“Gingival Recession And Root Coverage Up To Date, A literature Review”

Mostafa, Diana; Fatima, Nikhat

doi:10.1016/j.dentre.2021.100008

Cited by 13 publications

(11 citation statements)

References 44 publications

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“…In addition, this ap design is indicated when treating patients with shallow recession defects less than 4 mm and a thick periodontal phenotype. The presence of insu cient keratinized tissue apical to the recession defect, the presence of a gingival cleft extending to the alveolar mucosa, and the presence of a high frenum pull, a prominent root, or a very shallow vestibule are contraindications for this application [49].…”

Section: Discussionmentioning

confidence: 99%

Innovative i-PRF semisurgical method for gingival augmentation and root coverage in thin periodontal phenotypes: A preliminary study

Alan

Ercan

Firatli

et al. 2023

Preprint

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Objectives The aim of this study was to evaluate the effect of injectable platelet-rich fibrin (i-PRF) on gingival thickness (GT) and gingival recession (GR) in individuals with thin periodontal phenotypes using a semisurgical approach.Materials and methods In this prospective study, i-PRF was applied via a semisurgical method to augment 53 tooth regions with thin periodontal phenotypes. i-PRF injection was applied to the relevant areas in 4 sessions at an interval of 10 days. GT, GR, keratinized tissue width and periodontal parameters were also recorded before treatment and at 6 months after the last injection.Results A statistically significant difference was observed in GT and GR values at the end of the study compared to baseline. Accordingly, an increase in GT was achieved in 92.5% of the areas treated with i-PRF, and the desired GT (0.8 mm) was achieved in 44.9% of these areas. In addition, significant reductions in the amount of recession were observed in 83.3% of the 12 GR areas (p = 0.005). Moreover, complete coverage was achieved in 60% of these regions.Conclusion With the new i-PRF semisurgical method, which we introduced in this first preliminary study, we showed that GT can be increased in tooth regions with thin gingiva and that areas of GR can be covered. Further comprehensive studies are needed to fully understand the role of i-PRF in enhancing angiogenesis and the histoconductive properties of this fully autogenous blood concentrate.Clinical relevance Classical periodontal plastic surgery applications cannot give predictable results in areas with thin periodontal phenotypes, especially in the case of bone dehiscence and fenestration. In some cases, undesirable progressive GR in these tooth regions also draws attention. With this new i-PRF semisurgical method, successful and predictable treatments can be applied in tooth areas with thin gingiva by increasing angiogenesis and taking advantage of the histoconductive properties of i-PRF.

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Section: Discussionmentioning

confidence: 99%

Innovative i-PRF semisurgical method for gingival augmentation and root coverage in thin periodontal phenotypes: A preliminary study

Alan

Ercan

Firatli

et al. 2023

Preprint

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“…Al examen clínico periodontal fue diagnosticada con gingivitis generalizada asociada a placa bacteriana en periodonto reducido. Las recesiones clase II de Cairo (Mostafa & Fatima, 2022) se presentan como hendiduras en forma de "V" (Figura 1A). Tanto la profundidad de las recesiones como la cantidad de encía queratinizada fue de 3 mm en relación con las piezas 2.2 y 2.3 y de 2 mm en relación con la pieza 2.4.…”

Section: Presentación Clínicaunclassified

Tratamiento quirúrgico de la fisura de Stillman: reporte de un caso

Saltos

Quito

Cedillo

2022

RSD

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La fisura de Stillman (FS) es un defecto mucogingival de etiología traumática, el mismo que si no es tratado podría progresar hacia recesiones gingivales verdaderas con consecuencias estéticas, hipersensibilidad, lesiones cariosas y no cariosas. El objetivo de este trabajo fue relatar un caso de Fisura de Stillman que evolucionó a recesiones gingivales verdaderas tratadas quirúrgicamente. Se realizó la búsqueda de artículos relevantes sobre el tema, técnica quirúrgica utilizada y resultados obtenidos, utilizando criterios de inclusión y exclusión. Una mujer de 42 años acude a la consulta privada con la Dra. C.C para tratar lesiones en forma de “V” que por sus características clínicas fueron compatibles con hendidura de Stillman, las cuales evolucionaron a recesiones gingivales verdaderas clase II de Cairo. El procedimiento quirúrgico se llevó a cabo mediante técnica de túnel modificada y avanzada coronalmente con injerto de tejido conectivo subepitelial y aproximación de los bordes laterales de las recesiones. La cicatrización tanto de la zona quirúrgica como de los sitios de toma de los injertos progresó sin complicaciones dentro de los patrones normales de cicatrización de los tejidos blandos. Se realizó un seguimiento de 6 meses durante los cuales se observó una cobertura del 100% de las superficies radiculares, se evidenció aumento de encía adherida en las zonas tratadas. La técnica de túnel modificada y avanzada coronalmente con injerto de tejido conectivo subepitelial y aproximación de los bordes laterales de las recesiones brinda buenos resultados estéticos y funcionales para tratar hendiduras de Stillman que evolucionaron a recesiones gingivales verdaderas.

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“…Due to the significantly good bone architecture, the thick gingival biotype is considered to be less prone to the spread of inflammation compared to the thin gingival biotype. 10 Gingival biotype is a major risk factor for the development of gingival recession. Gingival recession poses both cosmetic and functional issues, and augmentation of GT is vital in the prevention of gingival recession.…”

Section: Introductionmentioning

confidence: 99%

“…12 Platelet concentrations have the ability to release various growth factors. 10,11 Injectable platelet-rich fibrin (i-PRF) can be obtained by subjecting the blood sample to centrifugation for 3 min in a plastic tube at a rate of 700 rpm. 12 Due to the slow rate of centrifugation.…”

Section: Introductionmentioning

confidence: 99%

Injectable Platelet-Rich Fibrin and Microneedling—A Non-Surgical Approach for Gingival Augmentation: A Randomized Controlled Clinical Trial

Soundarajan

Malaiappan

2023

Journal of Advanced Oral Research

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Aim: The present study aimed to assess the efficacy of combining microneedling (MN) and injectable platelet-rich fibrin (i-PRF) administration with i-PRF alone in augmenting the thickness of gingiva to manage thin periodontal phenotype. Methodology: The clinical trial involved 36 patients who were diagnosed with thin periodontal phenotype. They were randomized under two groups: MN + i-PRF versus i-PRF alone, carried out as a split-mouth trial. One quadrant was treated only with i-PRF delivery through the gingival sulcus, while the contralateral side was treated with MN and i-PRF in 3 sessions at 10-day intervals. The primary parameter measured was the thickness of the gingiva, at baseline and 3 months following therapy. Statistical analysis was performed using the Mann-Whitney U test. Wilcoxon’s signed ranking test for inter-group and intra-group analysis, respectively. Results: The study results showed a significantly greater increase in gingival thickness (GT) in sites where both MN and i-PRF injection was done, compared to i-PRF alone, with a p value of .04. Conclusion: Both treatment modalities showed improvement in GT, being a minimally invasive alternative for mucogingival surgery. Adjunctive MN was found to be more beneficial than i-PRF alone. However, further research should be carried out to address the drawbacks of the study and for a better understanding of this novel approach.

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“Gingival Recession And Root Coverage Up To Date, A literature Review”

Cited by 13 publications

References 44 publications

Innovative i-PRF semisurgical method for gingival augmentation and root coverage in thin periodontal phenotypes: A preliminary study

Innovative i-PRF semisurgical method for gingival augmentation and root coverage in thin periodontal phenotypes: A preliminary study

Tratamiento quirúrgico de la fisura de Stillman: reporte de un caso

Injectable Platelet-Rich Fibrin and Microneedling—A Non-Surgical Approach for Gingival Augmentation: A Randomized Controlled Clinical Trial

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