RPE(TM) - Regenerative Periodontal Endoscopy

 

Non-Surgical periodontal bone regeneration is finally possible thanks to a new biological technology called Emdogain(R) by Straumann. But what is this stuff and how does it work? The following post will help clarify what Emdogain is and help the reader to understand the tremendous benefit and ease at which non-surgical approach using Emdogain for bone regeneration can be. Emdogain is a truly fascinating biological technology which may hold the key to a strong future in non-surgical periodontal therapy.

 

IMPORTANT:  Emdogain is used non-surgically at PerioPeak Innovations with an innovative technique and protocol utilizing a periodontal endoscope and low dose doxycycline used synergistically.  Emdogain is typically used only in conjunction with some type of periodontal surgery.  There is no published research on this technique and protocol at this time.

 

So what exactly is Emdogain?

In short, it's affectionately know as "piggy juice".

  

 

Emdogain contains Enamel Matrix Protiens, or Bioactive Molecules, called amelogenin proteins, and it comes from the developing teeth of 6 month old pigs. What are enamel matrix proteins and how do they help humans to regenerate periodontal bone? The answer is in the unique biology of tooth development. When teeth are still developing, we can extract these "bioactive molecules" and use them in humans to "simulate" tooth development...biomimicry. The human body responds by growing new cementum, ligament, and alveolar periodontal bone in areas where periodontal disease has damaged these important supporting structures.  The damage of periodontal disease can be repaired with Emdogain.

The Mechanism of Emdogain:

Attachment - the mesenchymal cells attach to the root surface covered by Emdogain.

      

Proliferation and Growth -the cells start to produce cementum. Cementum is the KEY tissue in periodontal regeneration. The recreation of alveolar bone starts from the root cementum.

     

Alveolar Bone - the process of mineralization starts a certain distance from the root and alveolar bone (periodontal bone around the teeth) is formed.

Note: This beautiful regeneration process would be completely interupted by the use of lasers and/or antibiotics placed under the gum.  Periodontal regeneration needs time and patience only.  Efficient microscopic root debridement and soft tissue curettage is performed using a dental endoscope with micro-diamond piezo ultrasonics.  this creats a perfect environment for periodontal health and regeneration.

 

Below are Surgical Case Studies Using Emdogain: 

 

Here is what this exciting biological technology can do for you and/or your patients with bone loss! True periodontal regeneration...the patient grows their own bone...beautiful!  However, these cases are SURGICAL.  PerioPeak clinicians perform this treatment utilizing a dental endoscope instead of surgery.

      

Below is bone regeneration in a posterior tooth involving a furcation (bone loss between the roots - normally a scenario for an extraction).

       

Courtesy of Dr. Anthony Polimeni, Huntington, NY

Below is a case involving advanced periodontal bone loss around bicuspid teeth (premolars).

     

           Before                                             15 months after

Courtesy of PerioPeak Innovations (Judy Carroll)

      

To view more non-surgical periodontal treatment cases go to

 http://www.periopeak.com/gum-disease-cases-seattle/index.htm 

and

 http://periopeak.com/dasblog/CategoryView,category,Case%20Studies.aspx

 

 

The DV2 Dental Endoscope 48X Magnification. The success of non-surgical periodontal bone regeneration is highly technique sensitive and requires very specific skills, knowledge, and experience.  The proper pairing and timing of several innovative technologies is crucial with this technique.  At PerioPeak Innovations, we are committed to providing successful non-surgical solutions for periodontal disease utilizing advanced technology.

 

The history of Emdogain:

- 1988 Biora founded by Professor Lars Hammerstrom, Stockholm Sweden.

- 1995 CE Certification

- 1996 FDA approval- 1997 introduction into the US market.

- Since 1989 produced in Malmo Sweden

- 2004 completion of integration by Straumann

http://www.straumann.com/com_index/pi_index/pi_ch_periodontal.htm

 

Non-Surgical RPE has opened the door for an effective non-invasive periodontal treatment option.

                  

Surgical Approach    vs         Non-Surgical RPE

 

Which technique would you choose?

 

 Patient Testimonials: http://www.periopeak.com/gum-disease-alternative-seattle/index.htm

                              http://periopeak.com/dasblog/CategoryView,category,Testimonials.aspx