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Type: Artigo de periódico
Title: Enamel matrix derivative proteins for the treatment of proximal class II furcation involvements: a prospective 24-month randomized clinical trial
Author: Casarin, RCV
Ribeiro, ED
Nociti, FH
Sallum, AW
Ambrosano, GMB
Sallum, EA
Casati, MZ
Abstract: P>Objective This study aimed to evaluate the response of proximal furcations treated with enamel matrix derivative proteins (EMD) in a 24-month follow-up. Materials and Methods Twelve patients presenting bilateral class II proximal furcation with vertical probing depth (PD)>= 5 mm and bleeding on probing were selected. The furcations were assigned to: a control group (n=12), open flap debridement (OFD)+EDTA and a test group (n=12) - OFD+EDTA+EMD. The gingival margin position, PD, relative vertical and horizontal clinical attachment level (RVCAL and RHCAL), vertical and horizontal bone level (VBL and HBL) and furcation closure were evaluated before treatment and after 6, 12 and 24 months. Results After follow-up, no statistical difference could be seen between groups. At 24 months, the test group showed 1.9 +/- 1.6 mm PD reduction whereas the control group showed 1.0 +/- 1.3 mm PD reduction. RHCAL gains of the control and the test group were 0.7 +/- 1.3 and 1.4 +/- 0.9 mm, respectively. However, at 24 months, the test group only presented five remaining class II furcations versus 10 furcations in the control group (p < 0.05). Conclusion It could be concluded that EMD therapy promoted a reduction in the number of proximal furcations presenting a diagnosis of class II after 24 months of treatment compared with OFD therapy.
Subject: enamel matrix derivative
open flap debridement
proximal furcation
randomized clinical trial (RCT)
regenerative procedures
Country: EUA
Editor: Wiley-blackwell
Citation: Journal Of Clinical Periodontology. Wiley-blackwell, v. 37, n. 12, n. 1100, n. 1109, 2010.
Rights: fechado
Identifier DOI: 10.1111/j.1600-051X.2010.01614.x
Date Issue: 2010
Appears in Collections:Unicamp - Artigos e Outros Documentos

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