Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Jan-Feb;19(1):66-71.
doi: 10.4103/0972-124X.145790.

Comparative clinical evaluation of coronally advanced flap with or without platelet rich fibrin membrane in the treatment of isolated gingival recession

Murugan Thamaraiselvan  1 , Sugumari Elavarasu  2 , Suthanthiran Thangakumaran  2 , Jayaprakash Sharanabasappa Gadagi  3 , Thangavelu Arthie  2
Affiliations

Comparative clinical evaluation of coronally advanced flap with or without platelet rich fibrin membrane in the treatment of isolated gingival recession

Murugan Thamaraiselvan et al. J Indian Soc Periodontol. 2015 Jan-Feb.

Abstract

Aim: The aim of this study was to determine whether the addition of an autologous platelet rich fibrin (PRF) membrane to a coronally advanced flap (CAF) would improve the clinical outcome in terms of root coverage, in the treatment of isolated gingival recession.

Materials and methods: Systemically healthy 20 subjects each with single Miller's class I or II buccal recession defect were randomly assigned to control (CAF) or test (CAF + PRF) group. Clinical outcome was determined by measuring the following clinical parameters such as recession depth (RD), recession width (RW), probing depth (PD), clinical attachment level (CAL), width of keratinized tissue (WKT), gingival thickness (GTH), plaque index (PI), and gingival index (GI) at baseline, 3(rd), and 6(th) month postsurgery.

Results: The root coverage was 65.00 ± 44.47% in the control group and 74.16 ± 28.98% in the test group at 6(th) month, with no statistically significant difference between them. Similarly, CAL, PD, and WKT between the groups were not statistically significant. Conversely, there was statistically significant increase in GTH in the test group.

Conclusion: CAF is a predictable treatment for isolated Miller's class I and II recession defects. The addition of PRF to CAF provided no added advantage in terms of root coverage except for an increase in GTH.

Keywords: Coronally advanced flap; gingival recession; gingival thickness; platelet rich fibrin; recession coverage.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Preoperative view at (a) control site (#11); (b) test site (#23). Note the Miller's class I gingival recession
Figure 2
Figure 2
Operative view showing flap elevation with platelet rich fibrin membrane sutured over the test site (#23)
Figure 3
Figure 3
Postoperative view after 6th month, note the root coverage at (a) control site (#11); (b) test site (#23)
See this image and copyright information in PMC

References

    1. Kontovazainitis G, Griffin TJ, Cheung WS. Treatment of gingival recession using platelet concentrate with a bioabsorbable membrane and coronally advanced flap: A report of two cases. Int J Periodontics Restorative Dent. 2008;28:301–7. - PubMed
    1. Zucchelli G, Amore C, Sforza NM, Montebugnoli L, De Sanctis M. Bilaminar techniques for the treatment of recession-type defects. A comparative clinical study. J Clin Periodontol. 2003;30:862–70. - PubMed
    1. Susin C, Haas AN, Oppermann RV, Haugejorden O, Albandar JM. Gingival recession: Epidemiology and risk indicators in a representative urban Brazilian population. J Periodontol. 2004;75:1377–86. - PubMed
    1. Cheung WS, Griffin TJ. A comparative study of root coverage with connective tissue and platelet concentrate grafts: 8-month results. J Periodontol. 2004;75:1678–87. - PubMed
    1. Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003;134:220–5. - PubMed