Treatment of Miller I Mandibular Gingival Recessions Using PRF vs. Connective Graft
Gingival recession (GR) can cause aesthetic and functional problems. Using connective tissue graft (CTG) and coronally advanced flap (CAF) is considered the technique of choice for treating GR. Considering the morbidity resulting from taking CTG, different alternative biomaterials have been describe...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | International Journal of Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2021/6616688 |
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| author | Hernan S. Garzon Camilo Alfonso Francisco J. Vega Andrea García Ana Muñoz Gustavo Jaimes Katherine Isaza Katherine Rivera |
| author_facet | Hernan S. Garzon Camilo Alfonso Francisco J. Vega Andrea García Ana Muñoz Gustavo Jaimes Katherine Isaza Katherine Rivera |
| author_sort | Hernan S. Garzon |
| collection | DOAJ |
| description | Gingival recession (GR) can cause aesthetic and functional problems. Using connective tissue graft (CTG) and coronally advanced flap (CAF) is considered the technique of choice for treating GR. Considering the morbidity resulting from taking CTG, different alternative biomaterials have been described, including plasma-rich fibrin (PRF) membrane. Studies in lower teeth are few because of the complexity of the factors that can influence obtaining less predictable outcomes. Objective. To compare between CAF + PRF and CAF + CTG in the treatment of lower teeth Miller I gingival recession. Methodology. Split-mouth included 26 isolated GR (13 in each side of the mouth). The left side was treated with CAF + PRF and the right side with CAF + CTG. Clinical variables, probing depth (PD), GR, keratinized tissue (KT), vestibular soft tissue thickness (VSTT), and teeth sensitivity (TS), were assessed at the baseline. GR, KT, VSTT, extraoral inflammation (EI), and patient discomfort (PaD) were assessed at 45 days. Results. Statistically greater VSTT at 45 days was obtained using CAF + CTG (p < 0.05). Less EI and PaD were obtained using CAF + PRF (p < 0.05). No change was observed in GR, KT, and TS values in the intergroup or intragroup comparisons. Conclusion. Even with the limitations of this study, using PRF and CTG in lower teeth demonstrated an improvement in terms of root coverage, although it was without a total percentage of coverage. Regarding the VSTT, better results were obtained using the CTG + CAF, suggesting eventually long-term stable clinical results. We suggest a combined technique for future investigations. |
| format | Article |
| id | doaj-art-1559539aa2cd4542bd22ad7e7ef58fcc |
| institution | Kabale University |
| issn | 1687-8728 1687-8736 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Dentistry |
| spelling | doaj-art-1559539aa2cd4542bd22ad7e7ef58fcc2025-02-03T05:49:15ZengWileyInternational Journal of Dentistry1687-87281687-87362021-01-01202110.1155/2021/66166886616688Treatment of Miller I Mandibular Gingival Recessions Using PRF vs. Connective GraftHernan S. Garzon0Camilo Alfonso1Francisco J. Vega2Andrea García3Ana Muñoz4Gustavo Jaimes5Katherine Isaza6Katherine Rivera7Grupo de Investigación en Salud Oral, Facultad de Odontología, Posgrado en Periodoncia, Universidad Antonio Nariño, Bogotá, ColombiaGrupo de Investigación en Salud Oral, Facultad de Odontología, Posgrado en Periodoncia, Universidad Antonio Nariño, Bogotá, ColombiaGrupo de Investigación en Salud Oral, Facultad de Odontología, Posgrado en Periodoncia, Universidad Antonio Nariño, Bogotá, ColombiaGrupo de Investigación en Salud Oral, Facultad de Odontología, Posgrado en Periodoncia, Universidad Antonio Nariño, Bogotá, ColombiaGrupo de Investigación en Salud Oral, Facultad de Odontología, Posgrado en Periodoncia, Universidad Antonio Nariño, Bogotá, ColombiaGrupo de Investigación en Salud Oral, Facultad de Odontología, Posgrado en Periodoncia, Universidad Antonio Nariño, Bogotá, ColombiaGrupo de Investigación en Salud Oral, Facultad de Odontología, Posgrado en Periodoncia, Universidad Antonio Nariño, Bogotá, ColombiaGrupo de Investigación en Salud Oral, Facultad de Odontología, Posgrado en Periodoncia, Universidad Antonio Nariño, Bogotá, ColombiaGingival recession (GR) can cause aesthetic and functional problems. Using connective tissue graft (CTG) and coronally advanced flap (CAF) is considered the technique of choice for treating GR. Considering the morbidity resulting from taking CTG, different alternative biomaterials have been described, including plasma-rich fibrin (PRF) membrane. Studies in lower teeth are few because of the complexity of the factors that can influence obtaining less predictable outcomes. Objective. To compare between CAF + PRF and CAF + CTG in the treatment of lower teeth Miller I gingival recession. Methodology. Split-mouth included 26 isolated GR (13 in each side of the mouth). The left side was treated with CAF + PRF and the right side with CAF + CTG. Clinical variables, probing depth (PD), GR, keratinized tissue (KT), vestibular soft tissue thickness (VSTT), and teeth sensitivity (TS), were assessed at the baseline. GR, KT, VSTT, extraoral inflammation (EI), and patient discomfort (PaD) were assessed at 45 days. Results. Statistically greater VSTT at 45 days was obtained using CAF + CTG (p < 0.05). Less EI and PaD were obtained using CAF + PRF (p < 0.05). No change was observed in GR, KT, and TS values in the intergroup or intragroup comparisons. Conclusion. Even with the limitations of this study, using PRF and CTG in lower teeth demonstrated an improvement in terms of root coverage, although it was without a total percentage of coverage. Regarding the VSTT, better results were obtained using the CTG + CAF, suggesting eventually long-term stable clinical results. We suggest a combined technique for future investigations.http://dx.doi.org/10.1155/2021/6616688 |
| spellingShingle | Hernan S. Garzon Camilo Alfonso Francisco J. Vega Andrea García Ana Muñoz Gustavo Jaimes Katherine Isaza Katherine Rivera Treatment of Miller I Mandibular Gingival Recessions Using PRF vs. Connective Graft International Journal of Dentistry |
| title | Treatment of Miller I Mandibular Gingival Recessions Using PRF vs. Connective Graft |
| title_full | Treatment of Miller I Mandibular Gingival Recessions Using PRF vs. Connective Graft |
| title_fullStr | Treatment of Miller I Mandibular Gingival Recessions Using PRF vs. Connective Graft |
| title_full_unstemmed | Treatment of Miller I Mandibular Gingival Recessions Using PRF vs. Connective Graft |
| title_short | Treatment of Miller I Mandibular Gingival Recessions Using PRF vs. Connective Graft |
| title_sort | treatment of miller i mandibular gingival recessions using prf vs connective graft |
| url | http://dx.doi.org/10.1155/2021/6616688 |
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