Treatment of Generalized Aggressive Periodontitis With Enamel Matrix Derivative and Implant Prosthesis: A Case Report

2012 ◽  
Vol 2 (3) ◽  
pp. 187-194 ◽  
Author(s):  
Takuya Takanashi ◽  
Koushu Fujinami ◽  
Mai Matsuzaki ◽  
Hideshi Sekine ◽  
Atsushi Saito
Keyword(s):  
Case Report ◽  
Aggressive Periodontitis ◽  
Enamel Matrix Derivative ◽  
Enamel Matrix ◽  
Implant Prosthesis ◽  
Matrix Derivative

scholarly journals Two-stage approach for class II mandibular furcation defect with insufficient keratinized mucosa: a case report with 3 years’ follow-up

2021 ◽  
Vol 49 (9) ◽  
pp. 030006052110445
Author(s):  
Hiroyuki Saida ◽  
Shunsuke Fukuba ◽  
Takahiko Shiba ◽  
Keiji Komatsu ◽  
Takanori Iwata ◽  
...  
Keyword(s):  
Case Report ◽  
Periodontal Regeneration ◽  
Gingival Recession ◽  
Enamel Matrix Derivative ◽  
Enamel Matrix ◽  
Two Stage ◽  
Probing Depth ◽  
Keratinized Mucosa ◽  
Depth Reduction ◽  
Matrix Derivative

Periodontal regenerative treatment is useful for intrabony defects and furcation involvement, but is difficult when there is insufficient keratinized mucosa to cover and maintain the regenerative material, particularly in the mandibular molar region. We report the case of a 27-year-old woman who underwent a two-stage surgical approach for a class II furcation defect with gingival recession and insufficient keratinized mucosal width (KMW) and vestibular depth at the mandibular left first molar. We first improved the KMW and keratinized mucosal thickness using an epithelial embossed connective tissue graft with enamel matrix derivative, and then focused on periodontal regeneration at the furcation defect using an enamel matrix derivative and a bovine-derived xenograft. Probing depth reduction, clinical attachment gain, horizontal probing depth reduction, KMW gain, and gingival recession reduction were observed 3 years postoperatively. This case report suggests that this novel staged approach may be effective for treating furcation defects with insufficient keratinized mucosa, thus providing useful insights into periodontal regeneration therapy.

A Combined Approach of Enamel Matrix Derivative Gel and Autogenous Bone Grafts in Treatment of Intrabony Periodontal Defects. A Case Report

2003 ◽  
Vol os10 (2) ◽  
pp. 41-43 ◽  
Author(s):  
George Leung ◽  
Lijian Jin
Keyword(s):  
Case Report ◽  
Chronic Periodontitis ◽  
Bone Grafts ◽  
Enamel Matrix Derivative ◽  
Autogenous Bone ◽  
Enamel Matrix ◽  
Combined Approach ◽  
Osseous Defects ◽  
Matrix Derivative ◽  
Autogenous Bone Grafts

Enamel matrix derivative (EMD) has recently been introduced as a new modality in regenerative periodontal therapy. This case report demonstrates a combined approach in topical application of EMD gel (Emdogain®) and autogenous bone grafts for treatment of intrabony defects and furcation involvement defects in a patient with chronic periodontitis. The seven-month post-surgery clinical and radiographic results were presented. The combined application of EMD gel with autogenous bone grafts in intrabony osseous defects resulted in clinically significant gain of attachment on diseased root surfaces and bone fill on radiographs. Further controlled clinical studies are required to confirm the long-term effectiveness of the combination of EMD gel and autogenous bone grafts in treatment of various osseous defects in subjects with chronic periodontitis.

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