Evaluation of the Effectiveness of Enamel Matrix Derivative, Bone Grafts, and Membrane in the Treatment of Mandibular Class II Furcation Defects

2013 ◽  
Vol 33 (2) ◽  
pp. e58-e64 ◽  
Author(s):  
Ritika Jaiswal ◽  
Vikas Deo
Keyword(s):  
Bone Grafts ◽  
Class Ii ◽  
Enamel Matrix Derivative ◽  
Enamel Matrix ◽  
Furcation Defects ◽  
Matrix Derivative

scholarly journals Lesões em áreas de furca: fatores etiológicos, diagnóstico e tratamento

2020 ◽  
Vol 9 (6) ◽  
pp. 635-640
Author(s):  
Ariana Larissa de Moura Rodrigues ◽  
Ana Carolina de Sá Gomes Cruz Souza ◽  
Jéssica Gomes Alcoforado de Melo ◽  
Diego Moura Soares
Keyword(s):  
Systematic Review ◽  
Clinical Trial ◽  
Meta Analysis ◽  
Class Ii ◽  
Periodontal Treatment ◽  
Enamel Matrix Derivative ◽  
Enamel Matrix ◽  
Furcation Defects ◽  
Furcation Involvement ◽  
Matrix Derivative

As lesões de furca ocorrem quando a doença periodontal atinge a área de bifurcação dos dentes multirradiculares causando a destruição óssea e perda de inserção no espaço inter-radicular. Existem diversos fatores etiológicos que influenciam no aparecimento dessas lesões e até os dias de hoje o tratamento desse tipo de injúria ainda é um desafio na clínica odontológica. O objetivo deste artigo foi listar, através de uma revisão da literatura, os fatores que influenciam na etiologia da lesão de furca, bem como o seu diagnóstico, prognóstico e tratamento. Fatores como características morfológicas do dente e raiz e deficiência no controle do biofilme, que podem contribuir para o seu aparecimento. Além de diversos tipos de procedimentos e técnicas têm sido propostas para o tratamento das lesões de furca, seja mais ou menos conservadores. Descritores: Defeitos da Furca; Diagnóstico; Doenças Periodontais. Referências Deliberador TM, Nagata MJH, Furlaneto FAC, Messora MR, Bosco AF, Garcia VG et al. Abordagem conservadora no tratamento dos defeitos de furca. RSBO. 2008;5(8):49-55. Silva GP, Sousa Neto AC, Pereira AFV, Alves CMC, Pereira ALA, Serra LLL. Classificação e tratamento das lesões de furca. Rev Ciênc Saúde. 2014;16(2):112-28. Nibali L, Zavattini A, Nagata K, Di Iorio A, Lin GH, Needleman I, et al. Tooth loss in molars with and without furcation involvement - a systematic review and meta-analysis. J Clin Periodontol. 2016;43(2):156-66. Artacho MCI, Arambulo GM. Defectos de furcación. Etiología, diagnóstico y tratamiento. Rev Estomatol Herediana. 2010;20(3):172-78. Pereira SG, Pinho MM, Almeida RF. Regeneração periodontal em lesões de furca–revisão da literatura. Rev port estomatol med dent cir maxilofac. 2012;53(2):123-32. Queiroz LA, Casarian RCV, Daddoub SM, Tatakis DN, Enilson AS, Kumar PS. Furcation Therapy with Enamel Matrix Derivative: Effects on the Subgingival Microbiome. J Periodontol. 2017;88(7):617-25. Vieira TR, Costa FO, Zenóbio EG, Soares RV. Anatomia radicular e suas implicações na terapêutica periodontal. Rev Periodontia 2009;19(1):7-13. Bower RC. Furcation morphology relative to periodontal treatment. Furcation root surface anatomy. J Periodontol. 1979;50(7):366-74. Newman M, Takei H, Klokkevold P, Carranza F. Periodontia clínica. ed. São Paulo: Elservier; 2016. Lindhe J, Karring T, Lang NP. Tratado de periodontia clínica e implantodontia oral. ed; Rio de Janeiro: Guanabara Koogan;2010. Hamp SE, Nyman S, Lindhe J. Periodontal treatment of multirroted teeth. Result after 5 years. J Clin Periodontol. 1975;2(3):126-35. Ramjford SP, Ash MM. Periodontology and Periodontics. Philadelphia: W.B. Saunders Co; 1979. Tarnow D, Fletcher P. Classification of the vertical component of furcation involvement. J Periodontol. 1984;55(5):283-84. Walter C, Weiger R, Zitman NU. Periodontal surgery in furcation-involved maxillary molars revisited: an introduction of guidelines for comprehensive treatment. Clin Oral Investig. 2011;15(1):9-20. Sallum AW, Cicareli AJ, Querido MRM, Bastos-Neto FVR. Periodontia e implantodontia - Soluções estéticas e recursos clínicos. Rio de Janeiro: Napoleão; 2010. Graziani F, Gennai S, Karapetsa D, Rosini S, Filice N, Gabriele M, et al. Clinical performance of access flap in the treatment of class II furcation defects. A systematic review and meta-analysis of randomized clinical trials. J Clin Periodontol. 2015;42(2):169-81. Svärdström G, Wennström JL. Periodontal treatment decisions for molars: an analysis of influencing factors and long-term outcome. J Periodontol. 2000;71(4):579-85. Huynh-Ba G, Kuonen P, Hofer D, Schmid J, Lang NP, Salvi GE. The effect of periodontal therapy on the survival rate and incidence of complications of multirooted teeth with furcation involvement after an observation period of at least 5 years: a systematic review. J Clin Periodontol. 2009;36(2):164-76. Shirakata Y, Miron RJ, Nakamura T, Sena K, Shinohara Y, Horai N et al. Effects of EMD liquid (Osteogain) on periodontal healing in class III furcation defects in monkeys. J Clin Periodontol. 2017;44(3):298-307. Meyle J, Gonzales JR, Bödeker RH, Hoffmann T, Richter S, Heinz B et al. A randomized clinical trial comparing enamel matrix derivative and  membrane treatment of buccal class II furcation involvement in mandibular molars. Part II: secondary outcomes. J Periodontol. 2004; 75(9):1188-95. Jenabian N, Haghanifar S, Ehsani H, Zahedi E, Haghpanah M. Guided tissue regeneration and platelet rich growth factor for the treatment of Grade II furcation defects: A randomized double-blinded clinical trial - A pilot study. Dent Res J (Isfahan). 2017;14(6):363-69. Kinaia M, Steiger J, Neely AL, Shah M, Bhola M. Treatment of class II molar furcation involvement: meta-analyses of re-entry results. J Periodontol. 2011;82(1):413-28. Correa A, Ferreira PS, Barboza R, Ribeiro EDP, Bittencourt S. Fatores que influenciam no sucesso da técnica do retalho posicionado coronalmente. Rev Bahiana Odonto; 2013;4(2):117-28. Jepsen S, Gennai S, Hirschfeld J, Kalemaj Z, Buti J, Graziani F. Regenerative surgical treatment of furcation defects: A systematic review and Bayesian network meta-analysis of randomized clinical trials. J Clin 2020;47(Suppl 22):352-74. Reddy MS, Aichelmann-Reidy ME, Avila-Ortiz G, Klokkevold PR, Murphy KG, Rosen PS, et al. Periodontal regeneration - furcation defects: a consensus report from the AAP Regeneration J Periodontol. 2015;86(2 Suppl):S131-3. Casarin RCV, Ribeiro EDP, Nociti-Jr FH, Sallum AW, Ambrosano GMB, Sallum EA, et al. Enamel matrix derivative proteins for the treatment of proximal class II furcation involvements: a prospective 24-month randomized clinical trial. J Clin Periodontol; 2010;37(12):1100-109. Hoffmann T, Richter S, Meyle J, Gonzales JR, Heinz B, Arjomand M et al. A randomized clinical multicentre trial comparing enamel matrix derivative and membrane treatment of buccal class II furcation involvement in mandibular molars. Part III: patient factors and treatment outcome. J Clin Periodontol. 2006;33(8):575-83.

Hydroxyapatite/β-tricalcium phosphate and enamel matrix derivative for treatment of proximal class II furcation defects: a randomized clinical trial

2013 ◽  
Vol 40 (3) ◽  
pp. 252-259 ◽  
Author(s):  
Maria F. S. Peres ◽  
Érica D. P. Ribeiro ◽  
Renato C. V. Casarin ◽  
Karina G. S. Ruiz ◽  
Francisco H. N. Junior ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Tricalcium Phosphate ◽  
Class Ii ◽  
Enamel Matrix Derivative ◽  
Enamel Matrix ◽  
Furcation Defects ◽  
Matrix Derivative

The use of enamel matrix derivative in the treatment of class II furcation defects: systematic review and meta‐analysis

2020 ◽  
Vol 65 (4) ◽  
pp. 241-251
Author(s):  
Diego Moura Soares ◽  
Jéssica Gomes Alcoforado Melo ◽  
Carlos Augusto Galvão Barboza ◽  
Renato de Vasconcelos Alves
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Class Ii ◽  
Enamel Matrix Derivative ◽  
Enamel Matrix ◽  
Furcation Defects ◽  
Matrix Derivative

Enamel matrix derivative proteins for the treatment of proximal class II furcation involvements: a prospective 24-month randomized clinical trial

2010 ◽  
Vol 37 (12) ◽  
pp. 1100-1109 ◽  
Author(s):  
Renato Corrêa Viana Casarin ◽  
Érica Del Peloso Ribeiro ◽  
Francisco Humberto Nociti ◽  
Antônio Wilson Sallum ◽  
Gláucia Maria Bovi Ambrosano ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Class Ii ◽  
Enamel Matrix Derivative ◽  
Enamel Matrix ◽  
Matrix Derivative

A double-blind randomized clinical evaluation of enamel matrix derivative proteins for the treatment of proximal class-II furcation involvements

2008 ◽  
Vol 35 (5) ◽  
pp. 429-437 ◽  
Author(s):  
Renato Corrêa Viana Casarin ◽  
Érica Del Peloso Ribeiro ◽  
Francisco Humberto Nociti ◽  
Antônio Wilson Sallum ◽  
Enilson Antônio Sallum ◽  
...  
Keyword(s):  
Clinical Evaluation ◽  
Class Ii ◽  
Enamel Matrix Derivative ◽  
Enamel Matrix ◽  
Double Blind ◽  
Matrix Derivative

A Combined Approach of Enamel Matrix Derivative Gel and Autogenous Bone Grafts in Treatment of Intrabony Periodontal Defects. A Case Report

2003 ◽  
Vol os10 (2) ◽  
pp. 41-43 ◽  
Author(s):  
George Leung ◽  
Lijian Jin
Keyword(s):  
Case Report ◽  
Chronic Periodontitis ◽  
Bone Grafts ◽  
Enamel Matrix Derivative ◽  
Autogenous Bone ◽  
Enamel Matrix ◽  
Combined Approach ◽  
Osseous Defects ◽  
Matrix Derivative ◽  
Autogenous Bone Grafts

Enamel matrix derivative (EMD) has recently been introduced as a new modality in regenerative periodontal therapy. This case report demonstrates a combined approach in topical application of EMD gel (Emdogain®) and autogenous bone grafts for treatment of intrabony defects and furcation involvement defects in a patient with chronic periodontitis. The seven-month post-surgery clinical and radiographic results were presented. The combined application of EMD gel with autogenous bone grafts in intrabony osseous defects resulted in clinically significant gain of attachment on diseased root surfaces and bone fill on radiographs. Further controlled clinical studies are required to confirm the long-term effectiveness of the combination of EMD gel and autogenous bone grafts in treatment of various osseous defects in subjects with chronic periodontitis.

Comparative Study of Enamel Matrix Derivative with or without GTR in the Treatment of Class II Furcation Lesions in Dogs

2004 ◽  
Vol 24 (5) ◽  
pp. 476-487 ◽  
Author(s):  
Plínio Regazzini ◽  
Arthur Novaes ◽  
Paulo de Oliveira ◽  
Daniela Palioto ◽  
Mário Taba ◽  
...  
Keyword(s):  
Comparative Study ◽  
Class Ii ◽  
Enamel Matrix Derivative ◽  
Enamel Matrix ◽  
Matrix Derivative
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