title: Connective tissue-bone onlay graft with enamel matrix derivative for treatment of gingival recession: a case report.
abstract: 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.
authors.affiliation: Association of Niigata Regenerative and Reconstructive Dentistry, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nozawa
authors.forename: Takahiko
authors.initials: T
authors.lastname: Sugiyama
authors.forename: Tohru
authors.initials: T
authors.lastname: Satoh
authors.forename: Koji
authors.initials: K
authors.lastname: Tanaka
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Enomoto
authors.forename: Koichi
authors.initials: K
authors.lastname: Ito
mesh_terms: 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
chemical_list: D003746:Dental Enamel Proteins; C109069:enamel matrix proteins