Enhanced gingival recession coverage by Er,Cr:YSGG laser root biomodification

Abstract

Gingival recession predisposes to functional and aesthetic concerns, for which many surgical procedures are available. Among these, till now subepithelial connective graft is considered as the gold standard technique for its higher predictability of achieving recession coverage. However, it does not heal by new attachment, thus many techniques to promote new attachment such as root biomodification are done. This case enumerates the use of Er, Cr: YSGG laser for root biomodification to treat a wide and deep gingival recession defect by subpedicle connective tissue graft. Six months results show better recession coverage inspite of a wide and deeper defect. Thus, Er, Cr: YSGG laser can be an adjunctive tool to enhance the recession coverage.

Liquid platelet‐rich fibrin in root surface biomodification during gingival recession treatment: Randomized, controlled, split‐mouth, clinical trial

“…Moreover, Turer et al ( 2020 ) used i‐PRF with CTG for the treatment of deep GR defects and they observed complete RC at 88% of the sites treated with CAF + CTG + i‐PRF and 80% of the sites treated with CAF + CTG. The current study had a similar result to Damante et al ( 2019 ), Murugan et al ( 2021 ), and Turer et al ( 2020 ), where a significant reduction was observed in RD. Although recession decreased in both groups, better coverage was observed in the FGG + i‐PRF group.…”

“…In the study of Damante et al (2019), they used citric acid/tetracycline gel (CAT) and antimicrobial photodynamic therapy for RSB with CTG treatment, where they observed that both the CAT group and PDT group have higher RC (82.1% and 81.6%, respectively) in comparison with scaling and root planning group (57.7%) (Karayürek et al, 2019). Furthermore, Murugan et al (2021), andTurer et al (2020), where a significant reduction was observed in RD. Although recession decreased in both groups, better coverage was observed in the FGG + i-PRF group.…”

“…Similar to Izol's study (Izol & Üner, 2019 ), we applied liquid PRF on the root surface for 5 min before placing the FGG and waiting to be transformed into an adhesive form. A lot of studies have been conducted to improve RC with root surface biomodification (Damante et al, 2019 ; Deo et al, 2019 ; Murugan et al, 2021 ). In the study of Damante et al ( 2019 ), they used citric acid/tetracycline gel (CAT) and antimicrobial photodynamic therapy for RSB with CTG treatment, where they observed that both the CAT group and PDT group have higher RC (82.1% and 81.6%, respectively) in comparison with scaling and root planning group (57.7%) (Karayürek et al, 2019 ).…”

“…In the study of Damante et al ( 2019 ), they used citric acid/tetracycline gel (CAT) and antimicrobial photodynamic therapy for RSB with CTG treatment, where they observed that both the CAT group and PDT group have higher RC (82.1% and 81.6%, respectively) in comparison with scaling and root planning group (57.7%) (Karayürek et al, 2019 ). Furthermore, Murugan et al ( 2021 ) used Er, Cr: YSGG Laser for RSB with CTG to treat wide and deep GR defects, and they found better recession coverage despite a wide and deeper defect. Likewise, Dilsiz et al ( 2010 ) used the Nd:Yag laser with CTG and they found that the RC was 33% in the test group and 77% in the control group.…”