Greenstein G
Department of Periodontology, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA.
Compend Contin Educ Dent. 2000 Apr;21(4):299-305, 308, 310 passim; quiz 314.
This article addresses the use of enamel matrix proteins (Emdogain) to enhance regeneration of the periodontium. Information regarding the role of Emdogain to induce cementogenesis and histologic evidence in animals and humans that it can initiate regeneration of diseased sites are discussed. Several clinical trials have indicated that Emdogain plus modified Widman flap surgery provide a better result than the surgery alone. Several other investigations have indicated that flap surgery plus Emdogain or a bioabsorbable membrane achieve similar results. However, this latter finding needs further validation. Clinical examples of successful therapy with Emdogain are presented.
本文探讨了牙釉质基质蛋白(Emdogain)在促进牙周组织再生方面的应用。文中讨论了Emdogain在诱导牙骨质生成中的作用以及在动物和人类中的组织学证据,表明其能够启动病变部位的再生。多项临床试验表明,Emdogain联合改良Widman翻瓣术比单纯手术效果更佳。其他一些研究表明,翻瓣术联合Emdogain或生物可吸收膜可取得类似效果。然而,后一发现需要进一步验证。文中还展示了使用Emdogain成功治疗的临床实例。