scholarly journals Periodontal treatment in a generalized severe chronic periodontitis patient: A case report with 7-year follow-up

2015 ◽  
Vol 09 (02) ◽  
pp. 288-292 ◽  
Author(s):  
Omer Birkan Agrali ◽  
Bahar Eren Kuru
Keyword(s):  
Chronic Periodontitis ◽  
Periodontal Treatment ◽  
Periodontitis Patient ◽  
Keratinized Tissue ◽  
Functional Dentition ◽  
Enamel Matrix Derivatives ◽  
Periodontal Destruction ◽  
Matrix Derivatives ◽  
Xenogenic Bone

ABSTRACTThe aim of the periodontal treatment is to provide healthy and functional dentition all through a lifetime. In this report, periodontal treatment of a 42-year-old male patient with generalized severe chronic periodontitis is presented. He received initial periodontal treatment together with adjunctive antimicrobials. The devital teeth were endodontically treated, and free gingival grafts were placed at the inadequate keratinized tissue zones before regenerative surgery. Following the surgical treatment using enamel matrix derivatives and xenogenic bone graft combination, the patient was put on a strict recall program. After 12 months, favorable clinical and radiographical improvements were obtained. The 7-year maintenance of the present case with several initially hopeless teeth has been shown and discussed in this report. It can be concluded that optimum oral hygiene level as well as the positive cooperation of the patient enhanced the success of periodontal treatment results even in extremely severe periodontal destruction.

scholarly journals Regenerative Treatment of a Cemental Tear Using Enamel Matrix Derivatives: a Ten-Year Follow-up

2012 ◽  
Vol 6 (1) ◽  
pp. 148-152 ◽  
Author(s):  
Patrick R Schmidlin
Keyword(s):  
Root Surface ◽  
Enamel Matrix ◽  
Marginal Bone Loss ◽  
Regenerative Approach ◽  
Periapical Healing ◽  
Enamel Matrix Derivatives ◽  
Periodontal Destruction ◽  
Matrix Derivatives ◽  
Regeneration Of Bone

A patient presented with chronic periapical periodontitis on tooth 45. The root canal was re-treated and a wide apical perforation was closed with MTA® as an apical plug. At reevaluation six month later, the tooth presented with increased mobility, bleeding on probing and probing pocket depths of 9 mm. Despite good periapical healing radio graphically, the tooth showed signs of localized marginal bone loss that was diagnosed as being due to a cemental fracture. The tooth was splinted, a muco-periostal flap was raised and the fragment of cementum was removed. The defect was treated in a regenerative approach, using enamel matrix derivatives (EMD). Six month after therapy, the probing pocket depths decreased to values of ≤ 3 mm and a defect fill was radiographically visible. The 10-year follow up showed a stable situation.It can be concluded that the occurrence of a local delamination of the root surface may contribute to the development of plaque-induced periodontal destruction. Its removal and the regenerative conditioning of the root surface with EDTA and EMD may result in a, at least partial, resolution of the problem and regeneration of bone at the affected the site.

scholarly journals Efficacy of Enamel Derivatives to Improve Keratinized Tissue as Adjunct to Coverage of Gingival Recessions: A Systematic Review and Meta-Analysis

Materials ◽  
2019 ◽  
Vol 12 (17) ◽  
pp. 2790
Author(s):  
Nicola Discepoli ◽  
Raffaele Mirra ◽  
Marco Ferrari
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Randomized Clinical Trials ◽  
Enamel Matrix ◽  
Lower Upper ◽  
Coronally Advanced Flap ◽  
Keratinized Tissue ◽  
Enamel Matrix Derivatives ◽  
The Mean ◽  
Matrix Derivatives

Background: The systematic review was designed to answer the following focused question: Are enamel matrix derivatives able to improve the quantity of keratinized tissue (KT) around natural dentition in patients with recessions defects after their treatment with periodontal plastic procedures? Methods: Only Randomized Clinical Trials (RCT) in English language evaluating root coverage procedures in combination with enamel matrix derivatives (commercially known as Emdogain®—EMD), with at least 10 subjects and a minimum duration of six months, were included. The search was applied to PUBMED and SCOPUS and it consists of a combination of MeSH terms and free text words (from January 2000 to June 2019). Risk of bias in individual studies and across studies was also evaluated. Results: After the full text analysis and the exclusion of further 18 articles, 12 articles were finally included. In total 639 recessions were treated (334 tests and 305 control). The recessions defects were classified according to the classification of Miller (Class I, II, III, IV). Only one trial included Miller Class III recessions (7 in total). Enamel matrix derivatives were applied in conjunction with Coronally Advanced Flap (CAF), Coronally Advanced Flap + Sub Epithelial Connective Tissue Graft (CAF + CTG), Semilunar Flap (SF). For the group CAF vs CAF + EMD the mean difference between the keratinized tissue gain in the two procedures was 0.40 mm (95% Confindence Interval Lower/Upper: 0.014–0.81) (p < 0.058); for the comparison CAF + CTG + EMD vs. CAF + CTG the mean difference between the two groups resulted in −0.06 mm (95% Confindence Interval Lower Upper −0.45 to 0.33) (p = 0.7603). Discussion: Randomized clinical trials included medium-low quality evidence. The application of Enamel Matrix Derivatives to surgical procedures aimed to cover gingival recessions does not add robust clinical benefit to conventional plastic procedure alone.

Caries experience after periodontal treatment in aggressive and chronic periodontitis: Results of a 10-year follow-up

2013 ◽  
Vol 71 (5) ◽  
pp. 1129-1135 ◽  
Author(s):  
Amelie Meyer-Bäumer ◽  
Peter Eickholz ◽  
Peter Reitmeir ◽  
Hans Jörg Staehle ◽  
Cornelia Frese ◽  
...  
Keyword(s):  
Chronic Periodontitis ◽  
Periodontal Treatment ◽  
Caries Experience

scholarly journals Prolonged Suppressive Effects of Periodontitis on Salivary TFF3 Production

2019 ◽  
Vol 13 (02) ◽  
pp. 193-198
Author(s):  
Doosadee Hormdee ◽  
Saengsome Prajaneh ◽  
Amonrujee Kampichai ◽  
Ranuch Tak ◽  
Ponlatham Chaiyarit
Keyword(s):  
Categorical Data ◽  
Chronic Periodontitis ◽  
Periodontal Diseases ◽  
Post Treatment ◽  
Periodontal Treatment ◽  
Enzyme Linked Immunosorbent Assay ◽  
Chi Squared ◽  
Trefoil Factor Family ◽  
Post Hoc

Abstract Objective As a follow-up to our previous study that demonstrated decreased salivary trefoil factor family 3 (TFF3) peptide levels in chronic periodontitis patients, this current study aimed to observe the effects of nonsurgical periodontal treatment on salivary TFF3 peptides in patients with periodontal diseases. Materials and Methods Eighty-seven volunteers that comprised of 30 individuals with healthy periodontium, 31 with gingivitis, and 26 with chronic periodontitis were considered for the study. Prior to periodontal treatment, a general periodontal examination was performed along with collection of saliva samples from each volunteer. Nonsurgical periodontal treatments were provided to patients with gingivitis and periodontitis. Two weeks post-treatment, saliva samples were recollected, and the periodontal status was re-evaluated. Salivary TFF3 concentrations were measured by enzyme-linked immunosorbent assay. Statistical Analysis Mann–Whitney U test was used when the investigated data were not normally distributed. Chi-squared test was used when dealing with categorical data. Kruskal–Wallis test with post-hoc corrections was used to compare data among the three investigated groups. Two-tailed p < 0.05 was considered as statistically significant. Results Prior to the periodontal treatment, salivary TFF3 concentrations in patients with gingivitis and periodontitis were significantly lower than those with healthy periodontium. Two weeks post-treatment, increased levels of salivary TFF3 were observed in patients with gingivitis, whereas the concentrations decreased in patients with chronic periodontitis. Conclusion This study demonstrated the effects of periodontal disease on the production of salivary TFF3 peptides. Interestingly, nonsurgical periodontal treatment also affected the recovery of salivary TFF3 peptides but varied in their outcomes between gingivitis and periodontitis patients.

Histological healing after nonsurgical periodontal treatment with enamel matrix derivatives in canine experimental periodontitis

Odontology ◽  
2018 ◽  
Vol 106 (3) ◽  
pp. 289-296 ◽  
Author(s):  
Ammar Shujaa Addin ◽  
Tatsuya Akizuki ◽  
Takanori Matsuura ◽  
Shu Hoshi ◽  
Takahiro Ikawa ◽  
...  
Keyword(s):  
Periodontal Treatment ◽  
Enamel Matrix ◽  
Enamel Matrix Derivatives ◽  
Matrix Derivatives ◽  
Experimental Periodontitis
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