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Emdogain in dentistry

Year 2014, , 43 - 8, 25.02.2014
https://doi.org/10.17214/aot.30296

Abstract

Emdogain (EMD) is an enamel matrix derivate and is used clinically for the regeneration of tissues supporting the tooth. EMD provides surface detoxification, demineralization and release of collagen fibers and prepares a biocompatible surface. EMD reinforces the alkaline phosphatase activity and increases release of bone matrix proteins from osteoblasts. Amelogenins, by effecting mesenchymal cells, stimulate the release of factors essential for healing, growth and regeneration. Amelogenin–containing Emdogain can be used in endodontology, periodontology, implantology or traumatology for vital pulp therapy or bone or wound healing purposes; and these applications have been found to be useful alternatives in tissue regeneration.

References

  • Qu Z, Laky M, Ulm C, Matejka M, Dard M, Andrukhov O, et al. Effect of Emdogain on proliferation and migration of different periodontal tissue-associated cells. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:924-31.
  • Hammarström L, Blomlöf L, Lindskog S. Dynamics of dentoalveolar ankylosis and associated root resorption. Endod Dent Traumatol 1989;5:163-75.
  • Cuisinier FJ, Steuer P, Senger B, Voegel JC, Frank RM. Human amelogenesis. I: High resolution electron microscopy study of ribbon-like crystals. Calcif Tissue Int 1992;51:259-68.
  • Deutsch D. Structure and function of enamel gene products. Anat Rec 1989;224:189-210.
  • Shimono M, Ishikawa T, Ishikawa H, Matsuzaki H, Hashimoto S, Muramatsu T, et al. Regulatory mechanisms of periodontal regeneration. Microsc Res Tech 2003;60:491-502.
  • Bosshardt DD. Biological mediators and periodontal regeneration: a review of enamel matrix proteins at the cellular and molecular levels. J Clin Periodontol 2008;35 Suppl 8:87-105.
  • Shimizu-Ishiura M, Tanaka S, Lee WS, Debari K, Sasaki T. Effects of enamel matrix derivative to titanium implantation in rat femurs. J Biomed Mater Res 2002;60:269-76.
  • Lyngstadaas SP, Wohlfahrt JC, Brookes SJ, Paine ML, Snead ML, Reseland JE. Enamel matrix proteins; old molecules for new applications. Orthod Craniofac Res 2009;12:243-53.
  • Iqbal MK, Bamaas N. Effect of enamel matrix derivative (EMDOGAIN) upon periodontal healing after replantation of permanent incisors in beagle dogs. Dent Traumatol 2001;17:36-45.
  • Lam K, Sae-Lim V. The effect of Emdogain gel on periodontal healing in replanted monkeys' teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;97:100-7.
  • Al-Hezaimi K, Naghshbandi J, Simon JH, Rotstein I. Successful treatment of a radicular groove by intentional replantation and Emdogain therapy: four years follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:e82-5.
  • Chappuis V, von Arx T. Replantation of 45 avulsed permanent teeth: a 1-year follow-up study. Dent Traumatol 2005;21:289-96.
  • Barrett EJ, Kenny DJ, Tenenbaum HC, Sigal MJ, Johnston DH. Replantation of permanent incisors in children using Emdogain. Dent Traumatol 2005;21:269-75.
  • Pohl Y, Filippi A, Kirschner H. Results after replantation of avulsed permanent teeth. II. Periodontal healing and the role of physiologic storage and antiresorptive-regenerative therapy. Dent Traumatol 2005;21:93-101.
  • Reseland JE, Reppe S, Larsen AM, Berner HS, Reinholt FP, Gautvik KM, et al. The effect of enamel matrix derivative on gene expression in osteoblasts. Eur J Oral Sci 2006;114 Suppl 1:205-11; discussion 254-6, 381-2.
  • Spahr A, Lyngstadaas SP, Boeckh C, Andersson C, Podbielski A, Haller B. Effect of the enamel matrix derivative Emdogain on the growth of periodontal pathogens in vitro. J Clin Periodontol 2002;29:62-72.
  • Nakamura Y, Hammarström L, Matsumoto K, Lyngstadaas SP. The induction of reparative dentine by enamel proteins. Int Endod J 2002;35:407-17.
  • Tziafas D, Smith AJ, Lesot H. Designing new treatment strategies in vital pulp therapy. J Dent 2000;28:77-92.
  • Mass E, Zilberman U. Clinical and radiographic evaluation of partial pulpotomy in carious exposure of permanent molars. Pediatr Dent 1993;15:257-9.
  • Schröder U. Effects of calcium hydroxide-containing pulp-capping agents on pulp cell migration, proliferation, and differentiation. J Dent Res 1985;64 Spec No:541-8.
  • Tronstad L. Reaction of the exposed pulp to Dycal treatment. Oral Surg Oral Med Oral Pathol 1974;38:945-53.
  • Goldberg F, Massone EJ, Spielberg C. Evaluation of the dentinal bridge after pulpotomy and calcium hydroxide dressing. J Endod 1984;10:318-20.
  • Cox CF, Bergenholtz G, Heys DR, Syed SA, Fitzgerald M, Heys RJ. Pulp capping of dental pulp mechanically exposed to oral microflora: a 1-2 year observation of wound healing in the monkey. J Oral Pathol 1985;14:156-68.
  • Olsson H, Petersson K, Rohlin M. Formation of a hard tissue barrier after pulp cappings in humans. A systematic review. Int Endod J 2006;39:429-42.
  • Ishizaki NT, Matsumoto K, Kimura Y, Wang X, Yamashita A. Histopathological study of dental pulp tissue capped with enamel matrix derivative. J Endod 2003;29:176-9.
  • Nakamura Y, Slaby I, Matsumoto K, Ritchie HH, Lyngstadaas SP. Immunohistochemical characterization of rapid dentin formation induced by enamel matrix derivative. Calcif Tissue Int 2004;75:243-52.
  • He J, Jiang J, Safavi KE, Spångberg LS, Zhu Q. Emdogain promotes osteoblast proliferation and differentiation and stimulates osteoprotegerin expression. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;97:239-45.
  • Inai T, Kukita T, Ohsaki Y, Nagata K, Kukita A, Kurisu K. Immunohistochemical demonstration of amelogenin penetration toward the dental pulp in the early stages of ameloblast development in rat molar tooth germs. Anat Rec 1991;229:259-70.
  • Yamamura T. Differentiation of pulpal cells and inductive influences of various matrices with reference to pulpal wound healing. J Dent Res 1985;64 Spec No:530-40.
  • Lin H, Xu L, Liu H, Sun Q, Chen Z, Yuan G, et al. KLF4 promotes the odontoblastic differentiation of human dental pulp cells. J Endod 2011;37:948-54.
  • Kaida H, Hamachi T, Anan H, Maeda K. Wound healing process of injured pulp tissues with emdogain gel. J Endod 2008;34:26-30.
  • Hock JM, Canalis E, Centrella M. Transforming growth factor-beta stimulates bone matrix apposition and bone cell replication in cultured fetal rat calvariae. Endocrinology 1990;126:421-6.
  • Melin M, Joffre-Romeas A, Farges JC, Couble ML, Magloire H, Bleicher F. Effects of TGFbeta1 on dental pulp cells in cultured human tooth slices. J Dent Res 2000;79:1689-96.
  • Marei MK. Regenerative dentistry. 1st edn. New York: Morgan&Claypool Publishers; 2010.
  • Urist MR, Strates BS. The classic: Bone morphogenetic protein. Clin Orthop Relat Res 2009;467:3051-62.
  • Nakamura Y, Hammarström L, Lundberg E, Ekdahl H, Matsumoto K, Gestrelius S, et al. Enamel matrix derivative promotes reparative processes in the dental pulp. Adv Dent Res 2001;15:105-7.
  • Olsson H, Davies JR, Holst KE, Schröder U, Petersson K. Dental pulp capping: effect of Emdogain Gel on experimentally exposed human pulps. Int Endod J 2005;38:186-94.
  • Kiatwateeratana T, Kintarak S, Piwat S, Chankanka O, Kamaolmatyakul S, Thearmontree A. Partial pulpotomy on caries-free teeth using enamel matrix derivative or calcium hydroxide: a randomized controlled trial. Int Endod J 2009;42:584-92.
  • Garrocho-Rangel A, Flores H, Silva-Herzog D, Hernandez-Sierra F, Mandeville P, Pozos-Guillen AJ. Efficacy of EMD versus calcium hydroxide in direct pulp capping of primary molars: a randomized controlled clinical trial. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:733-8.

Diş hekimliğinde Emdogain

Year 2014, , 43 - 8, 25.02.2014
https://doi.org/10.17214/aot.30296

Abstract

Bir mine matriks türevi olan Emdogain (EMD), dişi destekleyen dokuların rejenerasyonunda klinik olarak kullanılan bir materyaldir. EMD, yüzey detoksifikasyonu, demineralizasyonu ve kollajen liflerin açığa çıkması ve biyouyumlu bir yüzey oluşturulmasını sağlamaktadır. EMD, alkalin fosfataz aktivitesini ve osteoblastlardaki kemik matriks proteinlerinin salınımını arttırmaktadır. Amelogeninler mezenşimal hücreleri stimüle ederek iyileşme, büyüme ve rejenerasyon için gerekli olan faktörlerin açığa çıkmalarını sağlamaktadır. Amelogenin içerikli emdogainin endodontide, periodontolojide, implantolojide ve travmatolojide kemik ve yara iyileşmesi ve vital pulpa tedavilerinde kullanılarak doku rejenerasyonlarında alternatif bir uygulama metodu olduğu görülmüştür.

References

  • Qu Z, Laky M, Ulm C, Matejka M, Dard M, Andrukhov O, et al. Effect of Emdogain on proliferation and migration of different periodontal tissue-associated cells. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:924-31.
  • Hammarström L, Blomlöf L, Lindskog S. Dynamics of dentoalveolar ankylosis and associated root resorption. Endod Dent Traumatol 1989;5:163-75.
  • Cuisinier FJ, Steuer P, Senger B, Voegel JC, Frank RM. Human amelogenesis. I: High resolution electron microscopy study of ribbon-like crystals. Calcif Tissue Int 1992;51:259-68.
  • Deutsch D. Structure and function of enamel gene products. Anat Rec 1989;224:189-210.
  • Shimono M, Ishikawa T, Ishikawa H, Matsuzaki H, Hashimoto S, Muramatsu T, et al. Regulatory mechanisms of periodontal regeneration. Microsc Res Tech 2003;60:491-502.
  • Bosshardt DD. Biological mediators and periodontal regeneration: a review of enamel matrix proteins at the cellular and molecular levels. J Clin Periodontol 2008;35 Suppl 8:87-105.
  • Shimizu-Ishiura M, Tanaka S, Lee WS, Debari K, Sasaki T. Effects of enamel matrix derivative to titanium implantation in rat femurs. J Biomed Mater Res 2002;60:269-76.
  • Lyngstadaas SP, Wohlfahrt JC, Brookes SJ, Paine ML, Snead ML, Reseland JE. Enamel matrix proteins; old molecules for new applications. Orthod Craniofac Res 2009;12:243-53.
  • Iqbal MK, Bamaas N. Effect of enamel matrix derivative (EMDOGAIN) upon periodontal healing after replantation of permanent incisors in beagle dogs. Dent Traumatol 2001;17:36-45.
  • Lam K, Sae-Lim V. The effect of Emdogain gel on periodontal healing in replanted monkeys' teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;97:100-7.
  • Al-Hezaimi K, Naghshbandi J, Simon JH, Rotstein I. Successful treatment of a radicular groove by intentional replantation and Emdogain therapy: four years follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:e82-5.
  • Chappuis V, von Arx T. Replantation of 45 avulsed permanent teeth: a 1-year follow-up study. Dent Traumatol 2005;21:289-96.
  • Barrett EJ, Kenny DJ, Tenenbaum HC, Sigal MJ, Johnston DH. Replantation of permanent incisors in children using Emdogain. Dent Traumatol 2005;21:269-75.
  • Pohl Y, Filippi A, Kirschner H. Results after replantation of avulsed permanent teeth. II. Periodontal healing and the role of physiologic storage and antiresorptive-regenerative therapy. Dent Traumatol 2005;21:93-101.
  • Reseland JE, Reppe S, Larsen AM, Berner HS, Reinholt FP, Gautvik KM, et al. The effect of enamel matrix derivative on gene expression in osteoblasts. Eur J Oral Sci 2006;114 Suppl 1:205-11; discussion 254-6, 381-2.
  • Spahr A, Lyngstadaas SP, Boeckh C, Andersson C, Podbielski A, Haller B. Effect of the enamel matrix derivative Emdogain on the growth of periodontal pathogens in vitro. J Clin Periodontol 2002;29:62-72.
  • Nakamura Y, Hammarström L, Matsumoto K, Lyngstadaas SP. The induction of reparative dentine by enamel proteins. Int Endod J 2002;35:407-17.
  • Tziafas D, Smith AJ, Lesot H. Designing new treatment strategies in vital pulp therapy. J Dent 2000;28:77-92.
  • Mass E, Zilberman U. Clinical and radiographic evaluation of partial pulpotomy in carious exposure of permanent molars. Pediatr Dent 1993;15:257-9.
  • Schröder U. Effects of calcium hydroxide-containing pulp-capping agents on pulp cell migration, proliferation, and differentiation. J Dent Res 1985;64 Spec No:541-8.
  • Tronstad L. Reaction of the exposed pulp to Dycal treatment. Oral Surg Oral Med Oral Pathol 1974;38:945-53.
  • Goldberg F, Massone EJ, Spielberg C. Evaluation of the dentinal bridge after pulpotomy and calcium hydroxide dressing. J Endod 1984;10:318-20.
  • Cox CF, Bergenholtz G, Heys DR, Syed SA, Fitzgerald M, Heys RJ. Pulp capping of dental pulp mechanically exposed to oral microflora: a 1-2 year observation of wound healing in the monkey. J Oral Pathol 1985;14:156-68.
  • Olsson H, Petersson K, Rohlin M. Formation of a hard tissue barrier after pulp cappings in humans. A systematic review. Int Endod J 2006;39:429-42.
  • Ishizaki NT, Matsumoto K, Kimura Y, Wang X, Yamashita A. Histopathological study of dental pulp tissue capped with enamel matrix derivative. J Endod 2003;29:176-9.
  • Nakamura Y, Slaby I, Matsumoto K, Ritchie HH, Lyngstadaas SP. Immunohistochemical characterization of rapid dentin formation induced by enamel matrix derivative. Calcif Tissue Int 2004;75:243-52.
  • He J, Jiang J, Safavi KE, Spångberg LS, Zhu Q. Emdogain promotes osteoblast proliferation and differentiation and stimulates osteoprotegerin expression. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;97:239-45.
  • Inai T, Kukita T, Ohsaki Y, Nagata K, Kukita A, Kurisu K. Immunohistochemical demonstration of amelogenin penetration toward the dental pulp in the early stages of ameloblast development in rat molar tooth germs. Anat Rec 1991;229:259-70.
  • Yamamura T. Differentiation of pulpal cells and inductive influences of various matrices with reference to pulpal wound healing. J Dent Res 1985;64 Spec No:530-40.
  • Lin H, Xu L, Liu H, Sun Q, Chen Z, Yuan G, et al. KLF4 promotes the odontoblastic differentiation of human dental pulp cells. J Endod 2011;37:948-54.
  • Kaida H, Hamachi T, Anan H, Maeda K. Wound healing process of injured pulp tissues with emdogain gel. J Endod 2008;34:26-30.
  • Hock JM, Canalis E, Centrella M. Transforming growth factor-beta stimulates bone matrix apposition and bone cell replication in cultured fetal rat calvariae. Endocrinology 1990;126:421-6.
  • Melin M, Joffre-Romeas A, Farges JC, Couble ML, Magloire H, Bleicher F. Effects of TGFbeta1 on dental pulp cells in cultured human tooth slices. J Dent Res 2000;79:1689-96.
  • Marei MK. Regenerative dentistry. 1st edn. New York: Morgan&Claypool Publishers; 2010.
  • Urist MR, Strates BS. The classic: Bone morphogenetic protein. Clin Orthop Relat Res 2009;467:3051-62.
  • Nakamura Y, Hammarström L, Lundberg E, Ekdahl H, Matsumoto K, Gestrelius S, et al. Enamel matrix derivative promotes reparative processes in the dental pulp. Adv Dent Res 2001;15:105-7.
  • Olsson H, Davies JR, Holst KE, Schröder U, Petersson K. Dental pulp capping: effect of Emdogain Gel on experimentally exposed human pulps. Int Endod J 2005;38:186-94.
  • Kiatwateeratana T, Kintarak S, Piwat S, Chankanka O, Kamaolmatyakul S, Thearmontree A. Partial pulpotomy on caries-free teeth using enamel matrix derivative or calcium hydroxide: a randomized controlled trial. Int Endod J 2009;42:584-92.
  • Garrocho-Rangel A, Flores H, Silva-Herzog D, Hernandez-Sierra F, Mandeville P, Pozos-Guillen AJ. Efficacy of EMD versus calcium hydroxide in direct pulp capping of primary molars: a randomized controlled clinical trial. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:733-8.
There are 39 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Review Article
Authors

Neslihan Büşra Özerol

Nasibe Aycan Yılmaz This is me

Emre Bodrumlu This is me

Publication Date February 25, 2014
Published in Issue Year 2014

Cite

APA Özerol, N. B., Yılmaz, N. A., & Bodrumlu, E. (2014). Diş hekimliğinde Emdogain. Acta Odontologica Turcica, 31(1), 43-8. https://doi.org/10.17214/aot.30296
AMA Özerol NB, Yılmaz NA, Bodrumlu E. Diş hekimliğinde Emdogain. Acta Odontol Turc. April 2014;31(1):43-8. doi:10.17214/aot.30296
Chicago Özerol, Neslihan Büşra, Nasibe Aycan Yılmaz, and Emre Bodrumlu. “Diş hekimliğinde Emdogain”. Acta Odontologica Turcica 31, no. 1 (April 2014): 43-8. https://doi.org/10.17214/aot.30296.
EndNote Özerol NB, Yılmaz NA, Bodrumlu E (April 1, 2014) Diş hekimliğinde Emdogain. Acta Odontologica Turcica 31 1 43–8.
IEEE N. B. Özerol, N. A. Yılmaz, and E. Bodrumlu, “Diş hekimliğinde Emdogain”, Acta Odontol Turc, vol. 31, no. 1, pp. 43–8, 2014, doi: 10.17214/aot.30296.
ISNAD Özerol, Neslihan Büşra et al. “Diş hekimliğinde Emdogain”. Acta Odontologica Turcica 31/1 (April 2014), 43-8. https://doi.org/10.17214/aot.30296.
JAMA Özerol NB, Yılmaz NA, Bodrumlu E. Diş hekimliğinde Emdogain. Acta Odontol Turc. 2014;31:43–8.
MLA Özerol, Neslihan Büşra et al. “Diş hekimliğinde Emdogain”. Acta Odontologica Turcica, vol. 31, no. 1, 2014, pp. 43-8, doi:10.17214/aot.30296.
Vancouver Özerol NB, Yılmaz NA, Bodrumlu E. Diş hekimliğinde Emdogain. Acta Odontol Turc. 2014;31(1):43-8.