Esthetic Root Coverage: Using a Modified CAF in Combination with PRF, A Case Report
Published: 2023-03-13
Page: 48-53
Issue: 2023 - Volume 6 [Issue 2]
Maya Mhaske
CSMSS Dental College and Hospital, Kanchanwadi, Aurangabad, Maharashtra, India.
Kalyani Reddy *
CSMSS Dental College and Hospital, Kanchanwadi, Aurangabad, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Introduction: The multiple gingival recessions can lead to functional and aesthetic problems in patients. Advanced flaps are the simplest, yet are not predictable procedures for managing such conditions. The results of root coverage can be enhanced by combining the coronally advanced flap (CAF) with different regenerative techniques.
Aims: To determine the benefits of platelet-rich fibrin membrane (PRF) along with modified CAF for the treatment of Grade II Multiple gingival recession.
Methodology: A patient with Millers' class II gingival recession in three adjacent anterior teeth having a minimum 3-4 mm width of attached gingiva., Patient was treated by using modified CAF with PRF. The clinical parameters, evaluated were , vertical gingival recession depth (VGRD), gingival recession width (GRW), probing depth (PD), clinical attachment level (CAL), were recorded at baseline, and from 1 month to 3 months
Results: VGRD, GRW, PD, CAL, improved significantly from baseline to 1 month and from 1 month to 3 months
Conclusion: The use of PRF along with modified CAF is beneficial for the treatment of mild to moderate Millers Class II gingival recessions.
Keywords: Coronally Advanced Flap (CAF), Vertical Gingival Recession Depth (VGRD), Probing Depth (PD), Platelet-Rich Fibrin (PRF)
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References
Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003;134:220-5.
Maynard JG Jr. Coronal positioning of a previously placed autogenous gingival graft. J Periodontol .1977;48:151- 5.
Harris RJ, Harris AW. The coronally positioned pedicle graft with inlaid margins: A predictable method of obtaining root coverage of shallow defects. Int J Periodontics Restorative Dent. 1994;14: 228-41.
Zucchelli G. Advanced flaps with and without vertical releasing incisions for the treatment of multiple gingival recessions: A comparative controlled mixed clinical trial. J Periodontol. 2000;80:1083-94.
Huang LH, Neiva RE, Soehren SE, Giannobile WV, Wang HL. The effect of platelet-rich plasma on the coronally advanced flap root coverage procedure: A pilot human trial. J Periodontol 2005;76:1768-77.
Bernimoulin JP, Lüscher B, Mühlemann HR. Coronally repositioned periodontal flap. Clinical evaluation after one year. J Clin Periodontol 1975;2:1-3.
Pini-Prato G, Franceschi D, Rotundo R, Cairo F, Cortellini P, Nieri M, et al. Long-term 8-year outcomes of coronally advanced flap for root coverage. J Periodontol 2012;83:590-4.
de Sanctis M, Zucchelli G. Coronally advanced flap: A modified surgical approach for isolated recession-type defects: Three-year results. J Clin Periodontol 2007;34:262-8.
Allen EP, Miller PD Jr. Coronal positioning of existing gingiva: Short term results in the treatment of shallow marginal tissue recession. J Periodontol 1989;60:316-9.
Pini Prato GP, Baldi C, Nieri M, Franseschi D, Cortellini P, Clauser C, et al. Coronally advanced flap: The postsurgical position of the gingival margin is an important factor for achieving complete root coverage. J Periodontol. 2005;76: 713-22.
Tenenbaum H, Klewansky P, Roth JJ. Clinical evaluation of gingival recession treated by coronally repositioned flap technique. J Periodontol.1980;51:686-90.
Aroca S, Keglevich T, Barbieri B, Gera I, Etienne D. Clinical evaluation of a modified coronally advanced flap alone or in combination with a platelet-rich fibrin membrane for the treatment of adjacent multiple gingival recessions: A 6-month study. J Periodontol. 2009;80: 244-52.
Dixit N, Lamba AK, Faraz F, Tandon S, Aggarwal K, Ahad A. Root coverage by modified coronally advanced flap with and without platelet-rich fibrin: A clinical study. Indian Journal of Dental Research. 2018;29(5):600.
Ainamo J, Talari A. The increase with age of the width of attached gingiva. J Periodontal Res 1976;11:182-8.
Wennström JL, Zucchelli G. Increased gingival dimensions. A significant factor for successful outcome of root coverage procedures? A 2-year prospective clinical study. J Clin Periodotol 1996;23: 770-7
Ghahroudi AA, Khorsand A, Rokn AR, Sabounchi SS, Shayesteh YS, Soolari A. Comparison of amnion allograft with connective tissue graft for root coverage procedures: a double-blind, randomized, controlled clinical trial. J Int Acad Periodontol. 2013;15:101–12.