Recession width evaluation after the use of Advanced PRF (A-PRF) verus subepithilial conncective tissue graft (SCTG) in combination with coronally advanced flap in treatment of gingival recession: A randomozed clinical taril

Heba Samir Mahmoud; Manal Mohamed Hosny; Weam Ahmed ELBattawy

doi:10.53730/ijhs.v6nS4.6305

Authors

Heba Samir Mahmoud Assistant Lecturer of Oral Medicine and Periodontology Department, Faculty of Dentistry, Ahram Canadian University, Giza, Egypt. Oral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, Cairo, Egypt
Manal Mohamed Hosny
manhosny@gmail.com
Professor of Oral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, Cairo, Egypt. Chairman of Oral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, Cairo, Egypt
Weam Ahmed ELBattawy Assistant Professor of Oral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, Cairo, Egypt

Keywords:

Gingival recession, Miller class II, platelet rich fibrin

Abstract

Objective: To evaluate the amount of recession width following the use CAF and advanced platelet rich fibrin (A-PRF) compared to CAF with SCTG in the treatment of single gingival recession. Materials and Methods: Twenty gingival recession defects were randomly assigned to receive either CAF+SCTG (n=10) or CAF+A-PRF (n=10). Recession width in mm was assessed at 3, 6 and 9 months post-operatively. Results: Patients in test group (CAF+A-PRF) reported 2.13 ± 0.35 recession width at 3 months, 2.00 ± 0 after 6 months. While, finally decreased to 1.25±1.04 after 9 months. In the control group (CAF+SCTG), the amount of recession width recorded 1.00 ± 1.07 at 3 months, while, after 6 and 9 months decreased to 0.5 ± 0.93. Conclusion and recommendation: There was no statistically significant difference between the two studied groups after 9 months. While, A significant difference reported at 3 and 6 months. Further studies with larger sample size and longer follow-up is needed.

Downloads

Download data is not yet available.

References

Cairo F, Pagliaro U, Buti J, Baccini M, Graziani F, Tonelli P, Pagavino G, Tonetti MS. (2016).Root coverage procedures improve patient aesthetics. A systematic review and Bayesian network meta-analysis. J Clin Periodontol 43: 965–975. DOI: https://doi.org/10.1111/jcpe.12603

Chambrone L, Salinas Ortega MA, Sukekava F, Rotundo R, Kalemaj Z, Buti J, Pini Prato GP. (2018). Root coverage procedures for treating localized and multiple recession-type defects. Cochrane Database Syst Rev. DOI: https://doi.org/10.1002/14651858.CD007161.pub3

Chambrone L, Tatakis DN. (2015). Periodontal soft tissue root coverage procedures: a systematic review from the AAP regeneration workshop. J Periodontol. 86:S8-51. DOI: https://doi.org/10.1902/jop.2015.130674

Chambrone, L., Ortega, M., Sukekava, F., Rotundo, R., Kalemaj, Z., Buti, J., & Prato, G. (2019). Root coverage procedures for treating single and multiple recession-type defects: An updated Cochrane systematic review. Journal of periodontology, 90(12), 1399–1422. DOI: https://doi.org/10.1002/JPER.19-0079

Choukroun J, Diss A, Simonpieri A, et al. (2006). Platelet-rich fibrin (PRF): a secondgeneration platelet concentrate. Part IV: clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 101: e56-60. DOI: https://doi.org/10.1016/j.tripleo.2005.07.011

Chrysanthakopoulos NA. (2014). gingival recession: Prevalence and risk indicators among young Greek adults. Journal of Clinical and Experimental Dentistry; 6:243-249. DOI: https://doi.org/10.4317/jced.51354

Eli I, Bar-Tal Y, Kostovetzki I (2001). At first glance: social meanings of dental appearance. J Public Health Dent. 61(3):150–4. DOI: https://doi.org/10.1111/j.1752-7325.2001.tb03382.x

Eren, G., Atilla, G. (2014). Platelet-rich fibrin in the treatment of localized gingival recessions: a split-mouth randomized clinical trial. Clin Oral Invest 18, 1941–1948. DOI: https://doi.org/10.1007/s00784-013-1170-5

Ghanaati S, Booms P, Orlowska A, et al. (2014). Advanced platelet-rich fibrin: A new concept for cell-based tissue engineering by means of inflammatory cells. J Oral Implantol 40:679-689. DOI: https://doi.org/10.1563/aaid-joi-D-14-00138

Kobayashi- Fujioka M, Miron RJ, Hernandez M, Kandalam U, Zhang Y, Choukroun J. (2017). Optimized platelet-rich fibrin with the low-speed concept: growth factor release, biocompatibility, and cellular response. J Periodontol. 8 8(1):112–21. DOI: https://doi.org/10.1902/jop.2016.160443

Rajapakse PS, McCracken GI, Gwynnett E, Steen ND, Guentsch A, Heasman PA. (2007). Does tooth brushing influence the development and progression of non-inflammatory gingival recession? A systematic review. J Clin Periodontol. 34: 1046–61. DOI: https://doi.org/10.1111/j.1600-051X.2007.01149.x

Roccuzzo M, Bunino M, Needleman I, Sanz M. (2002). Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review. J Clin Periodontol 29 (Suppl. 3): 178–194. DOI: https://doi.org/10.1034/j.1600-051X.29.s3.11.x

Seong J, Bartlett D, Newcombe RG et al. (2018). Prevalence of gingival recession and study of associated related factors in young UK adults. J Dent 76: 58–67. DOI: https://doi.org/10.1016/j.jdent.2018.06.005

Tavelli, L.; McGuire, M.K.; Zucchelli, G.; Rasperini, G.; Feinberg, S.E.; Wang, H.L.; Giannobile, W.V. (2020). Biologics-based regenerative echnologies for periodontal soft tissue engineering. J. Periodontol91, 147–154. DOI: https://doi.org/10.1002/JPER.19-0352

Thamaraiselvan, M., Elavarasu, S., Thangakumaran, S., Gadagi, J. S., & Arthie, T. (2015). Comparative clinical evaluation of coronally advanced flap with or without platelet rich fibrin membrane in the treatment of isolated gingival recession. Journal of Indian Society of Periodontology, 19(1), 66–71. DOI: https://doi.org/10.4103/0972-124X.145790

Tonetti MS, Jepsen S, (2014).Working Group 2 of the European Workshop on Periodontology. Clinical efficacy of periodontal plastic surgery procedures: consensus report of Group 2 of the 10th European Workshop on Periodontology. J Clin Periodontol: 41 (Suppl 15): S36–S43. DOI: https://doi.org/10.1111/jcpe.12219

Zucchelli G and Mounssif I. (2015). Periodontal plastic surgery Periodontology 2000, 68, 333–368. DOI: https://doi.org/10.1111/prd.12059

Zucchelli G, Mounssif I, Mazzotti C, Montebugnoli L, Sangiorgi M, Mele M, Stefanini M. (2014). Does the dimension of the graft influence patient morbidity and root coverage outcomes? A randomized controlled clinical trial. J Clin Periodontol; 41: 708–716. doi: 10.1111/jcpe.12256. DOI: https://doi.org/10.1111/jcpe.12256