釉质基质衍生物对牙周病患者的影响

Abbi Rushton, Maddie White, Krystal Herring RDH, MPH
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引用次数: 0

摘要

目的本文献综述旨在描述釉质基质衍生物(EMD)及其对牙周病患者的益处。方法本次文献综述选择的文章都是在过去五年内发表的经过同行评审的随机对照试验。通过奥古斯塔大学的研究数据库访问了 PubMed。搜索关键词包括釉质基质衍生物、骨质流失、牙周炎、釉质基质蛋白、牙龈疾病、再生、治疗和生长。结果本次文献综述选择的研究均表明,EMD 可改善临床附着水平。它能够促进硬组织和软组织的再生,因为它含有参与釉质生成的相同蛋白质。这些蛋白质可刺激成纤维细胞、抗炎细胞因子和凝血因子。所有这些因素都使 EMD 成为牙周手术的最佳辅助疗法。总之,EMD 能够帮助形成新骨、骨水泥和牙周韧带,是牙周病患者的最佳治疗选择。它经常与洗牙、根面平整、翻瓣手术和骨缺损治疗一起使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effects Of Enamel Matrix Derivative On Periodontal Patients

OBJECTIVES

The purpose of this literature review was to describe enamel matrix derivative (EMD) and how it benefits periodontal patients. EMD's rejuvenating abilities were identified as well as the different functions of EMD.

METHODS

Articles chosen for this literature review were randomized control trials that were peer reviewed and published within the last five years. PubMed was accessed through Augusta University's database for research. Keywords used to search included enamel matrix derivative, bone loss, periodontitis, enamel matrix proteins, gum disease, regeneration, therapy, and growth.

RESULTS

Studies chosen for this literature review all showed that EMD improves clinical attachment level. It is able to promote hard and soft tissue regeneration because it contains the same proteins that are involved in amelogenesis. These proteins stimulate fibroblasts, anti-inflammatory cytokines, and clotting factors. All these factors make EMD a great adjunct to periodontal surgical procedures. EMD is also able to reduce inflammation, promote wound healing, and stabilize blood clots.

CONCLUSIONS

Overall, EMD's ability to assist in the formation of new bone, cementum, and periodontal ligaments makes it an excellent treatment option for periodontally involved patients. It is frequently used with scaling and root planing, flap surgery, and the treatment of infrabony defects.

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