The aim of the present study was to investigate the effectiveness of a regenerative procedure based on supracrestal soft tissue preservation in association with combined autogenous cortical bone particles (ACBP)/enamel matrix derivative (EMD) application in the treatment of non-self supporting periodontal intraosseous defects. Thirteen consecutively-treated patients, seven females and six males, aged 30–65 years, two smokers, were included. A total of 14 deep, 1–2 wall intraosseous defects were selected. Pocket probing depth (PPD), clinical attachment level (CAL), and gingival recession (REC), at baseline and 12 months after surgery, were recorded. PPD amounted to 9.1 ± 1.6 mm before surgery, and decreased to 4.0 ± 1.4 mm post-surgery (PPD reduction: 5.1 ± 1.7 mm, P < 0.0000). CAL varied from 10.3 ± 1.5 mm presurgery to 5.4 ± 1.7 mm post-surgery, with a CAL gain of 4.9 ± 1.8 mm (P < 0.0000). REC shifted from 1.1 ± 0.9 mm at baseline to 1.4 ± 1.1 mm after surgery, REC change being 0.3 ± 0.8 mm (P > 0.05). Our results supported the effectiveness of a regenerative procedure based on supracrestal soft tissue preservation combined with ACBP/EMD in clinically and statistically improving soft tissue conditions of non-self supporting periodontal intraosseous defects.

Autogenous cortical bone particles and enamel matrix derivative in the treatment of deep intraosseous defects: a 12-months case series

GUIDA, Luigi;ANNUNZIATA, Marco;
2006

Abstract

The aim of the present study was to investigate the effectiveness of a regenerative procedure based on supracrestal soft tissue preservation in association with combined autogenous cortical bone particles (ACBP)/enamel matrix derivative (EMD) application in the treatment of non-self supporting periodontal intraosseous defects. Thirteen consecutively-treated patients, seven females and six males, aged 30–65 years, two smokers, were included. A total of 14 deep, 1–2 wall intraosseous defects were selected. Pocket probing depth (PPD), clinical attachment level (CAL), and gingival recession (REC), at baseline and 12 months after surgery, were recorded. PPD amounted to 9.1 ± 1.6 mm before surgery, and decreased to 4.0 ± 1.4 mm post-surgery (PPD reduction: 5.1 ± 1.7 mm, P < 0.0000). CAL varied from 10.3 ± 1.5 mm presurgery to 5.4 ± 1.7 mm post-surgery, with a CAL gain of 4.9 ± 1.8 mm (P < 0.0000). REC shifted from 1.1 ± 0.9 mm at baseline to 1.4 ± 1.1 mm after surgery, REC change being 0.3 ± 0.8 mm (P > 0.05). Our results supported the effectiveness of a regenerative procedure based on supracrestal soft tissue preservation combined with ACBP/EMD in clinically and statistically improving soft tissue conditions of non-self supporting periodontal intraosseous defects.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11591/219172
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