The use of Enamel Matrix Derivative (Emd) for Treatment of Combined Apicomarginal Lesions in Apical Surgery: A Retrospective Analysis

von Arx, Thomas; Bosshardt, Dieter (2018). The use of Enamel Matrix Derivative (Emd) for Treatment of Combined Apicomarginal Lesions in Apical Surgery: A Retrospective Analysis. European endodontic journal, 3(3), pp. 146-152. Kare Publishing 10.14744/eej.2018.97269

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Objective: The outcome of apical surgery using modern techniques is favourable. However, the presence of a combined apicomarginal defect may negatively affect the postsurgical healing. The objective of this retro- spective analysis was to assess the healing of teeth with apicomarginal defects treated with apical surgery and enamel matrix derivative (EMD). Methods: This retrospective study evaluated the application of EMD in apical surgery of 17 teeth with api- comarginal defects. Cases were followed for at least 1 year, and healing was classified based on established clinical and radiographic criteria. Results: The patient sample included nine females and eight males with a mean age of 50±18.2 years. Max- illary incisors (six lateral and four central) were the most frequently treated teeth. The majority of apico- marginal defects was located on the facial aspect of the root (70.6%) and belonged to defect class I (76.5%). Follow-up periods ranged from 1 to 5 years. Healing was successful in 14 teeth (82.4%). Conclusion: The application of EMD resulted in a similar outcome as in previously published clinical studies related to regenerative techniques for the treatment of apicomarginal defects in conjunction with apical surgery. Keywords: Apical surgery, enamel matrix derivative, endo-perio lesion

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > School of Dental Medicine, Oral Surgery Research
04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology

UniBE Contributor:

von Arx, Thomas and Bosshardt, Dieter

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2548-0839

Publisher:

Kare Publishing

Language:

English

Submitter:

Caroline Balz

Date Deposited:

14 Mar 2019 13:58

Last Modified:

23 Oct 2019 19:10

Publisher DOI:

10.14744/eej.2018.97269

BORIS DOI:

10.7892/boris.126088

URI:

https://boris.unibe.ch/id/eprint/126088

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