
Treatment Plan
4. Augmentation.
5. Approximation of the wound edges (Guided Open Wound Healing).

Category Products Method Description of the method

Soaking into the PRF Collagenated bone graft material was with a
Bone graft THE Graft Collagen
liquid liquid PRF matrix and trimmed.

Materials
Covered with a LSCC-PRF high membrane-
Membrane PRF membrane
matrix. 4. Intra-operation. Implant placement 5. Intra-operation. THE Graft Collagen Defect-oriented design of
(SDS ceramic tissue level Implant, Ø 4.6 X 14 mm). soaked with a liquid PRF matrix. the bone graft.

Guided open wound

Suture PTFE 4.0 Approximation of the wound margins.
healing technique

Category Indication Approach Surgical Procedures

■ Implantology □ Extraction sockets Alveolar ridge ■ One-stage

□ preservation

□ Periodontology □ Dehiscence □ Intra-socket □ Two-stage

□ Fenestration ■ Bone augmentation □ Immediate placement/Immediate loading

Methods ■ Horizontal bone loss □ Ridge Split ■ Simultaneous approach

■ Vertical bone loss □ Lateral ■ Staged/Delayed approach

□ Sinus pneumatization □ Crestal

7. Intra-operation. Applied THE Graft Collagen. 8. Intra-operation. Peri-implant augmentation,
□ Furcation
crestal coverage with a solid PRF matrix, and
approximation of the wound margins.
□ Peri-implantitis

Day 0 after bone augmentation. 9 months after bone augmentation.

Conclusion
Combination defects of smaller circumference can be implanted and augmented simultaneously with collagenated bone graft material,
placement. placement. Occlusal view. Delivered cemented placement. Buccal view.
THE Graft Collagen when PRF is used. By omitting plastic closure and periosteal slitting, the mucogingival border can be preserved. veneered zircon crown.

PurgoRegen EU Clinical Cases 45

Author
Dr. Marcus Engelschalk Dr. Pablo Bustillo
Slow Digital Dentistry, Munich, Germany Private practice, Madrid, Spain

• • 2009 Graduated in Dentistry at the University Alfonso X, Madrid

• Treatment focus on implantology and oral surgery • 2011 Master in Oral Surgery, Implants and Periodontology at University Alfonso X, Madrid
• Research focus on intraoral scans (IOS), CAD CAM based prosthetics on implants and digital implantology and AI / AR • Associate Professor in Master Oral Surgery at Alcala Missisipi University
• Board member of MINEC Board International • Associate Professor in Master Implantology and Periodontology at Isabel I University
• Speaker at the Part-time MSc. in Esthetic Dentistry at the Goethe Universität, Frankfurt a.M., Germany • Associate Professor at CESPU University
• • Associate Professor at Europea Miguel de Cervantes in Porto

Prof. Dr. med. habil. Dr. med. Dr. med. dent. Shahram Ghanaati
Deputy Director of Department for Oral, Cranio-Maxillofacial and Facial Plastic Surgery,
Medical Center of the Goethe University Frankfurt, Germany
• 1997 - 2004 Study of Medicine, Johannes Gutenberg University Mainz
• 2005 - 2009 Study of dentistry, Johannes Gutenberg University Mainz
• Since 2013 Head of the Head and Neck Tumor Center of the University Center for Tumor Diseases
• Since 2016 Deputy Director of the Department
• 2017 Appointment as Associate Professor (APL professor)
Dr. Fabrizio Colombo
Private practice, Milan, Italy
• 2004 Graduated in Dentistry and Dental Prosthesis at Università degli Studi, Milan
• Master degree in Oral Surgery at Università degli Studi, Milan and Implantology and
Implant Prosthesis at the University of Brescia
• Member of AISOD (Italian Association of Dental Seats)
• Speaker at workshops and events about Oral Surgery and in particular Regenerative Surgery and Implantology
• Author of magazines WW, and the work winner of the “Poster Award” category
“Advanced clinical cases” at “I° International Congress” IAO (Italian Academy of Osseointegration)
• Attended Emerging Leader Program 2022-2023 sponsored by FOR ORG (Foundation for Oral Rehabilitation

Dr. med. dent. Peter Randelzhofer

Implant Competence Centrum Munich, Germany
Dr. Jérôme Surmenian
• 1997 - 2001 University training in prosthodontics and implantology Private implantology practice, Nice, France
•
Dept. of prosthodontics; directed by Prof. Dr. Dr. J.R. Strub • Graduated Dental School in Nice, France
• 2001 - 2011 Senior physician •
• 2001 - 2011 Academic Center Oral Implantology Amstelveen - Netherlands; Head: Dr. Gerd de Lange and Implantology from Boston University, USA

• Since 2011 Co-founder of the ICC - M with Claudio Cacaci, Munich Germany • Instructor at Surmenian Institute, teaching predictable bone augmentation protocols

Dr. Oliver Zernial Dr. Stavros Eleftheriou

Private practice, Kiel, Germany Private practice, UK

• Specialist in Oral and Maxillofacial Surgery • Graduated from the Aristotle University of Thessaloniki, Greece and trained in Oral & Maxillofacial Surgery at Rambam
• Medical Center, Haifa, Israel
• • 2003 Established private practice in Cyprus
• Member of the German Society for Implantology (DGI) • 2015 Established private practice in UK
• Member of the German Society of Dental, Oral and Maxillofacial Medicine (DGZMK) • Lectures, and runs courses and workshops on advanced subjects in Implantology Internationally
• Inventor of Kieler Sushi Technique • Instructor and Key Opinion Leader for several Implant, Surgical Instrument, and Biomaterial companies
• Specialist in Oral Surgery in the UK and Specialist in Maxillofacial & Oral Surgery in Cyprus

Dr. med. dent. Torsten S. Conrad M.Sc.

Zentrum für Innovative Zahnheilkunde, Bingen, Germany
Dr. Sarah Al-Maawi
Dentist at Clinic for Oral-, Maxillofacial and Facial Plastic Surgery, University Clinic Frankfurt, Germany
• 1989 Graduated Johannes Gutenberg University Mainz
• 1996 Specialist dentist for oral surgery • 2012-2017: Study of dentistry, Goethe university Frankfurt am Main

• 1996 Established own practice in Bingen • Since 2018: Study of medicine, Goethe university Frankfurt am Main

• Master of Science in Oral Implantology at Steinbeis University Berlin •

Medical Center of the Goethe University Frankfurt, Frankfurt am Main, Germany
• Lecturer at the DTMD, University for digital technologies in medicine & dentistry (Luxemburg) and
Academic teaching and research institution Johann Wolfgang Goethe-University Frankfurt • Numerous International Publication