Autogenous bone graft in conjunction with enamel matrix derivative in the treatment of deep periodontal intra‐osseous defects: a report of 13 consecutively treated patients

Abstract

Results from the present study indicated that a regenerative procedure based on supra-crestal soft tissue preservation and combined AB/EMD treatment leads to a clinically and statistically significant improvement of soft tissue conditions of deep periodontal intra-osseous defects.

Effect of a Connective Tissue Graft in Combination With a Single Flap Approach in the Regenerative Treatment of Intraosseous Defects

“…The exposed root surface was treated with 24% EDTA gel for 2 minutes to remove the smear layer. After rinsing the surgical area with saline, a sandwich technique was applied to stratify EMD and DBBM as previously described 21 , 22 …”

Effect of Autogenous Cortical Bone Particulate in Conjunction With Enamel Matrix Derivative in the Treatment of Periodontal Intraosseous Defects

“…Finally, a second layer of EMD was injected to cover the grafted autogenous bone particles and to condition the portion of the root surface coronal to the bone crest. Therefore, a “sandwich” technique was adopted to treat the defect (i.e., apical layer of EMD, ACBP, and coronal layer of EMD) 20 …”

“…A histologic study 19 on non‐human primates has investigated this combined approach, reporting encouraging results in terms of amount of new cementum and bone. Recently, we reported a consecutive series of cases where the effectiveness of a regenerative procedure based on the preservation of supracrestal soft tissue in association with an autogenous cortical bone particulate (ACBP)‐EMD combination was investigated for the treatment of deep, 1‐ to 2‐wall intraosseous defects 20 . This approach resulted in significant clinical attachment gain and probing depth (PD) reduction and in a reduced marginal gingival recession increase after 6 months of healing.…”

Use of Enamel Matrix Derivatives and Autogenous Bone Graft Combination in the Treatment of Periodontal Intrabony Defects: Case Report

“…Literatürde MMT+OKG kombinasyonu uygulaması sonrasında sondalama derinliğinde azalmanın 4.7-5.6 mm değerleri arasında olduğu bildirilmiştir (7,18,19). Bu olgu sunumunda 8. ayın sonunda defektin en derin noktasında sırasıyla 8 mm ve 5 mm sondalama derinliğinde azalma tespit edildi.…”

“…Nitekim, başlangıç sondalama derinliğinin daha düşük olduğu sığ ve geniş defektlerde elde edilen ataşman kazancına kıyasla daha yüksek sondalama derinliğinin eşlik ettiği derin ve dar defektlerde daha fazla ataş-man kazancı elde edildiği bildirilmiştir (10,(20)(21)(22)(23)(24). Yapılan çalışmalarda MMT+OKG kombinasyonu uygulaması sonrasında dişeti çekilmesi değerlerinin 0.3 mm-1.4 mm arasında olduğu bildirilmiştir (7,18,19). Bu olgu raporunda 1 ve 2 nolu defektlerde sırasıyla 3 mm ve 2 mm dişeti çekilmesi tespit edilmiştir.…”