IADR Abstract Archives
Advanced Platelet-Rich F ibrin in the treatment of bilateral multiple gingival recessions
Objectives: The treatment of gingival recession is considered a challenge in periodontal practice, and among the different techniques used, autogenous subepithelial connective tissue graft (SCTG) has shown the most favorable results, but this technique has some disadvantages.
Platelet rich fibrin (PRF) is a fibrin scaffold derived from the patient’s own blood after one centrifugation step. Recently a new concept PRF have developed that called Advance Platelet Rich Fibrin (A-PRF) . Densisite of A-PRF is higher than standart PRF. It might more effective soft tissue regeneration because of the A-PRF contains a large quantity of monocytes\macrophages and their growth factors.
The objective of this case series were to evaluate the clinical effectiveness of A-PRF in combination with modified coronally advanced flap (MCAF) in the treatment of multiple gingival recessions.
Methods: 5 systemically healthy patients with bilateral multiple buccal Miller Class I-II recession defects were treated in this case series. A total number of 30 defects received either A- PRF+MCAF or MCAF with SCTG. Gingival recession depth (RD), gingival recession width (RW), keratinized tissue width (KTW), recession area (RA), probing depth (PD), clinical attachment level (CAL) and gingival thickness (GT) were evaluated at baseline and after 6 months. Additionally, patient’s discomfort were measured by comparing visual analogue scale scores.
Results: Both methods were effective in providing a significant reduction of the baseline. KTW and GT were increased ans RD decreases in both groups from baseline to 6 months (p<0.001), but there were no statistically significant difference between treatment groups (p>0.05). Use of a A-PRF membrane in gingival recession treatment decreased postoperative discomfort compared to SCTG-treated gingival recessions.
Conclusions: We conclude that localized gingival recessions could be successfully treated with MCAF+A- PRF as well as MCAF+SCTG. The PRF technique has a bonus advantage of being more comfortable during postoperative period.
Platelet rich fibrin (PRF) is a fibrin scaffold derived from the patient’s own blood after one centrifugation step. Recently a new concept PRF have developed that called Advance Platelet Rich Fibrin (A-PRF) . Densisite of A-PRF is higher than standart PRF. It might more effective soft tissue regeneration because of the A-PRF contains a large quantity of monocytes\macrophages and their growth factors.
The objective of this case series were to evaluate the clinical effectiveness of A-PRF in combination with modified coronally advanced flap (MCAF) in the treatment of multiple gingival recessions.
Methods: 5 systemically healthy patients with bilateral multiple buccal Miller Class I-II recession defects were treated in this case series. A total number of 30 defects received either A- PRF+MCAF or MCAF with SCTG. Gingival recession depth (RD), gingival recession width (RW), keratinized tissue width (KTW), recession area (RA), probing depth (PD), clinical attachment level (CAL) and gingival thickness (GT) were evaluated at baseline and after 6 months. Additionally, patient’s discomfort were measured by comparing visual analogue scale scores.
Results: Both methods were effective in providing a significant reduction of the baseline. KTW and GT were increased ans RD decreases in both groups from baseline to 6 months (p<0.001), but there were no statistically significant difference between treatment groups (p>0.05). Use of a A-PRF membrane in gingival recession treatment decreased postoperative discomfort compared to SCTG-treated gingival recessions.
Conclusions: We conclude that localized gingival recessions could be successfully treated with MCAF+A- PRF as well as MCAF+SCTG. The PRF technique has a bonus advantage of being more comfortable during postoperative period.