Abstract:
:A derivative (EMD) of enamel matrix proteins (EMPs) is used for periodontal regeneration because EMPs are believed to induce the formation of acellular extrinsic fiber cementum (AEFC). Other reports, however, indicate that EMPs have osteogenic potential. The aim of this study was to characterize the nature of the tissue that forms on the root surface following application of EMD. Ten human teeth affected by periodontitis and scheduled for extraction were treated with EMD. Four to six weeks later, they were extracted and processed for analysis by light microscopy and transmission electron microscopy. Immunocytochemistry with antibodies against bone sialoprotein (BSP) and osteopontin (OPN) was performed to determine the mineralization pattern. The newly formed tissues on the root were thick and contained embedded cells. Small mineralization foci were regularly seen, and large organic matrix patches were occasionally seen, but a distinct mineralization front was lacking. While labeling for BSP was always associated with small mineralization foci and large matrix patches, OPN labeling was seen inconsistently. It is concluded that tissues resembling either cellular intrinsic fiber cementum or a type of bone were observed. The mineralization pattern mostly resembled that found in bone, except for a few areas that exhibited a hitherto undescribed mineralization pattern.
journal_name
Eur J Oral Scijournal_title
European journal of oral sciencesauthors
Bosshardt DD,Sculean A,Donos N,Lang NPdoi
10.1111/j.1600-0722.2006.00300.xsubject
Has Abstractpub_date
2006-05-01 00:00:00pages
225-31; discussion 254-6, 381-2eissn
0909-8836issn
1600-0722pii
EOS300journal_volume
114 Suppl 1pub_type
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journal_title:European journal of oral sciences
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