#Esthetics 16. Jun 2020

Prof. Leonardo Trombelli: Single Flap Approach in combination with Enamel Matrix Derivative, Straumann® Emdogain® in the treatment of Periodontal Intraosseous Defects

The aim of periodontal reconstructive therapy is to preserve teeth by regenerating the hard and soft tissues lost due to periodontal disease or trauma.

Leonardo Trombelli

Straumann® Emdogain® – used alone or in combination with bone-graft materials in periodontal surgery – has been demonstrated to promote the regeneration of cementum, alveolar bone and periodontal ligament and to yield to significantly higher CAL (Clinical Attachment Level) gains compared to open flap debridement alone.1 Emdogain® is also patient-friendly and has been demonstrated to significantly reduce post-surgical pain and swelling, as well as improve wound healing.2,3

The benefits of Emdogain® can be enhanced if it is used in combination with a minimally invasive surgical procedure such as the Single Flap Approach.

The Single Flap Approach4 – developed by Prof. Leonardo Trombelli and colleagues - represents a simplified procedure that allows to surgically access intrabony periodontal defects by raising a single full thickness flap (either buccal or lingual, depending on the defect extension). The steps of the Single Flap Approach surgical procedure for the treatment of self-containing and non-self-containing intrabony defects are explained in the video.

References:

  1. Tonetti et al. Enamel matrix proteins in the regenerative therapy of deep intrabony defects – A multicentre randomized controlled trial J Clin Periodontology 2002;29;317-325.
  2. Miron RJ, Dard M, Weinreb M. Enamel matrix derivative, inflammation and soft tissue wound healing. J Periodontal Res. 2014 Nov 23.
  3. Ozcelik O, Haytac MC, Seydaoglu G. Immediate post-operative effects of different periodontal treatment modalities on oral health-related quality of life: a randomized clinical trial. J Clin Periodontol. 2007 Sep; 34(9):788-96.
  4. Trombelli L, Farina F, Franceschetti G & Minenna L. (2007) Single Flap Approach in periodontal reconstructive surgery (article in Italian). Dental Casmos 15–25.