Histological evaluation following treatment of recession-type defects with coronally advanced flap and a novel human recombinant amelogenin.

Chackartchi, Tali; Bosshardt, Dieter D; Imber, Jean-Claude; Stähli, Alexandra; Sacks, Hagit; Nagy, Katalin; Sculean, Anton (2023). Histological evaluation following treatment of recession-type defects with coronally advanced flap and a novel human recombinant amelogenin. Clinical oral investigations, 27(9), pp. 5041-5048. Springer 10.1007/s00784-023-05123-x

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OBJECTIVES

To histologically evaluate the effects of a novel human recombinant amelogenin (rAmelX) on periodontal wound healing / regeneration in recession-type defects.

MATERIALS AND METHODS

A total of 17 gingival recession-type defects were surgically created in the maxilla of three minipigs. The defects were randomly treated with a coronally advanced flap (CAF) and either rAmelX (test), or a CAF and placebo (control). At three months following reconstructive surgery, the animals were euthanized, and the healing outcomes histologically evaluated.

RESULTS

The test group yielded statistically significantly (p = 0.047) greater formation of cementum with inserting collagen fibers compared with the control group (i.e., 4.38 mm ± 0.36 mm vs. 3.48 mm ± 1.13 mm). Bone formation measured 2.15 mm ± 0.8 mm in the test group and 2.24 mm ± 1.23 mm in the control group, respectively, without a statistically significant difference (p = 0.94).

CONCLUSIONS

The present data have provided for the first-time evidence for the potential of rAmelX to promote regeneration of periodontal ligament and root cementum in recession-type defects, thus warranting further preclinical and clinical testing.

CLINICAL RELEVANCE

The present results set the basis for the potential clinical application of rAmelX in reconstructive periodontal surgery.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology

UniBE Contributor:

Bosshardt, Dieter, Imber, Jean-Claude, Stähli, Alexandra Beatrice, Sculean, Anton

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1436-3771

Publisher:

Springer

Language:

English

Submitter:

Pubmed Import

Date Deposited:

10 Jul 2023 10:56

Last Modified:

11 Sep 2023 00:14

Publisher DOI:

10.1007/s00784-023-05123-x

PubMed ID:

37421492

Uncontrolled Keywords:

Gingival recessions Periodontal regeneration Periodontal wound healing Recombinant Amelogenin

BORIS DOI:

10.48350/184608

URI:

https://boris.unibe.ch/id/eprint/184608

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