Connective tissue-bone onlay graft with enamel matrix derivative for treatment of gingival recession: a case report.
We describe a case of gingival recession in which root coverage and coronal bone regrowth were achieved after treatment with a connective tissue-bone graft and enamel matrix derivative. The connective tissue-bone graft was harvested from a maxillary edentulous area and then curved to fit the root surfaces of the maxillary left central and lateral incisors. Enamel matrix derivative was applied to the root surfaces, and the connective tissue-bone graft was fixed to the interdental bone by a titanium screw. Six months later, the exposed roots were covered with thick gingiva, and coronal regrowth of thick bone was evident at reentry surgery. This technique is useful for esthetic restoration placement with an intracrevicular margin on teeth with a thin, receding gingiva.
Nozawa
Takeshi
T
Association of Niigata Regenerative and Reconstructive Dentistry, Japan.
Sugiyama
Takahiko
T
Satoh
Tohru
T
Tanaka
Koji
K
Enomoto
Hiroaki
H
Ito
Koichi
K
D001861:Bone Regeneration / Q000187:drug effects*; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods; D003238:Connective Tissue / Q000637:transplantation; D003746:Dental Enamel Proteins / Q000494:pharmacology*; D005260:Female; D005889:Gingival Recession / Q000601:surgery*; D005893:Gingivoplasty / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007180:Incisor; D008437:Maxilla; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation; D013524:Surgical Flaps
D003746:Dental Enamel Proteins; C109069:enamel matrix proteins