Straumann® Emdogain®

Enamel matrix derivative

Straumann® Emdogain® is a well-researched, easy-to-apply gel containing enamel matrix derivative originating from non-erupted porcine tooth buds. As a component of embryonic tissues it is designed to promote predictable regeneration of hard and soft tissues lost due to periodontal disease or trauma.

Intrabony defects
Gingival recessions
Class I and II furcations
Oral wound healing

Root surface preparation	Avoid contamination of the exposed root surfaces with blood or saliva when Straumann® Emdogain® is applied. A clean and dry root surface allows for optimal protein precipitation [1].
Straumann® PrefGel®	Conditioning of the exposed root surfaces with Straumann® PrefGel® is always recommended when Straumann® Emdogain® is used. Straumann® PrefGel® effectively removes the smear layer on the root surface to support optimal protein precipitation and blood clot adhesion.
Probing and radiographs	Probing is recommended earliest 6 months after the surgery. Radiographic bone changes can be observed earliest 12 months following surgery.
Retention of the gel	Retention of Straumann® Emdogain® is not necessary. After application, the bioactive component in Straumann® Emdogain® will immediately precipitate on the root surface to form an insoluble protein layer. Gel running out of the defect following application is mainly attributed to the carrier substance.
Splinting	Splinting of teeth with a mobility grade >1 is always recommended for 6 to 8 weeks after the surgery since the mobility of loose teeth impairs the regenerative process.
Wound healing	Straumann® Emdogain® is indicated to support early soft tissue healing of surgical wounds as part of oral surgical procedures (e.g. flap surgeries, implantation procedures). In a regenerative therapy with Straumann® Emdogain® apply remaining gel on the complete wound area directly under the flap before wound closure and on the wound margins after suturing to improve soft tissue healing.

Multiple recession coverage using MCAT in conjunction with mucoderm® and Emdogain® - Dr. D. Rakasevic

Pre-operative situation.

Socket augmentation using mucoderm®, maxgraft® and Straumann® Emdogain® - Dr. A. Puišys

Alveolar socket before soft and hard tissue augmentation

GTR for the treatment of a deep three-dimensional intrabony defect using cerabone®, collprotect® membrane and Straumann® Emdogain® - Dr. T. Schwaar

Pre-operative OPG shows deep vertical intrabony defects on the distal aspects of teeth 13 and 14.

Contained intrabony defect treated using Straumann® Emdogain® - Prof. Dr. Dr. A. Kasaj

Contained intrabony defect treated using Straumann® Emdogain® - Kasaj

Radiographic view before periodontal regenerative therapy with Straumann® Emdogain®. A deep intrabony defect appeared mesially and distally on the left mandibular first premolar. Pre-surgical probing measured 8 mm. The defect morphology presented as well-contained.

Wide intrabony defect treated with the modified papilla preservation flap in conjunction with Straumann® Emdogain® and autogenous bone - Dr. B. Molnar

Baseline clincial situation and pre-surgical probing.

Intrabony defect treated using Straumann® Emdogain®, cerabone® and Jason® membrane - Dr. D. B. Hangyási

Pre-operative radiographic view.

Gingival contour augmentation and recession coverage with cerabone®, mucoderm® and Straumann® Emdogain®- Dr. D. B. Hangyási

Initial clinical situation

Isolated gingival recession treated with the modified coronally advanced tunnel in conjunction with Straumann® Emdogain® and autologous CTG - Dr. R. Cosgarea

Baseline clinical situation. Recession depth of 6 mm at tooth 31.

Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. D. B. Hangyási

Multiple gingival recessions treated by MCAT in conjunction with mucoderm® and Straumann® Emdogain® - Hangyási

Pre-operative clinical situation.

Intrabony defect treated using cerabone® and Straumann® Emdogain® - Dr. D. B. Hangyási

Pre-operative X-ray.

Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts

Initial situation: 40 year old female patient with extensive scar tissue after several surgeries restored with a Rochette bridge

“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius

Pre-operative situation.

Socket preservation using cerabone® and Straumann® Emdogain® - Dr. S. Pelekanos

Pre-operative X-ray. Hopless tooth 21.

Non-contained intrabony defect treated using cerabone®, collprotect® membrane and Straumann® Emdogain® - Dr. T. Schwaar (2)

Pre-operative radiograph.

Treatment of a periodontal bone defect adjacent to an edentulous site using Straumann® Emdogain® - Prof. Dr. P. Windisch

Pre-operative radiograph.

Non-contained intrabony defect treated using Straumann® Emdogain® and a synthetic bone grafting material - Prof. Dr. Dr. A. Kasaj

Non-contained intrabony defect treated using Straumann® Emdogain® and bone graft - Kasaj

Pre-operative clinical situation.

Non-contained intrabony defect treated using cerabone®, collprotect® membrane and Straumann® Emdogain® - Dr. T. Schwaar (1)

Pre-operative radiograph. Intrabony defect on the mesial aspect of tooth 14.

Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (1)

Multiple gingival recessions treated by MCAT in conjunction with mucoderm® and Straumann® Emdogain® (1) - Rathe

Pre-operative clinical situation. Gingival recessions at teeth 11 and 21.

Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® and Straumann® Emdogain® - Dr. D. B. Hangyási

Multiple gingival recessions treated by MCAF in conjunction with mucoderm® and Straumann® Emdogain® - Hangyási

Pre-surgical situation. Multiple adjacent gingival recessions at teeth 12, 13 and 14.

Multiple gingival recessions treated with the coronally advanced flap in conjunction with mucoderm® and Straumann® Emdogain® - Prof. Dr. Dr. A. Kasaj

Multiple gingival recessions treated by CAF in conjunction with mucoderm® and Straumann® Emdogain® - Kasaj

Pre-operative clinical view. Multiple adjacent gingival recessions.

Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with Straumann® Emdogain® and autologous CTG - Dr. R. Cosgarea

Pre-operative clinical view.

Restoration of buccal bone lamella in aesthetic zone with maxgraft® bonering - Dr. A. Patel

Initial situation: bone loss due to lack of physical load of bridge retained region 11

Non-contained intrabony defect treated with the modified papilla preservation flap in conjunction with cerabone® and Straumann® Emdogain® - Dr. J. Tunkel

Non-contained intrabony defect treated by the MPPF in conjunction with cerabone® and Straumann® Emdogain® - Tunkel

Pre-operative radiographic view. Intrabony defect on the distal aspect of the lateral incisor.

Ridge augmentation using cerabone®, Jason® membrane and Straumann® Emdogain® - Dr. S. Pelekanos

Situation after tooth removal.

Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini

Multiple recession coverage with mucoderm® - Prof. G. Zucchelli & Dr. M. Stefanini

Initial clinical situation

Two-wall intrabony defect treated using cerabone® and Straumann® Emdogain® - Dr. D. Rakasevic & Prof. Dr. S. Jankovic

Two-wall intrabony defect treated using cerabone® and Straumann® Emdogain® - Rakasevic & Jankovic

Pre-operative clinical situation.

Deep intrabony defects treated using Straumann® Emdogain® - Dr. M. Stefanini

Pre-surgical clinical situation, buccal view.

Non-contained intrabony defect treated with the simplified papilla preservation flap in conjunction with Straumann® Emdogain® and a particulate bone grafting material - Prof. Dr. Dr. A. Kasaj

Non-contained intrabony defect treated by SPPF in conjunction with Straumann® Emdogain® and a particulate bone grafting material - Kasaj

Pre-operative probing pocket depth (PPD) at the distal aspect of tooth 11 was 7 mm.

Isolated gingival recessions treated with the coronally advanced flap in conjunction with mucoderm® and Straumann® Emdogain® - Prof. Dr. Mario Taba Jr

Isolated gingival recessions treated by CAF in conjunction with mucoderm® and Straumann® Emdogain® - Taba Jr

Pre-surgical clinical situation. Deep gingival recessions at both upper canine.

Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm®, Straumann® Emdogain® and autologous CTG - Dr. F. Benvenuto

Multiple gingival recessions treated by MCAF in conjunction with mucoderm®, Straumann® Emdogain® and CTG - Benvenuto

Pre-operative clinical situation. Multiple adjacent gingival recessions.

Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (2)

Multiple gingival recessions treated by MCAT with mucoderm® and Straumann® Emdogain® (2) - Rathe

Pre-operative clinical situation. Shallow multiple adjacent gingival recessions in the first quadrant.

GBR at implant site with collprotect®, cerabone® and Emdogain® - Dr. A. Nisio

Preoperative X-ray

Ridge augmentation in the maxilla with maxgraft® bonebuilder in the aesthetic zone - Dr. M. Kristensen

Bone defect in area 11-21 due to two lost implants (periimplantitis) after 15 years of function

Induces true periodontal regeneration as evidenced by human histological studies
Easy to apply in difficult accessible defects and in minimal invasive procedures
Shows less complications compared to membranes
Well researched and published in 800 scientific and 200 clinical publications
Based on 10-year long-term evidence in intrabony and recession defects
May be combined with various bone graft materials
Available in 3 different volume sizes allowing flexible treatment options
Stimulates bone formation and angiogenesis

Article Number	Product	Content
075.098W	Straumann® Emdogain® 0.15 ml	5 x 0.15 ml Emdogain®
075.101W	Straumann® Emdogain® 0.3 ml	1 x 0.3 ml Emdogain®
075.102W	Straumann® Emdogain® 0.7 ml	1 x 0.7 ml Emdogain®
075.114W	Straumann® Emdogain® 0.3 ml	3 x 0.3 ml Emdogain®
		3 x 0.6 ml PrefGel®
075.116W	Straumann® Emdogain® 0.7 ml	3 x 0.7 ml Emdogain®
		3 x 0.6 ml PrefGel®
075.127W	Straumann® Emdogain® 0.15 ml	1 x 0.15 ml Emdogain®
075.203W	Straumann® PrefGel®	5 x 0.6 ml PrefGel®

For information on your local contact person please email to product-management@botiss.com

Videos

Single Flap Approach in combination with Straumann® Emdogain® - live surgery by Prof. Dr. L. Trombelli

Deep intrabony defect treated with Straumann® Emdogain® - live surgery by Dr. A. Pandolfi

Straumann® Emdogain® and oral wound healing. A patient experience. - by Dr. A. Pandolfi

Recession coverage using the MCAT technique in conjunction with mucoderm® and Straumann® Emdogain®- live surgery by Dr. F. Rathe

Straumann® Emdogain® for the treatment of an intrabony defect (Dr. J. Tunkel)

Straumann® Emdogain® - Enamel matrix derivative

The main component in Straumann® Emdogain® is amelogenin, which assembles into an insoluble matrix under physiological conditions. The matrix has the proven ability to stimulate various cell types involved in the wound healing cascade of soft and hard tissues (mesenchymal stem cells, osteoblasts, fibroblasts, periodontal ligament cells and cementoblasts) towards a regenerative pattern.

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