법랑기질유도체와 결합조직이식술을 이용한 치근피개술: 치은퇴축과 관련된 다양한 증례
Subepithelial connective tissue graft in combination with enamel matrix derivative for root coverage within different case of gingival recession: Case report
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Root coverage can be an efficacious treatment not only in aspect of dental symptoms like root caries and hypersensitivity, but also in aspect of esthetic problem. There are several predictable methods for gaining a connective tissue attachment to an exposed root surface. Among them, this case report will deal with three cases using enamel matrix derivative and connective tissue graft to recover esthetic and physiological periodontal environment and its form. This case report deals with three patients with gingival recession which has occurred by different causes. They were treated with de-epithelialized graft accompanied by application of enamel matrix derivative. 6-12 months later, all three patients showed considerable root coverage and clinically stable condition of healing. In conclusion, within the limitation of this study, de-epithelialized connective tissue graft accompanied by application of enamel matrix derivative shows stable and clinical acceptable results in aspect of root coverage.
Abstract
Root coverage can be an efficacious treatment not only in aspect of dental symptoms like root caries and hypersensitivity, but also in aspect of esthetic problem. There are several predictable methods for gaining a connective tissue attachment to an exposed root surface. Among them, this case report will deal with three cases using enamel matrix derivative and connective tissue graft to recover esthetic and physiological periodontal environment and its form. This case report deals with three patients with gingival recession which has occurred by different causes. They were treated with de-epithelialized graft accompanied by application of enamel matrix derivative. 6-12 months later, all three patients showed considerable root coverage and clinically stable condition of healing. In conclusion, within the limitation of this study, de-epithelialized connective tissue graft accompanied by application of enamel matrix derivative shows stable and clinical acceptable results in aspect of root coverage.
참고문헌 (22)
- Loe H, "The natural history of periodontal disease in man: prevalence, severity, and extent of gingival recession", J Periodontol, 63, pp.489~495 (1992)
- Baker DL, "The possible pathogenesis of gingival recession. A histological study of induced recession in the rat", J Clin Periodontol, 3, pp.208~219 (1976)
- Miller PD, Jr, "A classification of marginal tissue recession", Int J Periodontics Restorative Dent, 5, pp.8~13 (1985)
- Wennstrom JL, "Increased gingival dimensions. A significant factor for successful outcome of root coverage procedures? A 2-year prospective clinical study", J Clin Periodontol, 23, pp.770~777 (1996)
- Ricci G, "A clinical", statistical comparison between the subpedicle connective tissue graft method and the guided tissue regeneration technique in root coverage, 1996, pp.16, 538~545
- Nelson SW, "The subpedicle connective tissue graft. A bilaminar reconstructive procedure for the coverage of denuded root surfaces", J Periodontol, 58, pp.95~102 (1987)
- Roccuzzo M, "Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review", J Clin Periodontol, 29(Suppl 3), pp.178~194 (2002)
- Heijl L., "Periodontal regeneration with enamel matrix derivative in one human experimental defect. A case report", J Clin Periodontol, 24, pp.693~696 (1997)
- McGuire MK, "Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue. Part 2: Histological evaluation", J Periodontol, 74, pp.1126~1135 (2003)
- Zucchelli G, "Mucogingival versus guided tissue regeneration procedures in the treatment of deep recession type defects", J Periodontol, 69, pp.138~145 (1998)
- Trombelli L, "Subpedicle connective tissue graft versus guided tissue regeneration with bioabsorbable membrane in the treatment of human gingival recession defects", J Periodontol, 69, pp.1271~1277 (1998)
- Ricci G, "Root coverage: a clinical", statistical comparison between subpedicle connective tissue graft and laterally positioned full thickness flaps, 1996, pp.8, 66~73
- Zucchelli G, "Patient morbidity and root coverage outcome after subepithelial connective tissue and deepithelialized grafts: a comparative randomizedcontrolled clinical trial", J Clin Periodontol, 37, pp.728~738 (2010)
- Griffin TJ, "Postoperative complications following gingival augmentation procedures", J Periodontol, 77, pp.2070~2079 (2006)
- Aroca S, "Treatment of multiple adjacent Miller class I and II gingival recessions with a Modified Coronally Advanced Tunnel (MCAT) technique and a collagen matrix or palatal connective tissue graft: a randomized, controlled clinical trial", J Clin Periodontol, 40, pp.713~720 (2013)
- Roman A, "Subepithelial connective tissue graft with or without enamel matrix derivative for the treatment of Miller class I and II gingival recessions: a controlled randomized clinical trial", J Periodontal Res, 48, pp.563~572 (2013)
- Rasperini G, "Subepithelial connective tissue graft for treatment of gingival recessions with and without enamel matrix derivative: a multicenter, randomized controlled clinical trial", Int J Periodontics Restorative Dent, 31, pp.133~139 (2011)
- Cortellini P, "Coronally advanced flap and combination therapy for root coverage. Clinical strategies based on scientific evidence and clinical experience", Periodontol 2000, 59, pp.158~184 (2012)
- Sato S, "Treatment of Miller Class III recessions with enamel matrix derivative (Emdogain) in combination with subepithelial connective tissue grafting", Int J Periodontics Restorative Dent, 26, pp.71~77 (2006)
- Henriques PS, "Application of subepithelial connective tissue graft with or without enamel matrix derivative for root coverage: a split-mouth randomized study", J Oral Sci, 52, pp.463~471 (2010)
- Velasquez-Plata D, "Clinical comparison of an enamel matrix derivative used alone or in combination with a bovinederived xenograft for the treatment of periodontal osseous defects in humans", J Periodontol, 73, pp.433~440 (2002)
- Zucchelli G, "Enamel matrix proteins and bovine porous bone mineral in the treatment of intrabony defects: a comparative controlled clinical trial", J Periodontol, 74, pp.1725~1735 (2003)