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Treatment of a Large Periradicular Lesion of Endodontic Origin Around a Dental Implant With Enamel Matrix Protein Derivative
Author(s) -
Lin Shaul,
Mayer Yaniv
Publication year - 2007
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.2007.070199
Subject(s) - enamel matrix derivative , dentistry , lesion , enamel paint , medicine , dental implant , implant , orthodontics , biology , pathology , surgery , regeneration (biology) , microbiology and biotechnology
Background: This case report describes the healing of a large periradicular lesion involving an adjacent implant. Endodontic surgery was performed in combination with placement of an enamel matrix protein derivative. Methods: Endodontic surgery was performed, including root end resection at a 90° angle. Ultrasonic tips were used for retrograde preparation, and the retrograde cavity was sealed with zinc oxide–eugenol. The area was filled carefully with enamel matrix proteins. Sutures were removed after a 2‐week healing period. Results: There were no symptoms of pain, inflammation, or discomfort at 18 months post‐surgery. Radiographs showed complete healing of the periradicular lesion. Conclusions: Combining an enamel matrix protein derivative with conventional surgery may improve the clinical outcome of large endodontic lesions. Additional research is warranted.