Posted at the Institutional Resources for Unique Collection and Academic Archives at Tokyo Dental College, Available from http://ir.tdc.ac.jp/ Title ������������������������ ������������������������ ��� Author(s) ��, ��; ��, �� Journal ����, 108(3): 233-240 URL http://hdl.handle.net/10130/488 Right
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エナメルマトリックス・デリバティブ(エムドゲイ …ir.tdc.ac.jp/irucaa/bitstream/10130/488/1/108_233.pdfreport, Int J Periodontics Restorative Dent Modica F.,
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Posted at the Institutional Resources for Unique Collection and Academic Archives at Tokyo Dental College,
� �T9Wennström J. L. , Pini Prato G. P. : Mucogingival ther-apy, Clinical Periodontology and Implant Dentistry 4th ed.7Lindhe J, Karring T, Lang NP ed.9, UUÖ�UØ�, BlackwellMunksgaard, Oxford,cÖÖÙÚc9Heijl L. : Periodontal regeneration with enamel matrixderivative in one human experimental defect. A case re-port, J Clin Periodontol��Û�ØÙÜ�Ø��TØØ[ÚÙ9Rasperini G. , Silvestri M. , Schenck R. K., Nevins M.L. : Clinical and histological evaluation of human gingivalrecession treated with subepithelial connective tissuegraft plus enamel matrix derivative7Emdogain9, A case
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report, Int J Periodontics Restorative Dent �������������� �Modica F., Del Pizzo M., Roccuzzo M., Romagnoli R. :Coronally advanced flap for the treatment of buccal gin-gival recessions with and without enamel matrix deriva-tive. A split-mouth study, J Periodontol������������������Miller P. D. Jr. : A classification of marginal tissue re-cession, Int J Periodontics Restorative Dent ��������������Paolantonio M., di Murro C., Cattabriga A., CattabrigaM. : Subpedicle connective tissue graft versus free gingi-val graft in the coverage of exposed root surfaces. A 5-year clinical study, J Clin Periodontol���������������Harris R. J. : A comparative study of root coverage ob-tained with guided tissue regeneration utilizing a bioab-sorbable membrane versus the connective tissue withpartial-thickness double pedicle graft, J Periodontol ����������������Hagewald S., Spahr A., Rompola E., Haller B., Heijl L.,Bernimoulin J. P. : Comparative study of Emdogain andcoronally advanced flap technique in the treatment of hu-man gingival recessions. A prospective controlled clinicalstudy, J Clin Periodontol����� ������Del Pizzo M., Zucchelli G., Modica F., Villa R., Deber-nardi C. : Coronally advanced flap with or withoutenamel matrix derivative for root coverage. a 2-yearstudy, J Clin Periodontol����������������
���Spahr A., Haegewald S., Tsoulfidou F., Rompola E.,Heijl L., Bernimoulin J. P., Ring C., Sander S., Haller B. :Coverage of Miller class I and II recession defects usingenamel matrix proteins versus coronally advanced flaptechnique. a 2-year report, J Periodontol����������������
���Cueva M. A., Boltchi F. E., Hallmon W. W., Nunn M. E.,Rivera-Hidalgo F., Rees T. : A comparative study of
coronally advanced flaps with and without the additionof enamel matrix derivative in the treatment of marginaltissue recession, J Periodontol���� ������� �
��Castellanos A., de la Rosa M., de la Garza M., CaffesseR.G. : Enamel matrix derivative and coronal flaps tocover marginal tissue recessions, J Periodontol ������ ����
���Pilloni A., Paolantonio M., Camargo P. M. : Root cover-age with a coronally positioned flap used in combinationwith enamel matrix derivative. 18-month clinical evalu-ation, J Periodontol��������������
� �Berlucchi I., Francetti L., Del Fabbro M., Basso M., We-instein R. L. : The influence of anatomical features on theoutcome of gingival recessions treated with coronally ad-vanced flap and enamel matrix derivative. a 1-year pro-spective study, J Periodontol��������������
���McGuire M. K., Nunn M. : Evaluation of human reces-sion defects treated with coronally advanced flaps andeither enamel matrix derivative or connective tissue.Part 1 : Comparison of clinical parameters, J Periodontol���������������
���McGuire M. K., Cochran D. L. : Evaluation of humanrecession defects treated with coronally advanced flapsand either enamel matrix derivative or connective tissue.Part 2 : Histological evaluation, J Periodontol ���������������
���Nemcovsky C. E., Artzi Z., Tal H., Kozlovsky A., MosesO. : A multicenter comparative study of two root cover-age procedures : coronally advanced flap with addition ofenamel matrix proteins and subpedicle connective tissuegraft, J Periodontol������������ �
���Moses O., Artzi Z., Sculean A., Tal H., Kozlovsky A.,Romanos G. E., Nemcovsky C. E. : Comparative study oftwo root coverage procedures : a 24-month follow-upmulticenter study, J Periodontol������������
���� Vol����No������� ��
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Root coverage with coronally positioned flap in combinationwith Enamel Matrix Derivative�Emdogain���
A case report
Takafumi MORIYAMA�Takemi MAKIISHI
Division of Conservative Dentistry, Department of Clinical OralHealth Science, Tokyo Dental College
Key words : Root coverage, Coronally positioned flap, Enamel matrix derivative, Periodontal plastic surgery
Various periodontal plastic surgical techniques are employed in obtaining root coverage� Recently�the use of an enamel matrix derivative�Emdogain��has been reported in such treatment� We report acase of root coverage surgery with a coronally positioned flap in combination with Emdogain��The patient was a 25-yeare- old woman referred to our hospital for root coverage surgery on the lower
right first premolar� Gingival recession was classified as Miller Class��as no alveolar bone loss or lossof attachment was observed in the interdental area�although the recession had progressed to the mucog-ingival junction� The patient was diagnosed with local gingival recession caused by excessive toothbrushing� Primary conservative treatment failed to reduce the gingival recession� Subsequently�rootcoverage surgery with a coronally positioned flap in combination with Emdogain� was carried out� Asobservation at the 8 month follow-up revealed no recurrence of root exposure or subjective symptoms�thepostoperative course was considered to be favorable� This indicated the effectiveness of root coveragesurgery with a coronally positioned flap in combination with Emdogain��