Straumann® Emdogain is a resorbable, implantable material, which consists of hydrophobic enamel matrix proteins with a unique biomimetic effect that promotes predictable re-growth of specific hard and soft tissues within the oral cavity.
Emdogain is intended as an adjunct to periodontal surgery as a topical application onto exposed root surfaces.
Clinical studies on intrabony defects, including 1-, 2- and 3-wall defects have demonstrated an average of 60-70% defect fill measured as gain of radiographic bone one year following treatment with Emdogain as well as significant gain in clinical attachment.
Treatment of Intrabony defects
|
A deep periodontal defect prior to treatment with Straumann® Emdogain.Anesthetize the operative area. Avoid injecting a local anesthetic containing adrenaline in the interdental area or in the marginal gingiva adjacent to the periodontal defect which is to be treated. |
|
|
Make an intracrevicular incision and, if appropriate, one or two relieving incisions. A mucoperiosteal access flap is reflected. |
|
|
Remove any plaque, calculus and granulation tissue as necessary. |
|
|
Remove "smear layer" by conditioning the root surface with Straumann® PrefGel for two minutes. Rinse thoroughly with sterile saline solution. Avoid contaminating the cleaned and conditioned root surface with blood or saliva after the final rinse. |
|
|
Apply Straumann® Emdogain immediately on the exposed root surface. Start at the most apical bone level and apply Emdogain so that it covers the whole root surface. |
|
|
Primary closure and optimal wound stability when suturing should always be the goal. If it is judged necessary for good primary closure, the flap can be lengthened by cutting through the periosteum in the mucogingival fold. Use sutures of a non-irritating material. Excess Straumann® Emdogain will overflow the edge of the gingiva when suturing the flap. |
|
|
Regain of functional attachment and new alveolar bone. Do not probe surgically treated areas for 6 months after Straumann® Emdogain treatment. |
|
