Periodontal regeneration.
Untreated periodontal disease leads to tooth loss through destruction of the attachment apparatus and tooth-supporting structures. The goals of periodontal therapy include not only the arrest of periodontal disease progression,but also the regeneration of structures lost to disease where appropriate. Conventional surgical approaches (e.g., flap debridement) continue to offer time-tested and reliable methods to access root surfaces,reduce periodontal pockets, and attain improved periodontal form/architecture. However, these techniques offer only limited potential towards recovering tissues destroyed during earlier disease phases. Recently, surgical procedures aimed at greater and more predictable regeneration of periodontal tissues and functional attachment close to their original level have been developed, analyzed, and employed in clinical practice. This paper provides a review of the current understanding of the mechanisms, cells, and factors required for regeneration of the periodontium and of procedures used to restore periodontal tissues around natural teeth. Targeted audiences for this paper are periodontists and/or researchers with an interest in improving the predictability of regenerative procedures. This paper replaces the version published in 1993.
Wang
Hom-Lay
HL
Greenwell
Henry
H
Fiorellini
Joseph
J
Giannobile
William
W
Offenbacher
Steven
S
Salkin
Leslie
L
Townsend
Cheryl
C
Sheridan
Phillip
P
Genco
Robert J
RJ
D020341:Absorbable Implants; D001672:Biocompatible Materials / Q000627:therapeutic use; D019485:Bone Morphogenetic Proteins / Q000627:therapeutic use; D016025:Bone Transplantation / Q000379:methods*; D003746:Dental Enamel Proteins / Q000627:therapeutic use; D016557:Guided Tissue Regeneration, Periodontal / Q000379:methods*; D006801:Humans; D008567:Membranes, Artificial; D013499:Surface Properties; D013524:Surgical Flaps; D014092:Tooth Root
D001672:Biocompatible Materials; D019485:Bone Morphogenetic Proteins; D003746:Dental Enamel Proteins; D008567:Membranes, Artificial; C109069:enamel matrix proteins