Baltic Dental and Maxillofacial Journal | ||||||||||
March, 2008, Vol. 10, No. 1 CONTENTS REVIEWS SCIENTIFIC ARTICLES REVIEWS Biologic Width Around Implants. An Evidence-Based Review SCIENTIFIC ARTICLES © 2008 Stomatologija |
Stomatologija 2008; 10 (1): 22-26 254 KB Papilla Preservation Technique combined with Emdogain® in the treatment of intrabony defects: a novel treatment regimen for chronic periodontitis Asta Miliauskaite, Denis Selimovic, Mohamed Hassan, Futami Nagano, Martine Soell, Hidehiko Sano, Alina Puriene Summary Background. Regenerative therapy with enamel matrix proteins derivative (EMD) was shown to induce periodontal regeneration in intrabony defects. However, the contribution of papilla preservation technique (PPT), to the clinical outcome of regenerative therapy is still not clarified. Therefore, we conducted the present study to evaluate clinically measurable results of a combined therapy by PPT and EMD in the treatment of isolated intrabony defects. Methods. Sixty isolated intrabony defects in 25 patients were surgically assessed with EMD and PPT. The clinical parameters: clinical attachment level (CAL), probing depth (PD) and gingival recession (GR) were evaluated at baseline and at three years. Results. The primary outcome variable was CAL. The sites treated with enamel matrix proteins demonstrated mean CAL change from 6.6±1.2 mm to 3.4±1.3 mm (p<0.001) and the mean PD was reduced from 5.9±1.0 mm to 2.7±0.8 mm (p<0.001) after three years. The mean GR decreased from 0.71±1.2 mm to 0.64±1.1 mm (p<0.821). Conclusions. The results of the present case cohort study indicate that PPT combined with EMD resulted in significant improvement of the clinical parameters in the treatment of intrabony defects in chronic periodontitis. Key words: regenerative periodontal therapy, enamel matrix derivative, intrabony periodontal defects, minimal invasive surgical technique. Received: 07 02 2008 Accepted for publishing: 26 03 2008 1Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University Hospitals, Homburg/Saar, Germany Asta Miliauskaite1 DMD Address correspondence to: Dr. Asta Miliauskaite, Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University Hospitals, Building 73, D-66421, Homburg/Saar, Germany. |
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