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. 2023 Feb 23;59(3):447.
doi: 10.3390/medicina59030447.

Effectiveness of Plasma-Rich Fibrin and De-Epithelialized Free Gingival Graft in the Treatment of Gingival Recessions

Bojan Jovičić  1 , Stevo Matijević  1 , Stefan Veličković  2 , Momir Stevanović  2 , Aleksandra Mišić  2 , Slavoljub Stanojević  3 , Marija Bubalo  1
Affiliations

Effectiveness of Plasma-Rich Fibrin and De-Epithelialized Free Gingival Graft in the Treatment of Gingival Recessions

Bojan Jovičić et al. Medicina (Kaunas). .

Abstract

Introduction/Aim: Soft tissue dehiscences such as gingival recessions are a very common problem that we face in modern periodontics. This clinical study aimed to analyze the effectiveness of surgical procedures using a de-epithelialized gingival graft (DGG) combined with a coronally advanced flap and to evaluate the application of plasma-rich fibrin (PRF). Methods: The study included 40 teeth (20 patients) with Miller class I and II gingival recessions. Twenty recessions (20 patients) were treated utilizing the de-epithelialized gingival graft in combination with the coronally advanced flap, and on the opposite side of the jaw, the same number of recessions were treated utilizing plasma-rich fibrin combined with the coronally advanced flap. To evaluate tissue condition and the clinical parameters before and after the surgical procedure, the following parameters were used: the degree of epithelial attachment (DEA), the width of keratinized gingiva (WKG), and the vertical depth of recession (VDR). Results: based on the achieved results and the analysis of clinical parameters, a statistically significant reduction in the vertical depth of recession was proven in both groups, with very similar mean percentages of root coverage, with the difference being that the stability of the soft tissues of the treated region was more visible in the DGG. Conclusion: using modern surgical procedures allows the regeneration of not only the soft tissues but also deeper periodontal tissues.

Keywords: gingiva; gingival recession; growth factors; mucogingival surgery; periodontal attachment loss; periodontal disease; plasma-rich fibrin; soft tissue grafts; surgical flap; tooth root.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Gingival recession on tooth #13 treated with de-epithelialized gingival graft (DGG) and coronally advanced flap (CAF). (a) Gingival recession before the treatment; (b) trapezoidal incision made at the site of the recession; (c) DGG placed over the root at the site of the recession; (d) three months post-operation.
Figure 1
Figure 1
Gingival recession on tooth #13 treated with de-epithelialized gingival graft (DGG) and coronally advanced flap (CAF). (a) Gingival recession before the treatment; (b) trapezoidal incision made at the site of the recession; (c) DGG placed over the root at the site of the recession; (d) three months post-operation.
Figure 2
Figure 2
Gingival recession on tooth #23 treated with platelet rich fibrin (PRF) and coronally advanced flap (CAF). (a) Gingival recession before the treatment; (b) incision made at the site of the recession; (c) PRF placed at the site of the recession; (d) one month post-operation.
See this image and copyright information in PMC

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