Enamel matrix derivative in dental implantation for enhanced healing

Introduction: Enamel matrix derivative has been used for increasing periodontal regeneration including alveolar bone, new cementum, and periodontal ligament. The aim of this report is to present a case of the effect of enamel matrix derivative on bone regeneration and soft tissue healing in dental implantation. Case Description: Case1 Fifty-four-year-old male patient visited the clinic with the missing tooth on maxillary right first molar. The patient rinsed the intraoral area with 0.12% chlorhexidine digluconate solution before the periodontal surgery. Elevation of a full-thickness flap was done after injection of 2% lidocaine containing 1:100,000 epinephrine. The defect area was grafted with enamel matrix derivative, bone graft and membrane. Uneventful healing was achieved and postoperative follow-up check was performed. Installation of dental implant was performed afterwards.Case 2 Forty-eight-year-old male was presented with the missing tooth on mandibular left first molar. The defect area was grafted with enamel matrix derivative, bone graft and membrane. Postoperative follow-up check was performed.Case 3 Seventy-seven-year-old male was presented with the missing tooth on maxillary left second premolar, first molar and second molar. The defect area was grafted with enamel matrix derivative, bone graft and membrane. Discussion: This study has suggested the use of enamel matrix derivative for wider applications including soft tissue surgery and dental implants. Faster soft tissue healing with higher maturity can be achieved by applying enamel matrix derivatives. Conclusion/Clinical Significance: In conclusion, individuals with bony defects can be restored with enamel matrix derivative, bone graft and membrane from the right diagnosis, evaluation, and planning in dental implantation