scholarly journals Penanganan resesi gingiva Miller klas I-II menggunakan platelet-rich fibrin dan subepithelial connective tissue graft Treatinggingival recessionMiller’s class I-II usingplatelet-richfibrinandsubepithelial connective tissue graft

2013 ◽  
Vol 12 (3) ◽  
pp. 169
Author(s):  
Mientje Tengkawan ◽  
Sri Oktawati ◽  
Arni Irawaty Djais ◽  
Burhanuddin DP

Platelet-rich fibrin (PRF) is the generation of platelet concentrates containing growth factors, which play a role in theprocess of healing and tissue regeneration. This study aimed to compare the effects of using of PRF with subepithelialconnective tissue graft (SCTG)as a treatment to gingival recession Miller Class I-II. Nine patients with bilateralgingival recession, as the subjects have two recessions. One side was treated with coronally advanced flap(CAF)+SCTG, while the other side was treated with CAF+PRF. The length of the recession is measured andcalculated as the percentage of root closure before and after surgery (10 and 30 days). The results showed that therewere significant differences in the average length of recessions between PRF and SCTG before and after the action onday 10 and day 30 (p<0.05). Closing percentage of gingival recession 10 days after SCTG treatment was 7 (77.8%)had experienced completely closing; while the PRF, only 6 (66.7%); p>0.05. Whereas on day 30, after SCTGtreatment, all subjects had undergone a recession closing perfectly, while the PRF group only 66,7% recession thathave closing completely (p=0.05). It was concluded that the CAF+SCTG provide maximum results compared withCAF+PRF in treating gingival recession Miller Class I–II.

2019 ◽  
Vol 11 (1) ◽  
pp. 12-20
Author(s):  
Saeed Sadat Mansouri ◽  
Omid Moghaddas ◽  
Narjes Torabi ◽  
Katayoun Ghafari

Background and aims. This study aimed to compare the clinical efficacy of vestibular incisional subperiosteal tunnel access (VISTA) with subepithelial connective tissue graft versus a coronally advanced flap (CAF) with subepithelial connective tissue graft for the treatment of gingival recession defects. Materials and methods. This randomized clinical trial was performed on 24 recession defects that were bilaterally Miller’s class I or II in the maxillary canine and premolar area. One quadrant in each patient was selected randomly to receive VISTA (test group) or CAF (control group) with connective tissue graft. Clinical parameters measured at baseline and at 3- and 6- month postoperative intervals included recession width (RW), recession depth (RD), keratinized tissue width (KTW), clinical attachment level (CAL) and probing depth (PD). Results. Healing was uneventful in both the test and control groups. At the 6-month follow-up, there was a significant decrease in RD, RW and CAL and an increase in KTW in both the test and control groups. The PD remained unchanged. At 3 and 6 months, no statistically significant differences were found between VISTA and CAF for root coverage and clinical attachment gain. Mean root coverage (MRC) was 70.69% and 67.22% in the test and control group, respectively. VISTA demonstrated higher frequency of complete root coverage (CRC) compared to CAF: 50% vs. 33% (P<0.05). The mean KTW was 2.4±0.7 mm at the test and 2.7±0.8 mm at the control sites (P>0.05) Conclusion. VISTA, as a minimally invasive approach, can enhance root coverage, KTW and clinical attachment gain; therefore, it can be used as a substitute for CAF with connective tissue graft as a gold standard for root coverage.


2020 ◽  
Vol 14 (3) ◽  
pp. 457-463
Author(s):  
Guilherme da Rocha Scalzer Lopes ◽  
Jefferson David Melo de Matos ◽  
Leonardo Jiro Nomura Nakano ◽  
Emanuelle Ambrosio Merlo ◽  
Juliana Candotti ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-6
Author(s):  
Victor Fabrizio Cabrera Pazmiño ◽  
Miguel Agusto Riquelme Rodas ◽  
Carlos David Barrios Cáceres ◽  
Guillermo Gustavo Renault Duarte ◽  
Melanie Vanesa Cano Azuaga ◽  
...  

The aim of this study was to evaluate and compare, clinically, the efficiency of the subepithelial connective tissue graft (SCTG) and platelet-rich fibrin (L-PRF) using the tunnel technique to cover the multiple gingival recessions on anterior teeth, in the same patient. Within the limits of this study, we conclude that both SCTG and L-PRF proved to be reliable options for the treatment of gingival recessions, efficiently supporting the biological and aesthetic demand, stimulating the periodontal tissues’ health, and bringing reliable and highly predictable results.


2021 ◽  
Vol 6 (3) ◽  
pp. 50-57
Author(s):  
Kamal Garg ◽  
D V G Naidu ◽  
Udayan Gupta ◽  
Yogesh Garg

ABSTRACT Background: Gingival recession (GR) can result in hypersensitivity, esthetic concern to the patient, and chances for root caries. The purpose of this randomized clinical study was to evaluate the effect of guided tissue regeneration (GTR) procedure using a bioabsorbable collagen membrane in comparison to autogenous Subepithelial connective tissue graft (SCTG) for root coverage in Miller’s class I and II gingival recession defects. Materials and methods: In this split mouth study, 10 patients with 20 contralateral Miller’s class I or II recession defects were randomly treated with coronally advanced flap using either Subepithelial connective tissue graft (control group)  or resorbable collagen membrane (experimental group). The clinical evaluations were done using plaque index, gingival index, height of gingival recession, probing sulcus depth and clinical attachment level at baseline, 3 and 6 months post- operatively. Results: Data analysis was done using descriptive statistics and student’s t test was used for comparisons. P value <0.01 was considered to be significant. Both the groups showed complete resolution of the defects at 6 months post operatively. Inter group comparison between both the groups at 6 months showed no statistically significant differences in any of the clinical parameters. Conclusion:  Predictable outcome were observed in both the groups and indicated that collagen based guided tissue regeneration membrane i.e. ProGide can be safely used.


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