Regenerative Periodontal Endoscopy - RPE(TM)
RPE is a unique non-surgical, synergistic periodontal therapy approach, combining advanced technologies. What makes RPE unique is the timing and technique of each technology used. A safe and effective enzyme inhibitor medication (www.periostat.com host modulated therapy) sets the stage for success with this non-invasive approach by addressing the destructive enzymes involved in periodontal disease. When this medication is combined with the thorough removal of calculus (perioscopy), followed by coating the roots with regenerative proteins (emdogain), the results are remarkable.
While no formal research yet exists on this synergistic approach (RPE), there is impressive research on each technology studied independantly, demonstrating efficacy and statistical significance (improved clinical outcomes) in the treatment of periodontal disease.
Before and After RPE - Case Studies:
Before - 12mm pocket - advanced bone loss
10 months after RPE - normal healthy tissue 3mm- bone regeneration well underway
Before 10mm pockets - advanced mobility 15 mo's after RPE - bone fill- no mobility
Before and after photos for the above x-rays - healthy tissue, no mobility. This patient was able to avoid an extraction, bone graft, and implant...she saved thousands of dollars.
Before - 7mm pocket 3 months after - bone filled in
Before - 10mm pockets 3 months after RPE - 3-4mm probings
Before - 7mm pockets 6 weeks after - rapid bone fill
Before - 8mm bony defect 19D After RPE - 3mm probing - bone filled in
Before RPE 3 months after - rapid bone fill
Before RPE - mobility - 10mm 7 months after RPE - no mobility - 3mm
The above tooth was treatment planned for extraction by the periodontist. #31 presented with a 10mm distal defect, a 10mm furcation on the buccal, and mobility. Only 7 months after RPE, all periodontal probings are normal, there is no mobility, and the tissue is tight and healthy.
Before RPE #18M - 9mm 6 weeks after - 3mm - rapid bone fill
Before RPE - severe inflammation 3 months after RPE - health restored
The patient above had root planing at the periodontist and was not satisfied that his periodontal disease was arrested. He was correct. Notice the severe floss cuts associated with "itchy" chronic inflammation. This is due to an overactive immune response, similar to an allergy response. This can be treated effectively using low dose doxycycline 20mg taken twice daily, and thoroughly cleaning the roots with perioscopy. A full third of the population have a genetic tendancy to develop periodontal disease, and one half of those individuals will develop advanced periodontal disease. Low dose doxycycline can effectively help to interupt this grim outcome.
For more information about low dose doxycycline 20mg for periodontal disease treatment, go to
http://periopeak.com/dasblog/CategoryView,category,Host%20Modulated%20Therapy.aspx
For even more information on low dose doxycycline, also known as sub-antimicrobial dose doxycyline, or PerioStat, go to www.periostat.com.
For more information about regenerative proteins go to www.straumann.com.
How regenerative proteins work - http://periopeak.com/dasblog/CategoryView,category,Bone%20Regeneration%20-%20NonSurgical%20Bone%20Regeneration%20with%20Emdogain.aspx