Additional use of autogenous periosteal barrier membrane combined with regenerative therapy in the interproximal intrabony defects: case series.
10.14368/jdras.2017.33.3.230
- Author:
Hyun Joo KIM
1
;
Hyung min KIM
;
Ju Youn LEE
Author Information
1. Department of Periodontology, School of Dentistry and Dental Research Institute, Pusan National University, Yangsan, Republic of Korea. heroine@pusac.ac.kr
- Publication Type:Case Report
- Keywords:
enamel matrix proteins;
guided tissue regeneration;
periosteum
- MeSH:
Dental Enamel;
Esthetics;
Gingiva;
Guided Tissue Regeneration;
Heterografts;
Membranes*;
Miners;
Periosteum;
Radiography;
Transplants
- From:Journal of Dental Rehabilitation and Applied Science
2017;33(3):230-237
- CountryRepublic of Korea
- Language:English
-
Abstract:
Regenerative therapy in an interproximal intrabony defect is a challenge due to unaesthetic appearance after surgery. In this article, we introduce a case series of additional use of autogenous periosteal barrier membrane combined with bovine bone mineral and enamel matrix derivative (EMD) in interproximal periodontal intrabony defects to overcome an aforementioned shortcoming. During the periodontal regenerative surgery, autogenous periosteal membrane was additionally adopted besides xenograft material and EMD. Clinical and radiographic examinations were performed before surgery and 6 months after surgical treatment. All clinical parameters were improved and the intrabony defects were resolved on the radiography 6 months after surgery. Moreover, soft tissue esthetics such as the contour of interdental papilla was better than that of conventional regenerative therapy. Periodontal regenerative therapy using several graft materials and bioactive materials was effective in the treatment of periodontal intrabony defect. Moreover, using of autogenous periosteal barrier membrane combined with xenograft and EMD has additional effect for the treatment of an interproximal intrabony defect in terms of augmentation of interdental soft tissue volume.
