Schmelzmatrixproteine als prä-kieferorthopädische Therapie bei vertikalen Knochendefekten

Zusammenfassung

Dieser Beitrag liefert einen Überblick über Herkunft, Wirkung und Einsatzmöglichkeiten von Schmelzmatrixproteinen. Mittels eines Fallberichts wird deren Anwendung zur Therapie eines vertikalen Knochendefektes beschrieben. Wobei nach konservativer parodontaler Therapie und ­einer Optimierung der häuslichen Mundhygiene durch den regenerativen Eingriff mit Schmelzmatrixproteinen eine deutliche Verbesserung der Sondierungstiefe und des radiologischen Attachmentniveaus erzielt werden konnte. Des Wei­teren werden die Möglichkeiten der parodontal ­regenerativen Therapie vor einer geplanten kieferorthopädischen Therapie diskutiert.

Abstract

This report contains a review on the derivation, impact and possible applications of enamel matrix proteins. A case report shows the application of enamel matrix proteins in the therapy of an ­intrabony defect. After scaling and root planing and optimising the oral plaque hygiene, the prob­ing pocket depth and the radiological attachment ­level was improved with regenerative periodon­tal surgery and the application of enamel ma­trix proteins. Additionally, a short statement on the combined periodontal-orthodontic treatment with enamel matrix proteins is made.

Schlüsselwörter

Schmelzmatrixproteine - vertikale Knochendefekte - parodontale Regeneration

Key words

enamel matrix proteins - intrabony defects - periodontal regeneration - orthodontics

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