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   Offical Journal of The Academy of Osseointegration

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Volume 28 , Issue 1
January/February 2008

Pages 89-94

Intentional Reimplantation of a Tooth with Severe Periodontal Involvement Using Enamel Matrix Derivative in Combination with Guided Tissue Regeneration and Bone Grafting: A Case Report

Kenji Sugai, DDS, PhD/Shuichi Sato, DDS, PhD/Kuniharu Suzuki, DDS, PhD /Koichi Ito, DDS, MSD, PhD

PMID: 18351207
DOI: 10.11607/prd.00.0787

This case involved the intentional reimplantation of a tooth with severe periodontal involvement using regenerative therapies. The maxillary left central incisor was intentionally extracted, enamel matrix derivative (EMD) was applied, and the tooth was repositioned accurately. The bone defect was filled with a xenograft and a demineralized freeze-dried bone allograft, and a guided tissue regeneration membrane was adapted over the site. After 5 years, a reduction in probing depth and a gain in clinical attachment were observed. Conventional radiographs and cone-beam computerized tomographs showed hard tissue improvement. Favorable clinical results were obtained with reimplantation with applied EMD, combined with regenerative therapies, for treating a tooth with severe periodontal involvement. (Int J Periodontics Restorative Dent 2008;28:8994.)

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