Generalized Aggressive Periodontitis
Conditions
Keywords
enamel matrix derivative, proximal furcation, randomized clinical trial
Brief summary
The aim of the present study is to evaluate the clinical response of proximal furcations treated with enamel matrix derivative proteins (EMD).
Detailed description
Proximal class-II furcation represents a challeng to periodontal therapy. Studies show that the ultrasonic non-surgical therapy doesn't work in these defects and the guided tissue regeneration therapy with membranes also demonstrates an unpredictable improvement. Therefore, enamel matrix derivative proteins (EMD) have been proposed as a periodontal regenerative procedure due to their fundamental role in cementum development.
Interventions
Open flap debridement to enamel matrix derivative to treat proximal furcation involvements.
Open flap debridement will be performed to decontaminate the proximal furcation involvements.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of generalized aggressive periodontitis (Armitage, 1999; American Academy of Periodontology, 2015); * Have undergone a first approach for periodontal treatment (full-mouth ultrasonic debridement); * Presence of one proximal class-II furcation presenting probing depth \> 4 mm and bleeding on probing ; * Good general health; * Agree to participate in the study and sign the informed consent form (TCLE) after explaining the risks and benefits;
Exclusion criteria
* Systemic problems (cardiovascular alterations, blood dyscrasias, immunodeficiency - ASA III / IV / V) that contraindicate the periodontal procedure; * Have used antibiotics and anti-inflammatories in the last six months; * Smoke ≥ 10 cigarettes/day; * Pregnant or lactating; * Chronic use of medications that may alter the response of periodontal tissues; * Indication of antibiotic prophylaxis for dental procedures;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Horizontal clinical attachment level | 1 year | horizontal component of the defect |
Countries
Brazil