Evaluation of Treatment for Isolated Bilateral Miller’s Class I or II Gingival Recession with Platelet Rich Fibrin Membrane- A Comparative Study

ABSTRACT

Background: A recent innovation in dentistry is the use of second generation platelet concentrate which is an autologous platelet rich fibrin gel (PRF) with growth factors and cicatricial properties for root coverage procedures. The aim of this study was to determine the addition of an autologous plateletrich fibrin membrane (PRF) to coronally advanced flap (CAF) (site A) would improve the clinical outcome compared to an CAF alone (Site B) for the treatment of isolated Miller’s Class I or II gingival recessions. Materials and Methods: Ten subjects, presenting isolated bilateral Miller Class I or II gingival recessions of similar extent were enrolled in the study. The mean recession depth value at baseline was 3.30 ± 0.95 mm for test sites and 3.30 ± 0.95 mm for control sites. Each patient was treated on both sides by CAF technique; the combination treatment (with PRF membrane) was applied on the test side. Probing depth (PD), recession width, clinical attachment level (CAL), keratinized gingival width, and gingival/mucosal thickness (GTH) were measured at baseline, 1 month, 3 months and at 6 months post-surgery. Results:At 6 months, complete root coverage was obtained at 73.86% of the sites treated with the test (site A) procedure but 67.52% of root coverage at the site B. A statistically significant difference between the two sites (A & B) in relation to gingival thickness was observed at 3 and 6 months. At 6 months, the increase in GTH was statistically significant when comparing the test sites (from 1.13 ± 0.08 mm at baseline to 1.58 ± 0.12 mm at 6 months) to the control sites (from 1.13 ± 0.08 mm at baseline to 1.31 ± 0.07 mm at 6 months). In the case of Recession width, PD, CAL and Width of keratinized gingiva (WKG) there was no significant difference. Conclusion:The addition of PRF membrane with CAF provides superior root coverage with additional benefits of gain in CAL and WKG at 6 months postoperatively.

KEYWORDS

• Coronally advanced flap
• Clinical attachment level
• Gingival thickness
• Gingival recession
• Platelet rich fibrin membrane

Showing references and in-text citations exactly as published.

• DOI10.5530/jyp.2016.3.7Copy

RELATED ARTICLES

Matched on section and article type within this issue of JYP.

• Article · VOLUME 8, ISSUE 3Development and Evaluation of Matrix Tablet by Taking New Chemicals Combination of Chitosan and Eudragit-l 100Amaresh Prusty, Amiya Kanta Mishra, Bijon Kumar Gupta · pp. 168–176Original ArtcileSame type: Article
• Article · VOLUME 8, ISSUE 3Action of Cleistanthins A and B on Alpha Adrenoceptors in RatsMageshwaran Lakshmanan, Zachariah Bobby, Raveendran Ramasamy · pp. 177–185Original ArtcileSame type: Article
• Article · VOLUME 8, ISSUE 3Apoptosis and Necrosis of Human Breast Cancer Cells by an Aqueous Extract of Euphorbia hirta leavesBandana Behera, Jyoshna Dash, Debasish Pradhan, Gitanjali Tripathy, Rakesh Pradhan · pp. 186–193Original ArtcileSame type: Article
• Article · VOLUME 8, ISSUE 3Effect of Ganoderma lucidum on MPTP Induced Behavioral Alterations in Swiss Albino MicePalanimuthu Vasanth Raj, Subramani Parasuraman, Sokkalingam Arumugam Dhanaraj, Lee Xin Ying, Tan Hung Luc, Stephanie A/P Sandanasamy, Koay Chin Yin · pp. 194–197Original ArtcileSame type: Article