Handling of Bio-Gide

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Handling of Bio-Gide^®

With the development of resorbable collagen membranes, the operative technique has been simplified. Collagen membranes, because of their inherent flexibility and adhesive properties, can be easily adapted to the defect. In order to preserve space within the defect cavity for bone regeneration to occur, they should always be combined with a bone substitute such as Bio-Oss®.

Bilayer design: smooth side marked "UP" (A) and rough side (B).
Positioning of the rough side toward the defect.

Bio-Gide® in the dry state.

Bio-Gide® becomes adhesive when it is completely saturated with fluid.

Very high stability against traction and tearing even in the moist state.

Bio-Gide^® - Membrane fixation

Additional fixation of Bio-Gide® is often unnecessary, due to its natural adhesion to bony walls.

In large defects without adequate supporting walls, the following measures are suggested for stabilization of the membrane.

Double-layer technique: Application of a second membrane layer achieves improved stabilization of the augmented area compared with single membrane positioning, and thus achieves an enhanced protective effect against micromovement. The double-layer technique is employed mainly for large defects in aesthetically demanding areas (e.g. anterior maxilla)
The membrane can be fixed with resorbable fixation pins (e.g. Osteo-Pin®) and sutured.

Diagram of double-layer technique

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