Platelet‐Rich Fibrin in the Treatment of Bilateral Gingival Recessions
Makaleler > Tam Makale · 2012
Yazarlar: Gülnihal Eren, Gül Atilla
Clinical Advances in Periodontics, Uluslararası, 2012, cilt 2, ss 154-160
Özet
Introduction: Subepithelial connective tissue graft (SCTG) + coronally advanced flap (CAF) has been suggested as the most predictable technique for treatment of recession defects. However, the SCTG technique necessitates a second surgical site and increases the risk of morbidity linked with harvesting the autogenous palatal donor mucosa. Platelet‐rich fibrin (PRF) has been shown to accelerate soft‐tissue healing. The use of PRF in treatment of gingival recessions eliminates the requirement of a donor site. The aim of this case report is to evaluate the clinical effectiveness of the CAF+PRF combined technique and CAF+SCTG in the treatment of bilateral gingival recessions. Case Presentation: The surgical treatment of a 23‐year‐old female patient with bilateral gingival recessions in maxillary cuspids is discussed in this case report. Sites were randomly assigned to CAF+PRF (test) or CAF+SCTG (control) sites. Clinical periodontal parameters were recorded and clinical photographs were taken at baseline; 1, 3, and 6 months; and 1 year. The recession area was analyzed with a digital image analysis program. In addition, gingival thickness was evaluated at baseline and at 1 year. Conclusions: Root coverage amount, gingival thickness, and keratinized tissue width were improved in both sites. The outcomes remained stable for 1 year. CAF+PRF presents an alternative to CAF+SCTG in the treatment of gingival recessions. The PRF method is practical and simple to perform. Additionally, PRF seems to be superior to SCTG since it eliminates the requirement of a donor site.