Premium
Periosteal Connective Tissue Grafting or Root Coverage with Enamel Matrix Derivative: A Case Report
Author(s) -
ITO KOICHI,
AKUTAGAWA HIDEYASU
Publication year - 2001
Publication title -
journal of esthetic and restorative dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.919
H-Index - 60
eISSN - 1708-8240
pISSN - 1496-4155
DOI - 10.1111/j.1708-8240.2001.tb00260.x
Subject(s) - enamel matrix derivative , gingival recession , connective tissue , dentistry , matrix (chemical analysis) , enamel paint , medicine , incisor , maxillary central incisor , materials science , orthodontics , regeneration (biology) , biology , composite material , pathology , microbiology and biotechnology
A 24‐year‐old female patient presented for the resolution of esthetic concerns associated with wide gingival recession facial to the maxillary left central incisor before orthodontic treatment. A periosteal connective tissue graft in conjunction with an enamel matrix derivative was used to achieve root coverage. This technique achieved healthy thick keratinized tissue coverage of the root surfaces and effectively improved the esthetics. These satisfactory clinical results have been maintained for 18 months, even through active orthodontic treatment. CLINICAL SIGNIFICANCE This case report demonstrates an innovative approach to root coverage that uses an enamel matrix derivative in conjunction with periosteal connective tissue grafting. Although there is no absolute clinical evidence that the enamel matrix derivative contributed to the final outcome, the results are encouraging and should be pursued through case‐controlled clinical trials.