Entire Papilla Preservation Technique with Enamel Matrix Proteins and Allogenic Bone Substitute for the Treatment of Isolated Intrabony Defects: A Prospective Case Series

Int J Periodontics Restorative Dent. 2023 May-Jun;43(3):387-397. doi: 10.11607/prd.6118.

Abstract

The aim of this study was to evaluate the outcomes of a modified entire papilla preservation technique (EPPT) in the treatment of isolated intrabony defects in patients diagnosed with stage III periodontitis. A total of 18 intrabony defects were treated: 4 one-wall, 7 two-wall, and 7 three-wall. Mean probing pocket depth reductions of 4.33 mm (P < .0001), clinical attachment level gains of 4.87 mm (P < .0001), and radiographic defect depth reductions of 4.27 mm (P < .0001) were observed at 6 months. Changes in gingival recession and keratinized tissue were not statistically significant. It can be concluded that the proposed modification of the EPPT is useful in the treatment of isolated intrabony defects.

MeSH terms

  • Alveolar Bone Loss* / diagnostic imaging
  • Alveolar Bone Loss* / drug therapy
  • Alveolar Bone Loss* / surgery
  • Bone Substitutes* / therapeutic use
  • Dental Enamel Proteins* / therapeutic use
  • Follow-Up Studies
  • Gingival Recession* / surgery
  • Guided Tissue Regeneration, Periodontal / methods
  • Humans
  • Periodontal Attachment Loss / drug therapy
  • Periodontal Attachment Loss / surgery
  • Periodontal Pocket / surgery
  • Treatment Outcome

Substances

  • Bone Substitutes
  • enamel matrix proteins
  • Dental Enamel Proteins