Comparative evaluation of treatment of localized gingival recessions with coronally advanced flap using microsurgical and conventional techniques

Abstract

Background:Coverage of gingival recession is a very precision-oriented procedure. Employment of operating microscope has proved to be a boon in various surgical procedures and therefore can have positive benefits on the outcome of a procedure.Aim:The aim of this study is to find out whether the use of an operating microscope in the surgical treatment of Millers Class I and Class II gingival recession defects could improve the outcome in terms of root coverage and final tissue appearance compared to those done by the conventional technique.Materials and Methods:This clinical study was carried out on ten patients with the presence of bilateral isolated gingival recession classified as Miller's Class I or Class II recession defect. The split-mouth design was used where coronally advanced flap with the placement of platelet-rich fibrin was done in defects in test (microsurgical) and control (conventional) groups. Various clinical parameters were recorded at baseline and then postoperatively at 3-months and 6-month intervals.Results:The visual analog scale scores showed a statistically significant difference between scores while all other parameters had no statistically significant difference in intergroup comparison after 3 and 6 months.Conclusion:While microscope permitted less traumatic and minimally invasive procedure, both groups showed convincing improvement in clinical parameters.

Platelet-Rich Fibrin in Single and Multiple Coronally Advanced Flap for Type 1 Recession: An Updated Systematic Review and Meta-Analysis

“…Full-text assessment was performed on 20 articles. Among them, 6 studies [ 36 , 37 , 38 , 39 , 40 , 41 ] were excluded, due to their study design [ 36 ], surgical technique (e.g., orthodontic button for the suturing phase or microsurgical approach only for the test group) [ 37 , 38 , 39 ], use of concentrated growth factor instead of L-PRF [ 40 ], or data not reported [ 41 ]. Therefore, 14 trials [ 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 ] were included in the present systematic review.…”

Periodontal Microsurgery: A Boon for Precision

“…This means that the surgical site can be accurately focussed [3,24,27,28]. High magnification in surgical microscope gives advantages to treat regenerative [35,42,43,46] and periodontal plastic surgery [23,33,34,49,50] and implant therapy [43,51] successfully over conventional surgery. Clinicians can perform precise work using microsurgical instruments, probably due to fine and sharp blades that extend hard-to-reach areas [31,38,47].…”

“…The utilization of a surgical microscope proved to be a boon in various periodontal surgical procedures. Published literature definitely showed a comparison of microscopic periodontal surgery to conventional surgery [29,32,35,49]. Results are superior to a traditional approach.…”

“…Comparative evaluation of treatment of localized gingival recessions with coronally advanced flap using microsurgical vs conventional techniques [49].…”