Comparative clinical evaluation of coronally advanced flap with or without platelet rich fibrin membrane in the treatment of isolated gingival recession.

Abstract

AIM:

The aim of this study was to determine whether the addition of an autologous platelet rich fibrin (PRF) membrane to a coronally advanced flap (CAF) would improve the clinical outcome in terms of root coverage, in the treatment of isolated gingival recession.

MATERIALS AND METHODS:

Systemically healthy 20 subjects each with single Miller's class I or II buccal recession defect were randomly assigned to control (CAF) or test (CAF + PRF) group. Clinical outcome was determined by measuring the following clinical parameters such as recession depth (RD), recession width (RW), probing depth (PD), clinical attachment level (CAL), width of keratinized tissue (WKT), gingival thickness (GTH), plaque index (PI), and gingival index (GI) at baseline, 3(rd), and 6(th) month postsurgery.

RESULTS:

The root coverage was 65.00 ± 44.47% in the control group and 74.16 ± 28.98% in the test group at 6(th) month, with no statistically significant difference between them. Similarly, CAL, PD, and WKT between the groups were not statistically significant. Conversely, there was statistically significant increase in GTH in the test group.

CONCLUSION:

CAF is a predictable treatment for isolated Miller's class I and II recession defects. The addition of PRF to CAF provided no added advantage in terms of root coverage except for an increase in GTH.

• Authors: Murugan Thamaraiselvan, Sugumari Elavarasu, Suthanthiran Thangakumaran, Jayaprakash Sharanabasappa Gadagi, Thangavelu Arthie
• Journal: Journal of Indian Society of Periodontology (J Indian Soc Periodontol) Vol. 19 Issue 1 Pg. 66-71 ( 2015) ISSN: 0972-124X [Print] India
• PMID: 25810596 (Publication Type: Journal Article)