THE JOURNAL OF THE TOKYO DENTAL COLLEGE SOCIETY

Vol. 108 No. 3      June 2008

ISSN: 0037-3710      UBIC: 342-J

ABSTRACT

Various periodontal plastic surgical techniques are employed root coverage. Recently the use of an enamel matrix derivative (Emdogain) has been reported in such treatment. We report a case 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 un the lower right first premolar. Gingival recession was classified as Miller Class H. as no alveolar bone loss or loss of attachment was observed in the interdental area. Although the recession had progressed to the mucogingival junction. The patient was diagnosed with local gingival recession caused by excessive tooth brushing. Primary conservative treatment failed to reduce the gingival recession. Subsequently. Root coverage surgery with a coronally positioned flap in combination with Emdogain was carried out. As observation at the 8 month follow-up revealed no recurrence of rout exposure or subjective symptoms, the postoperative course was considered to be favorable. This indicated the effectiveness of root coverage surgery with a coronally positioned flap in combination with Emdogain. (The Shikwa Gakuho, 108: 233-240, 2008). Key words: Root coverage, Coronally positioned flap, Enamel matrix derivative, Periodontal plastic surgery.

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