Management of Multiple Recession Defect Using Modified Coronally Advanced Flap Alone or With PRF.

Abstract

Gingival recession presents with destruction of both soft and hard tissues. Treatment of gingival recession has become an important therapeutic measure due to increasing cosmetic demands. Many periodontal plastic procedures have been developed to obtain predictable root coverage. A recent innovation in dentistry is the preparation and use of Platelet Rich Fibrin (PRF), a second generation platelet concentrate. The growth factors present in PRF help in wound healing and also are regarded as promoters of tissue regeneration. The aim of this report was to determine the clinical outcome of root coverage using modified coronally advanced flap with or without platelet rich fibrin clot (PRF) membrane. The present report involved two patients with mean age of 25 years having Millers Class I gingival recession on adjacent teeth. The mean recession depth at baseline was 2.5mm in case 1 and 3.0 mm in case 2. The patients were treated using Modified Coronally Advanced Flap alone (Case 1) and in combination with PRF (case 2). The patients were re-evaluated at 15 days, 1 month, 3 months and 6 months post-surgery. The results demonstrated 95% and 86% root coverage at 6 months in case 1 and case 2 respectively. Conclusion: Both the procedures show predictable root coverage. Procedure including PRF gives additional benefit of increased gingival biotype (thickness).