Shallow localized gingival recession defects treated with modified coronally repositioned flap technique: A case series

Akkaya, Murat; Böke, Fatma

doi:10.4103/1305-7456.115425

Cited by 7 publications

(5 citation statements)

References 13 publications

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“…17 Improvement in CAL occurred due to the recession coverage as a result of the coronal shift of attachment apparatus during CAF procedures. 18 In this study, the KGW and RW did not show significant differences between the CAF with PRF group and the CAF-only group, a finding in contrast to the research that reported a long-term increase in the keratinized gingiva width associated with an apical shift of the mucogingival junction. 19 This might be due to the evaluation not having been performed over a more extended period.…”

Section: Discussioncontrasting

confidence: 94%

The treatment of gingival recession with coronally advanced flap with platelet-rich fibrin

2019

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Background: Of the various techniques developed for the treatment of gum recession, the current innovation in the use of platelet rich plasma (PRF) has been applied to the treatment of root-end closure procedures. Purpose: This study analyzed the effect of the coronally advanced flap (CAF) in combination with platelet-rich fibrin (PRF) during treatment of gingival recession. Methods: This research constituted an experimental study incorporating a split-mouth design which was conducted on eight participants (with 16 recession defects) who were divided into two groups consisting of the CAF group with PRF and another CAF group without PRF. Clinical parameters consisting of gingival recession (GR), keratinized gingival width (KGW), recession width (RW) and clinical attachment level (CAL) were measured both before and 21 days after surgery). Results: The average differences between clinical parameters in the test group were as follows: GR (2.25 ± 0.27), KGW (1.81 ± 0.75), RW (3.44 ± 1.35), and CAL (2.56 ± 0.50); while in the control group they were as follows: GR (2.00 ± 0.71), KGW (1.94 ± 0.78), RW (3.50 ± 1.91) and CAL (2.00 ± 0.76). There were significant differences in the GR and CAL between the test and control groups (p ≤ 0.05). Conclusion: A combination of the CAF procedure and PRF was proven to be more effective in covering the GR and increasing the CAL.

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Section: Discussioncontrasting

confidence: 94%

The treatment of gingival recession with coronally advanced flap with platelet-rich fibrin

2019

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“…Improvement in CAL is because of recession coverage that results from the coronal shift of attachment apparatus during CAF procedures. [ 33 ] Although, this is not substantiated in the histological study, however, based on clinical examinations, improvement in CAL can be explained.…”

Section: Discussionmentioning

confidence: 89%

Patient-centered evaluation of microsurgical management of gingival recession using coronally advanced flap with platelet-rich fibrin or amnion membrane: A comparative analysis

et al. 2016

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Objective:To evaluate the efficacy of coronally advanced flap (CAF) procedure under microsurgical approach for the management of Miller's Class I and II gingival recession defects with the use of either platelet-rich fibrin (PRF) or amnion membrane (AM) in comparison to CAF alone.Materials and Methods:A total of 45 sites with Miller's Class I or II gingival recession defect were randomly distributed for: Experimental Group I (CAF with PRF) sites (n = 15) which were treated with the microsurgical approach using CAF along with PRF; experimental Group II (CAF with AM) sites (n = 15) were treated with the microsurgical approach using CAF along with AM; control Group III (CAF alone) sites (n = 15) were treated with the microsurgical approach using CAF alone. Vertical gingival recession (VGR), horizontal gingival recession (HGR), gingival thickness (GT) (using transgingival probing [TGP] and ultrasonography [USG]) and patients’ response and acceptance were documented at baseline, 3 months and 6 months after surgical interventions.Results:CAF alone and in combination with PRF or AM, were effective techniques for root coverage with average VGR values of 1.47 ± 0.92 mm (56%), 0.67 ± 1.23 mm (36%) and 0.60 ± 1.06 mm (33%) in Group I (CAF with PRF), Group II (CAF with AM), and Group III (CAF alone), respectively. Complete coverage (100%) was obtained in 33.3% sites of Group I (CAF with PRF), 26.6% sites of Group II (CAF with AM) and 13.3% in Group III (CAF alone). Patients’ response and acceptance for surgical treatment modality in terms of patient esthetic score and decrease in hypersensitivity score was highest for Group I (CAF with PRF), whereas patient comfort score was highest for Group II (CAF with AM). At 6 months follow-up, significant increase in GT measurements (using TGP and USG) in Group I (CAF with PRF), whereas, nonsignificant increase for Group II (CAF with AM) and no change or decrease for Group III (CAF alone) as compared to baseline was observed.Conclusion:The present study observed enhancement in root coverage when PRF or AM are used in conjunction with CAF as compared to CAF alone. These results are based on 6-month follow-up. Therefore, the long-term evaluation may be necessary to appreciate the clinical effect of autologous PRF and AM.

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“…Clinical measurements were performed in other studies at baseline and 10 days, 1, 3, and 6 months after surgery as in other mucogingival studies 2 , 20 . Histological evaluation of the graft demonstrates that healing and revascularization of the subepithelial connective tissue graft continues for 28–60 days after surgery 12 .…”

Section: Discussionmentioning

confidence: 99%

“…However, vertical incisions reduce the vascularization of the flap from the surrounding soft tissue, and enhance the traumatic surgical area and healing period 3 . In recent studies, the flap was elevated across the adjacent tooth in the apical direction and no vertical incision was performed 2 , 26 . “Langer & Langer” is the most commonly used connective tissue graft technique because it provides more flap repositioning in the coronal direction and covers the graft completely 11 , 27 .…”

Section: Discussionmentioning

confidence: 99%

“…After local anesthesia, in test groups, a horizontal sulcular incision was designed at the buccal side of the recession area at the level of the CEJ, and the incision was extended into the interdental area to be connected with the CEJ. A split thickness flap was raised without vertical incision 2 , the papillae were de-epithelialized, and the root was planned by removing hard accumulations, but no chemical root treatment was performed. In 2PRF+CAF, two layers of PRF membranes were positioned over the recession area at the level of the CEJ ( Figure 1 ).…”

Section: Methodsmentioning

confidence: 99%

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Evaluation of the effect of dose-dependent platelet-rich fibrin membrane on treatment of gingival recession: a randomized, controlled clinical trial

2018

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Miller's class I gingival recessions (GR) have been treated using coronally advanced flap (CAF) with platelet-rich fibrin membrane (PRF membrane) or connective tissue graft (CTG).Objective:The aim of this study was to evaluate the effect of different multiple layers of PRF membranes for the treatment of GR compared with the CTG procedure.Material and Methods:Sixty-three Miller class I GR were treated in this study. Twenty-one GR selected randomly were treated with two layers of PRF membranes+CAF in 2PRF+CAF (test group-1), four layers of PRF membranes+CAF in 4PRF+CAF (test group-2), and CTG+CAF in the control group. The plaque index (PI), gingival index (GI), probing depth (PD), keratinized tissue thickness (KTT), clinical attachment level (CAL), recession depth (RD), recession width (RW), and keratinized tissue height (KTH) measurements were performed at baseline and 1, 3, and 6 months after surgery. The post-operative discomfort of patients, assessed with the visual analog scale (VAS) and healing index (HI), was recorded after surgery.Results:PI, GI, and PD scores were similar for all patients at all times. RD and RW scores were similar for each patient at 1 month, but these values were significantly increased in the subsequent periods in test group-1. The increase in KTT was significantly higher in the control group compared with the test groups. Similar root coverage scores were obtained in the test group-2 and control groups, and these scores were significantly higher compared with test group-1.Conclusions:The PRF membrane+CAF technique may be an alternative to the CTG+CAF technique for postoperative patient comfort. However, PRF membranes should use as many layers as possible.

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Shallow localized gingival recession defects treated with modified coronally repositioned flap technique: A case series

Cited by 7 publications

References 13 publications

The treatment of gingival recession with coronally advanced flap with platelet-rich fibrin

The treatment of gingival recession with coronally advanced flap with platelet-rich fibrin

Patient-centered evaluation of microsurgical management of gingival recession using coronally advanced flap with platelet-rich fibrin or amnion membrane: A comparative analysis

Evaluation of the effect of dose-dependent platelet-rich fibrin membrane on treatment of gingival recession: a randomized, controlled clinical trial

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