2022, Number 1-3
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Rev Mex Periodontol 2022; 13 (1-3)
Guided tissue regeneration using xenograft in combination with enamel-derived proteins®: clinical case
Méndez XG, Villar MJA, Gómez FM, García AF
Language: Spanish
References: 19
Page: 37-42
PDF size: 309.87 Kb.
ABSTRACT
Introduction: the objective of periodontal therapy is the elimination and control of the etiological factors that trigger the proinflammatory processes that induce the loss of support tissues, resulting in the maintenance and reduction of dental morbidity. Periodontal regeneration aims to carry out the restoration of dental and peri-implant support tissues. Various biomaterials and techniques that contribute to the activity of biological mediators have been used to achieve a partial or complete restoration of the affected tissues. Bone grafts, membranes, proteins derived from enamel, stem cells and growth factors are currently the usual proposals in periodontal practice and therefore, a correct anamnesis, study and selection of the case allows establishing a personalized approach according to the needs of the patient. patient, which can include one or several teeth as well as implants, the objective is to maintain and restore the function and surrounding structure, reducing the morbidity and discomfort of the patient.
Objective: periodontal treatment and guided tissue regeneration by means of xenograft in combination with proteins derived from enamel in an intrabony defect of one wall according to the Goldman and Cohen classification.
Results: the six-month follow-up of a guided tissue regeneration with an intrabony defect of one wall, grade one mobility and probing depth of 10 mm shows a decrease in the periodontal pocket, a high degree of regeneration, apparent periodontal ligament formation, zero degree mobility.
Conclusion: the possibility of regenerating tissues is due to a correct selection of the case and technique, knowing biology and biomaterials to develop a surgical approach that allows tissue architecture to be restructured and prevents premature tooth loss.
REFERENCES
Graziani F, Karapetsa D, Alonso B, Herrera D. Nonsurgical and surgical treatment of periodontitis: how many options for one disease? Periodontol 2000. 2017; 75 (1): 152-188.
Sculean A, Chapple IL, Giannobile WV. Wound models for periodontal and bone regeneration: the role of biologic research. Periodontol 2000. 2015; 68 (1): 7-20.
Kim CS, Choi SH, Chai JK, Cho KS, Moon IS, Wikesjo UM et al. Periodontal repair in surgically created intrabony defects in dogs: influence of the number of bone walls on healing response. J Periodontol. 2004; 75 (2): 229-235.
García-Gareta E, Coathup MJ, Blunn GW. Osteoinduction of bone grafting materials for bone repair and regeneration. Bone. 2015; 81: 112-121.
Gottlow J, Nyman S, Lindhe J, Karring T, Wennstrom J. New attachment formation in the human periodontium by guided tissue regeneration. Case reports. J Clin Periodontol. 1986; 13 (6): 604-616.
Lynch SE, Genco RJ, Marx RE. Tissue engineering: applications in maxillofacial and periodontics. Chicago: Quintessence Publishing Co. Ltd.; 1999.
Mancini L, Romandini M, Fratini A, Americo LM, Panda S, Marchetti E. Biomaterials for periodontal and peri-implant regeneration. Materials (Basel). 2021; 14 (12): 3319.
Sculean A, Nikolidakis D, Nikou G, Ivanovic A, Chapple IL, Stavropoulos A. Biomaterials for promoting periodontal regeneration in human intrabony defects: a systematic review. Periodontol 2000. 2015; 68 (1): 182-216.
Slavkin HC, Boyde A. Cementum: an epithelial secretory product? J Dent Res. 1975; 53: 157 (abstr.409).
Velasquez-Plata D, Scheyer ET, Mellonig JT. Clinical comparison of an enamel matrix derivative used alone or in combination with a bovine-derived xenograft for the treatment of periodontal osseous defects in humans. J Periodontol. 2002; 73 (4): 433-440.
Herrera D, Figuero E, Shapira L, Jin L, Sanz M. La nueva clasificación de las enfermedades periodontales y periimplantarias. Revista científica de la Sociedad Española de Periodoncia. 2018; 11: 94-110.
Trombelli L. Which reconstructive procedures are effective for treating the periodontal intraosseous defect? Periodontol 2000. 2005; 37: 88-105.
Trombelli L, Heitz-Mayfield LJ, Needleman I, Moles D, Scabbia A. A systematic review of graft materials and biological agents for periodontal intraosseous defects. J Clin Periodontol. 2002; 29 Suppl 3: 117-135; discussion 160-162.
Caton JG, Zander HA. The attachment between tooth and gingival tissues after periodic root planing and soft tissue curettage. J Periodontol. 1979; 50 (9): 462-466.
Stavropoulos A, Bertl K, Spineli LM, Sculean A, Cortellini P, Tonetti M. Medium- and long-term clinical benefits of periodontal regenerative/reconstructive procedures in intrabony defects: systematic review and network meta-analysis of randomized controlled clinical studies. J Clin Periodontol. 2021; 48 (3): 410-430.
Sculean A, Windisch P, Keglevich T, Fabi B, Lundgren E, Lyngstadaas PS. Presence of an enamel matrix protein derivative on human teeth following periodontal surgery. Clin Oral Investig. 2002; 6 (3): 183-187.
Nannmark U, Sennerby L. The bone tissue responses to prehydrated and collagenated cortico-cancellous porcine bone grafts: a study in rabbit maxillary defects. Clin Implant Dent Relat Res. 2008; 10 (4): 264-270.
Matuliene G, Studer R, Lang NP, Schmidlin K, Pjetursson BE, Salvi GE et al. Significance of periodontal risk assessment in the recurrence of periodontitis and tooth loss. J Clin Periodontol. 2010; 37 (2): 191-199.
Papapanou PN, Tonetti MS. Diagnosis and epidemiology of periodontal osseous lesions. Periodontol 2000. 2000; 22: 8-21.