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http://dx.doi.org/10.14368/jdras.2017.33.3.230

Additional use of autogenous periosteal barrier membrane combined with regenerative therapy in the interproximal intrabony defects: case series  

Kim, Hyun-Joo (Department of Periodontology, School of Dentistry and Dental Research Institute, Pusan National University)
Kim, Hyung-min (Department of Periodontology, School of Dentistry and Dental Research Institute, Pusan National University)
Lee, Ju-Youn (Department of Periodontology, School of Dentistry and Dental Research Institute, Pusan National University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.33, no.3, 2017 , pp. 230-237 More about this Journal
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.
Keywords
enamel matrix proteins; guided tissue regeneration; periosteum;
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