Publications by authors named "Hidehiro Shioyama"
Article Synopsis
- - This study examined how specific characteristics of bone defects, like the angle of the defect and the presence of surrounding bone walls, affect the success of combining enamel matrix derivative (EMD) with bone grafting in periodontal therapy.
- - Over a 3-year period, they analyzed 282 bone defects from 177 participants who received either EMD alone or with autologous bone grafting, using regression analysis to measure changes in bone defect depth.
- - Findings suggested that bone grafting combined with EMD is particularly beneficial for defects with a greater angle (≥40°), indicating that the morphology of the defect plays a key role in treatment efficacy.
Article Synopsis
- The study aimed to explore how the age of patients influences the outcomes of periodontal regenerative therapy (PRT) using enamel matrix derivative (EMD) over a three-year period.
- A total of 253 intra-bony defects from 151 patients were examined, measuring improvements in probing pocket depth (PPD), clinical attachment level (CAL), and radiographic bone defect depth (RBD) post-treatment.
- While older age negatively impacted short-term improvements in PPD and CAL at the one-year mark, significant clinical advancements were observed in all age groups by the three-year follow-up, indicating effective long-term outcomes of PRT with EMD.
Background: Information regarding periodontal regenerative therapy in patients with diabetes mellitus (DM) is limited. This pilot study compared the regenerative outcomes of minimally invasive periodontal surgery using enamel matrix derivative (EMD) between DM and non-DM patients.
Methods: This prospective study included deep intrabony defects in patients with or without type 2 DM.