Treatment of Supra‐Alveolar‐Type Defects by a Simplified Papilla Preservation Technique for Access Flap Surgery With or Without Enamel Matrix Proteins

Abstract

The results of this study suggest that combining EMD and SPPF in the treatment of suprabony defects may lead to a greater clinical improvement compared to SPPF alone.

Twenty years of enamel matrix derivative: the past, the present and the future

“…found similar results by treating 54 patients with either simplified papilla preservation flap technique (SPPF) + EMD versus SPPF alone (Di Tullio et al. ). After 1 year, the test group showed significantly greater PD reduction, and AL gain compared to the control group (Di Tullio et al.…”

“…After 1 year, the test group showed significantly greater PD reduction, and AL gain compared to the control group (Di Tullio et al. ). Thus, in the light of these two studies and the limited clinical data, it may be suggested to combine either access flap surgery or SPPF with EMD to further improve the regenerative outcomes following periodontal therapy for the treatment of supra‐alveolar‐type defects.…”

Traditional or regenerative periodontal surgery?—a comparison of the publications between two periodontal journals over time

“…However, most of the defects in need for periodontal surgery are characterized by horizontal bone loss and/or furcation involvement [33][34][35][36]. In contrast to the external evidence showing the benefits of regenerative measures in vertical bony defects, sufficient evidence showing clinical relevant benefits in furcation and/or horizontal bony defects is still scarce [37,38]. In addition, the prevalence of teeth with vertical bony defects seems to decrease according to a study in a population of dentally aware individuals [39].…”

Minimal invasive techniques in the treatment of inflammatory periodontal diseases

“…Endikasyon: Bu teknik marjinal doku kaybını minimale indirmesi sebebiyle horizontal kemik kayıplarıyla birlikte seyreden problemlerin tedavisinde ve özellikle estetik beklentinin yüksek olduğu bölgelerde tercih edilmektedir. 20 Bu teknik, interdental bölgenin dar olduğu (2 mm veya daha az interdental boşluk) durumlarda önerilmektedir. 21 SPPF geniş anterior/premolar lokalizasyonundaki interdental bölgelerde başarılı iken dar posterior interdental bölgelerdeki başarısı daha sınırlıdır.…”