Effectiveness of the impact of second-generation platelet-rich fibrin prf in the treatment of localized individual gingival recessions miller I and II (case report)

Terzievska, Aneta and Veleska-Stefkovska, Daniela and Georgieva, Silvana and Menceva, Zaklina and Spirov, Vancho and Trajculeski, Stavre (2022) Effectiveness of the impact of second-generation platelet-rich fibrin prf in the treatment of localized individual gingival recessions miller I and II (case report). In: 9th Congress of Macedonian dental society with international participation "Challenging new era in dentistry: burden and opportunities", 15-18 Sept 2022, Ohrid, Republic of North Macedonia.

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Abstract

The muco-gingival surgical modality SCTG + CAF(subepithelial connective tissue graft-SCTG + coronary positioned flap-CAF) in the treatment of Miller I and II gingival recessions is considered the “gold standard” technique for predictive and complete root coverage of the gingival defects, with long-term clinical stability of the results obtained. The counterpart of this type of technique is the relatively young PRF + CAF operating mode, which recently has a large number of supporters, primarily due to the biological characteristics of this autologous platelet concentrate-PRF (angiogenesis, mitogenesis, osteopromotion, immunomodulation and stem cell entrapment).
Aim: The aim of this paper is to evaluate the clinical efficiency of the CAF + PRF combined technique in the treatment of localized individual gingival recessions Miller I and II, by comparing the values of periodontal clinical parameters measured preoperatively and 1 month postoperatively, as well as by the obtained immunohistochemical analysis of the biopsy material taken from the recipient site (the area of the grafted gingival defect), 1 month postoperatively.
Material and method: Case report: A 37-year- old man was admitted to the Clinic “St. Panteleimon-Skopje, at the Oral Surgery department for surgical treatment of localized maxillary gingival recession Miller II, tooth 31. Preoperative measurements of periodontal clinical parameters were performed: vertical dimension of gingival recession (RD / VGR), depth of periodontal pocket (PPD/PD) keratinized
/ attached gingival level (CAL), keratinized gingival width (KTW/ KMW) and gingival thickness (GT) all measured in mm, including gingival biotype. CAF + PRF therapeutic modality is used to treat gingival defect. One month postoperatively, re-measurements of the values of the clinical periodontal indices were performed and they were compared with the measurements obtained preoperatively.
Results: Significant reduction of RD, PPD and CAL values were determined on the measurements 1 month postoperatively.
Conclusion: Insignificant values of KTW and GT were noted one month post.opp. There are no changes in gingival biotype before and postoperatively. PRF as a second generation of autologous concentrate is not only an adjuvant and / or replacement of the SCTG- “gold standard” in the treatment of Miller I and II, but is also a superior alternative in the surgical treatment of this type of superficial mucogingival defects.

Item Type:	Conference or Workshop Item (Poster)
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health biotechnology Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Vanco Spirov
Date Deposited:	25 Jan 2024 13:25
Last Modified:	25 Jan 2024 13:25
URI:	https://eprints.ugd.edu.mk/id/eprint/32802

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