Eficacia del Emdogain como complemento al tratamiento de recesiones gingivales. Revisión bibliográfica.

Abstract

Introduction: Gingival recession are defects that can frequently occur in the population both in patients associated with periodontal disease as well as in healthy patients, these defects of gingival recession can be treated non-surgically or surgically, in the surgical treatment there are several options however, sometimes there can be limitations in the treatments and to increase the effectiveness of the root coverage other approaches have been proposed such as the enamel matrix derivative (emdogain). Objective: To determine the effectiveness of emdogain as an adjunct to treatment of gingival recessions. Materials and methods: We searched for 43 selected articles, 16 of which were specific to data collection. The present literature review selected only articles from controlled, randomized or human intervention clinical studies with a minimum follow-up of six months and published between 2000 and 2020. Sources for the search included: journals, books, articles and an online database such as Medline, PubMed, Cochrane, Elsevier and the APP virtual library. Results: A total of 900 gingival recessions were treated, all within Miller's classification. The 4 most important clinical parameters in this study were: gingival recession (GR), clinical insertion level (CIN), probing depth (CP), keratinized gum width (KWG), all of which were established in three tables divided into experimental and control groups at 6 months, 12 months and over 12 months with improvements in the experimental group with emdogain. Conclusion: It was concluded that complementing emdogain to gingival recession treatments can boost recession coverage and show reduction of probing depth and clinical insertion level.