IRUCAA@TDC : エナメルマトリックス・デリバティブ(エムドゲインⓇ)併用歯肉弁歯冠側移動術により根面被覆を行った1症例
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(8) 4235. Vol")(0!No"+&*((0'. report, Int J Periodontics Restorative Dent #!#+.1% +/-!*(((" ,'Modica F., Del Pizzo M., Roccuzzo M., Romagnoli R. : Coronally advanced flap for the treatment of buccal gingival recessions with and without enamel matrix derivative. A split-mouth study, J Periodontol ("#).1+%).10! *(((" -'Miller P. D. Jr. : A classification of marginal tissue recession, Int J Periodontics Restorative Dent �%)+" )10-" .'Paolantonio M., di Murro C., Cattabriga A., Cattabriga M. : Subpedicle connective tissue graft versus free gingival graft in the coverage of exposed root surfaces. A 5year clinical study, J Clin Periodontol #%#-)%-.!)11/" /'Harris R. J. : A comparative study of root coverage obtained with guided tissue regeneration utilizing a bioabsorbable membrane versus the connective tissue with partial-thickness double pedicle graft, J Periodontol ')# //1%/1(!)11/" 0'Hagewald S., Spahr A., Rompola E., Haller B., Heijl L., Bernimoulin J. P. : Comparative study of Emdogain and coronally advanced flap technique in the treatment of human gingival recessions. A prospective controlled clinical study, J Clin Periodontol #*#+-%,)!*((*" 1'Del Pizzo M., Zucchelli G., Modica F., Villa R., Debernardi C. : Coronally advanced flap with or without enamel matrix derivative for root coverage. a 2-year study, J Clin Periodontol $##))0)%))0/!*((-" )('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 using enamel matrix proteins versus coronally advanced flap technique. a 2-year report, J Periodontol ('#)0/)%)00(! *((-" ))'Cueva M. A., Boltchi F. E., Hallmon W. W., Nunn M. E., Rivera-Hidalgo F., Rees T. : A comparative study of. *+1. coronally advanced flaps with and without the addition of enamel matrix derivative in the treatment of marginal tissue recession, J Periodontol (,1%1-.!*((," )*'Castellanos A., de la Rosa M., de la Garza M., Caffesse R.G. : Enamel matrix derivative and coronal flaps to cover marginal tissue recessions, J Periodontol ((#/% ),!*((." )+'Pilloni A., Paolantonio M., Camargo P. M. : Root coverage with a coronally positioned flap used in combination with enamel matrix derivative. 18-month clinical evaluation, J Periodontol ((#*(+)%*(+1!*((." ),'Berlucchi I., Francetti L., Del Fabbro M., Basso M., Weinstein R. L. : The influence of anatomical features on the outcome of gingival recessions treated with coronally advanced flap and enamel matrix derivative. a 1-year prospective study, J Periodontol ('#011%1(/!*((-" )-'McGuire M. K., Nunn M. : Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue. Part 1 : Comparison of clinical parameters, J Periodontol (%#)))(%))*-!*((+" ).'McGuire M. K., Cochran D. L. : Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue. Part 2 : Histological evaluation, J Periodontol (%#))*.% ))+-!*((+" )/'Nemcovsky C. E., Artzi Z., Tal H., Kozlovsky A., Moses O. : A multicenter comparative study of two root coverage procedures : coronally advanced flap with addition of enamel matrix proteins and subpedicle connective tissue graft, J Periodontol (&#.((%.(/!*((," )0'Moses O., Artzi Z., Sculean A., Tal H., Kozlovsky A., Romanos G. E., Nemcovsky C. E. : Comparative study of two root coverage procedures : a 24-month follow-up multicenter study, J Periodontol ((#)1-%*(*!*((.". $ +- $.
(9) )+(. 96! ;#.10/-2>@7=?75:4<8. Root coverage with coronally positioned flap in combination with Enamel Matrix Derivative &Emdogain!'# A case report Takafumi MORIYAMA!Takemi MAKIISHI Division of Conservative Dentistry, Department of Clinical Oral Health 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 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 on the lower right first premolar" Gingival recession was classified as Miller Class 3!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 root 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!"!##)**%)+(!2008'. $ *, $.
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