Five-year results following treatment of intrabony defects with enamel matrix proteins and guided tissue regeneration

Background: Treatment with enamel matrix proteins (EMD) or guided tissue regeneration (GTR) has been shown to enhance periodontal regeneration. However, until now there are limited data on the long‐term results following these treatment modalities. Aim: The aim of the present clinical study was to present the 5‐year results following treatment of intrabony defects with EMD, GTR, combination of EMD and GTR, and open flap debridement (OFD). Material and Methods: Forty‐two patients, each of whom displayed one intrabony defect of a probing depth of at least 6 mm, were randomly treated with one of the four treatment modalities. The following parameters were evaluated prior to surgery, at 1 year and at 5 years after: plaque index, gingival index, bleeding on probing, probing pocket depth (PPD), gingival recession, and clinical attachment level (CAL). No statistically significant differences in any of the parameters were observed at baseline between the four groups. Results: The sites treated with EMD demonstrated a mean CAL gain of 3.4±1.1 mm (p