牙釉基質衍生物合併異體移植骨與再生膜的牙周再生手術：病例報告

Enamel Matrix Derivatives Combined with Demineralized Freeze Dried Bone Allograft and Bioresorbable Membrane in Periodontal Regenerative Surgery: Cases Report

陳翰生(Han-Sheng Chen) ； 何坤炎(Kun-Yen Ho)

《中華民國牙周病醫學會雜誌》 7卷2期 (2002/06) Pp. 91-98

https://doi.org/10.6121/CJP.200206_7(2).0003

摘要

本病例報告是合併使用牙釉基質衍生物、脫鈣冷凍乾燥異體移植骨、與可吸收再生膜來治療牙周牙髓合併病灶及第三級根叉病變，觀察六個月後從囊袋探測深度、牙齒動搖度、與X光片評估均顯示病灶有明顯改善。牙釉基質衍生物合併移植骨與再生膜之使用可能增加了牙釉基質衍生物於臨床牙周再生手術的應用範圍。

關鍵字

牙釉基質衍生物 ； 牙周牙髓合併病灶 ； 根叉侵犯 ； 脫鈣冷凍乾燥骨料 ； 可吸收再生膜

並列摘要

The enamel matrix derivative Emdogain (EMD) has been found to promote regeneration of lost periodontal tissues. But there is little information about the benefits of combining EMD, bone grafts and/or membrane in treating periodontal lesions. This report presents two cases, one with severe peri-endo combined lesion and the other with class III furcation involvement. With combination of EMD, decalcified freeze dried bone allograft and bioresorbable membrane, satisfactory results were achieved in the reduction of probing depth and radiographic bone fill after 6-month follow up.

並列關鍵字

enamel matrix derivative ； peri-endo combined lesion ； furcation involvement ； demineralized freeze-dried bone allografts ； DFDBA ； bioresorbable membrane