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Case Reports
. 2011 Jan;15(1):74-9.
doi: 10.4103/0972-124X.82259.

Fibrin glue application in conjunction with tetracycline hydrochloride root conditioning and semilunar coronally repositioned flap in the treatment of gingival recession

Joann Pauline George  1 , M L V Prabhuji, K B Shaeesta, Flemingson Lazarus
Affiliations
Case Reports

Fibrin glue application in conjunction with tetracycline hydrochloride root conditioning and semilunar coronally repositioned flap in the treatment of gingival recession

Joann Pauline George et al. J Indian Soc Periodontol. 2011 Jan.

Abstract

The purpose of this case report is to present the results of Fibrin Adhesive System (FAS) application, a topical biological tissue adhesive in the treatment of maxillary buccal recessions. A 40-year-old male patient presented with a pair of class I buccal recession defects on maxillary cuspids. Clinical parameters were recorded at baseline, 1 month, and 3 months. Semilunar coronally repositioned flap (Tarnow's technique), root debridement, root conditioning with tetracycline hydrochloride solution and one of the defect was treated with FAS application. Significant recession, height reduction, and attachment gain were observed with the FAS application defect site. About 50% of root coverage was noted in the FAS-treated defect and almost no root coverage in the defect site with no FAS application. Semilunar coronally repositioned flap with FAS application is an effective procedure for root coverage in anterior teeth. The addition of FAS improves the amount of root coverage, especially in relatively shallow defects.

Keywords: Fibrin glue; gingival recession; semilunar coronally repositioned flap; tetracycline hydrochloride; tissue adhesive.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Fibrin glue kit
Figure 2
Figure 2
Duploject syringe
Figure 3
Figure 3
Pre-operative recession height (Control site)
Figure 4
Figure 4
Pre-operative recession width (Control site)
Figure 5
Figure 5
Pre-operative recession height (Test site)
Figure 6
Figure 6
Pre-operative recession width (Test site)
Figure 7
Figure 7
Tetracycline hydrochloride application
Figure 8
Figure 8
Flap displaced coronally
Figure 9
Figure 9
Periodontal dressing placed
Figure 10
Figure 10
Fibrin glue placed
Figure 11
Figure 11
Periodontal dressing placed
Figure 12
Figure 12
Control site - 3 months post-operatively (TTC site)
Figure 13
Figure 13
Test site - 3 months post-operatively (TTC-FAS site)
See this image and copyright information in PMC

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