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Geistlich Mucograft® Seal


Características del produto:

  • Minimal invasion1,2.
  • Creates predictable soft-tissue dimensions for later soft-tissue management and allows for flexible timing of implant placement1.
  • Reduced surgical chair-time compared with autogenous grafts1.
  • Natural soft-tissue colour and texture match1,3.
  • No harvest site morbidity1.
  • Early implant placement possible 8-10 weeks after extraction1.
  • Faster soft-tissue wound healing compared with autogenous grafts3.

Geistlich Mucograft® Seal is a ready-to-use matrix with a convenient circular shape. The matrix provides an alternative to soft-tissue grafts. Geistlich Mucograft® Seal is indicated for the sealing of extraction sockets with preserved buccal walls in combination with Geistlich Bio-Oss® Collagen in ridge preservation procedures. The matrix establishes predictable dimensions for soft-tissue management.


FAQ

Should Geistlich Mucograft® be placed directly over the bone or over the periosteum?

It depends on the indication:
1. Gain of keratinised tissue: Geistlich Mucograft® should be applied on a periosteal bed1,2 since blood supply is important. In open healing, the blood is supplied through the edges of the device from the surrounding tissue and from the periosteum.
2. Recession Coverage: Geistlich Mucograft® can be used partially or completely over bone.3-5 Blood is supplied through the edges of the device from the surrounding tissue and from the flap covering completely the matrix.

References:
Sanz M, et al.: J Clin Periodontol 2009; 36(10): 868-76.
Lorenzo R, et al.: Clin Oral Impl Res 2012; 23(3): 316-24.
McGuire MK & Scheyer ET : J Periodontol 2010; 81(8): 1108-17.
Cardaropoli D, et al.: J Periodontol 2012; 83(3): 321-28.
Rotundo R & Pini-Prato G: Int J Periodontics Restorative Dent 2012; 32(4): 413-19.

Should Geistlich Mucograft® be used submerged or in open healing situations?

It depends on the indication:
1. Gain of Keratinised Tissue: Open healing is recommended when Geistlich Mucograft® is used to increase width of keratinised tissue. The innovative design of Geistlich Mucograft® allows excellent healing in open healing situations1.
2. Recession Coverage: Geistlich Mucograft® should remain completely submerged under the flap to avoid premature resorption of the collagen.2-4 Direct blood supply is important.

References:
Sanz M, et al.: J Clin Periodontol 2009; 36(10): 868-76.
McGuire MK & Scheyer ET: J Periodontol 2010; 81(8): 1108-17.
Cardaropoli D, et al.: J Periodontol 2012; 83(3): 321-28.
Rotundo R & Pini-Prato G: Int J Periodontics Restorative Dent 2012; 32(4): 413-19.

Are antibiotics needed after treatment with Geistlich Mucograft®?

After treatment with Geistlich Mucograft®, please follow the same postsurgical management that is usually applied with connective tissue grafts or free gingival grafts.

What’s the difference between collagen sponges made by other manufacturers and Geistlich Mucograft® Seal?

Geistlich Mucograft® Seal is specifically designed for soft-tissue regeneration1. The collagen of Geistlich Mucograft® is specially processed to favour immediate blood clot stabilisation. This leads to early vascularisation1,3, facilitates soft-tissue cell ingrowth2 and excellent integration of the 3D-matrix with surrounding tissues2,3. In contrast to other collagen products in the market, Geistlich Mucograft® and Geistlich Mucograft® Seal are well scientifically documented and their clinical benefits are proven.

References:
Biocompatibility according to ISO 10993-12001. Data on file Geistlich PharmaAG, Wolhusen, Switzerland.
Ghanaati S, et al.: Biomed Mater 2011; 6(1): 015010.
Roccietta I, et al.: Int J Periodontics Restorative Dent 2012; 32(1): e34-40.

How long is the Geistlich Mucograft® Seal resorption time?

The resorption time of every biomaterial including Geistlich Mucograft® Seal depends on multiple factors: defect size, metabolism and general health of the patient, etc. On the other hand, to determine an average resorption time of Geistlich Mucograft® Seal in humans, biopsies would be needed of the healing soft tissues after tooth extraction at different time points. This procedure is obviously not ethical and thus the average resorption time cannot be measured. However, single histologies indicate that after 8 weeks Geistlich Mucograft® is completely integrated into the newly formed soft tissue.

Does Geistlich Mucograft® Seal take up blood and saline equally well?

The hydrophile properties of Geistlich Mucograft® Seal favour a rapid moistening of the device either with saline or with blood.

Why should I use Geistlich Bio-Oss Collagen® with Geistlich Mucograft® Seal, if I plan to implant after 8-10 weeks?

Geistlich Mucograft® Seal needs the support of Geistlich Bio-Oss® Collagen underneath for a good ridge preservation of the soft and the hard tissues. After 8 weeks, the soft tissues are healed but the mixture of the blood clot, Geistlich Bio-Oss® Collagen and the newly forming bone is still soft. Nevertheless the implant can be drilled carefully into the socket and the remaining Geistlich Bio-Oss® Collagen will favour the volume preservation of the ridge.

What is Geistlich Mucograft® Seal?

Geistlich Mucograft® Seal is a unique 3D-matrix designed specifically for soft-tissue regeneration in extraction sockets for ridge preservation.

What is Geistlich Mucograft® Seal made of?

Geistlich Mucograft® Seal consists of porcine collagen and is specifically designed for soft-tissue regeneration. The matrix is built up of a compact structure that gives stability while allowing open healing, and a spongy structure that supports blood clot stabilisation and ingrowth of soft-tissue cells.

Is Geistlich Mucograft® Seal resorbable?

The collagen of Geistlich Mucograft® will be replaced by newly formed soft tissue. The matrix is rapidly vascularised and colonised by soft-tissue cells1,2. This leads to a good integration of the matrix without any signs of foreign body reaction3,4.

Does Geistlich Mucograft® Seal need pretreatment?

Geistlich Mucograft® Seal is ready to be applied to seal the socket and does not need pretreatment or moisture before application. Due to its excellent hydrophilicity, the matrix will hydrate quickly after implantation in the defect by soaking rapidly the patient’s blood.

Should Geistlich Mucograft® be handled/applied wet or dry?

Geistlich recommends dry handling and application: Easy to trim, easy to pre-suture.

Does Geistlich Mucograft® Seal swell after implantation?

Our measurements indicate that the matrix does not swell further after hydration (90 minute period examined)1.

References:
Data on file, Geistlich Pharma AG, Wolhusen, Switzerland

Which side of Geistlich Mucograft® Seal should face the bone?

The compact structure should face outward, away from underlying bone, with the spongeous structure facing the bone or soft-tissue wound bed. Geistlich Mucograft® Seal spongeous structure is striped for easier differentiation of the two sides. The striped spongeous structure should face the bone.

Can Geistlich Mucograft® Seal be stretched?

No. Geistlich Mucograft® Seal shows a limited elongation and should always be sutured tension-free.

What suture should be used with Geistlich Mucograft® Seal?

Geistlich Mucograft® Seal should be sutured using non-resorbable sutures, not glued1. The close adaptation of the device to tissue borders can be accomplished by single interrupted sutures, double interrupted sutures, cross sutures, or sling sutures1.