Treatment of gingival recessions using titanium platelet rich fibrin in combination with current approaches: Case series

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UZUN SAYLAN B. C., AKCALI A., TUNALI M.

EuroPerio10, Copenhagen, Danimarka, 15 - 18 Haziran 2022, cilt.49, ss.4-54

  • Yayın Türü: Bildiri / Özet Bildiri
  • Cilt numarası: 49
  • Doi Numarası: 10.1111/jcpe.13634
  • Basıldığı Şehir: Copenhagen
  • Basıldığı Ülke: Danimarka
  • Sayfa Sayıları: ss.4-54
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Background: Variety of methods are used for the treatment of gingival recessions. Blood-derived Titanium Platelet Rich Fibrin (T-PRF) is an autogenous, easily manipulated biomaterial. The Web Coronally Positional Flap technique reduces muscle and frenulum tensions in multiple gingival recessions ensuring that wound healing environment remains stable. For single gingival recessions, Modified Tunnel Technique or Double Papilla are successfully applied methods as well. Description of the procedure: A total of 9 patients having 5 single and 25 multiple gingival recessions were treated. Among them, 4 patients with 25 multiple gingival recessions were treated with Web Coronally Positional Flap Technique and T-PRF. Five patients with single gingival recession were treated using Double Papilla (2 patients) or Modified Tunnel Technique (3 patients) and T-PRF. Recession and root surface characteristics, gingival phenotype and keratinized tissue width (KTW), detectability of the cemento-enamel junction (CEJ) or presence of root steps were evaluated clinically. Outcomes: A total of 30 gingival recessions from 16 teeth were classified as recession type 1 (RT1) and 14 teeth were classified as RT2. Nine teeth had a thin gingival phenotype whereas 21 teeth had a thick phenotype. It was determined that CEJ was prominent in 21 teeth, and its contours were altered in 9 teeth. At 6-months follow-up period, mean root coverage percentage was 88.94% for single gingival recession defects. The mean KTW was 3.25 mm before treatment and it was measured as 3.75 mm 6 months following mucogingival surgery. At 1-year follow-up, the mean root coverage percentage for sites with multiple gingival recessions treated with Web Coronally Positional Flap Technique and T-PRF was 82.21%. Conclusions: All applied muco-gingival approaches demonstrated successful clinical outcomes. T-PRF could be used predictably for the treatment of RT1 and RT2 single and multiple gingival recessions