Akademik Veri Yönetim Sistemi
1st INTERNATIONAL TURKISH JAPANESE DENTAL CONGRESS, Ankara, Türkiye, 24 - 26 Haziran 2021, ss.96
Introduction/Purpose: Bruxism, traumatic tooth brushing, shallow vestibule depth, long
frenulum attachment causes gingival recession. Although many methods are used in the
treatment of gingival recessions, autogenous products such as connective tissue grafts are
considered the gold standard. Titanium Platelet Rich Fibrin (T-PRF) can be applied as an
autogenous biomaterial and graft substance in soft and hard tissues today. The literature
confirmed that the basic histological structure of T-PRF is similar to Glass Tube Platelet Rich
Fibrin (L-PRF); however, the fibrin of T-PRF seemed more tightly woven and thicker than that
of L-PRF.
Case Reports: It was determined that 3 patients who referred to our clinic had gingival
recession in a total of 16 tooth regions. As a result of the clinical examination, it was evaluated
that two of these tooth regions had single gingival recession, and the other 14 tooth regions
were part of multiple gingival recessions. It has been observed that existing gingival recessions
develop due to traumatic tooth brushing. Aesthetic problems and tooth sensitivity complaints
were recorded in patients. Multiple gingival recession defects of patients who completed Phase
I periodontal treatment were treated with the web coronal positional flap technique. T-PRF
treatment was applied in two single gingival recession defects with double papillary flap and
modified tunnel technique. After surgical treatments, all the defects healing was uneventful.
Each of the three patients was called for regular controls every 6 months. The initial mean value
of gingival recession in two single teeth was 5 mm, and the mean root coverage rate was 92.85%
after 36 months of surgical treatment. The average initial value of 14 multiple gingival
recessions was 3.75 mm, after 24 months the mean root coverage rate was 68.45%. As a result
of long-term follow-up of surgical treatments, improvements in clinical parameter values
(clinical attachment level, gingival recession, keratinized tissue width) were recorded.
Conclusion: Many methods can be used in the treatment of gingival recessions. Completely
autogenous, blood-derived T-PRF is an easy to obtain, inexpensive and practical method and is
noted as an important treatment alternative, especially in multiple gingival recessions. The
fibrin carpet formed with titanium has a firmer network structure than L-PRF. This strong fibrin
structure is important to extend the time for resorption of fibrin and release time of growth
factors.