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The use of enamel matrix derivative in the treatment of class II furcation defects: systematic review and meta‐analysis
Author(s) -
Soares Diego Moura,
Melo Jéssica Gomes Alcoforado,
Barboza Carlos Augusto Galvão,
Alves Renato de Vasconcelos
Publication year - 2020
Publication title -
australian dental journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.701
H-Index - 71
eISSN - 1834-7819
pISSN - 0045-0421
DOI - 10.1111/adj.12794
Subject(s) - enamel matrix derivative , furcation defect , meta analysis , dentistry , medicine , debridement (dental) , matrix (chemical analysis) , orthodontics , regeneration (biology) , materials science , molar , biology , microbiology and biotechnology , composite material
Objective To evaluate the effect of enamel matrix derivative (EMD) in the regeneration of class II furcation defects, used alone or in conjunction with biomaterials. Methods Electronic database searches and hand searches were carried out and double‐blind randomized controlled trials evaluating the use of EMD in class II furcation therapy were included, and a meta‐analysis comparing the effect of open flap debridement (OFD) + βTCP/HA with and without EMD was carried out. Results The initial search resulted in a total of 298 articles, after removing the duplicates and exclusions after analysing the titles, abstracts and full text, five studies were included for the qualitative synthesis and two for the quantitative analysis. The meta‐analysis showed no statistical difference when comparing OFD + βTCP/ HA with or without EMD in the treatment of furcation defects in any of the evaluated parameters. According to GRADE, the certainty of the evidence for the variables evaluated was moderate. Conclusion The therapeutic modalities studied improved the periodontal clinical parameters of class II furcations, but the use of EMD in the treatment of these defects did not contribute to a clinical improvement that justified its use associated with the therapies/biomaterials. It is important to emphasize the need for more studies with larger samples to increase the certainty of the evidence reported in this review.