Enamel matrix derivative (Emdogain) in treatment of replanted teeth – a systematic review

Abstract

Objective: The main purpose of the present systematic review was to evaluate the efficacy of enamel matrix derivative Emdogain in healing of replanted teeth in humans.

Materials and Methods: This review conducted in adherence to PRISMA standards and was registered in PROSPERO with registration number CRD42017062736. We graded the methodological quality of the studies by means of Cochrane's tool of risk of bias in non-randomized studies – of interventions (ROBINS-I).

Results: In total, 65 studies were identified for screening, and five studies were eligible. The uneventful healing of replanted teeth was varied from 20% to 75%. Two controlled trials found Emdogain treatment significantly reduced resorption of replanted teeth and improved the healing of periodontal ligament compared with controls. Two studies showed high recurrent resorption in Emdogain treated teeth.

Conclusions: To conclude, the number of publications that met all inclusion criteria were limited and did not allow for drawing evidence for Emdogain being effective in supporting healing of replanted teeth.

Keywords:

• Avulsion
• enamel matrix derivative
• emdogain
• systematic review
• transplantation

Disclosure statement

No potential conflict of interest was reported by the authors.