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Volume 22 , Issue 6
November/December 2002
Pages 559–565

Connective Tissue–Bone Onlay Graft with Enamel Matrix Derivative for Treatment of Gingival Recession: A Case Report

Takeshi Nozawa, DDS, Takahiko Sugiyama, DDS, PhD, Tohru Satoh, DDS, PhD, Koji Tanaka, DDS, PhD, Hiroaki Enomoto, DDS, Koichi Ito, DDS, MSD, PhD

PMID: 12516827
DOI: 10.11607/prd.00.0498

We describe a case of gingival recession in which root coverage and coronal bone regrowth were achieved after treatment with a connective tissue–bone graft and enamel matrix derivative. The connective tissue–bone graft was harvested from a maxillary edentulous area and then curved to fit the root surfaces of the maxillary left central and lateral incisors. Enamel matrix derivative was applied to the root surfaces, and the connective tissue–bone graft was fixed to the interdental bone by a titanium screw. Six months later, the exposed roots were covered with thick gingiva, and coronal regrowth of thick bone was evident at reentry surgery. This technique is useful for esthetic restoration placement with an intracrevicular margin on teeth with a thin, receding gingiva. (Int J Periodontics Restorative Dent 2002;22:559–565.)

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