Minimally invasive treatment of gingival recession by vestibular incision subperiosteal tunnel access technique with collagen membrane and advanced platelet-rich fibrin: A 6-month comparative clinical study

Jain, Kavya Sangal; Vaish, Shubhra; Gupta, Sunil; Sharma, Nikhil; Khare, Medhavee; Nair, Meera M

doi:10.4103/jisp.jisp_590_20

Cited by 7 publications

(1 citation statement)

References 17 publications

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“…Platelet concentrates which are generated from autologous blood because of their easy availability, easy handling, cost‐effectiveness is gaining popularity these days. It has been stated that advanced platelet‐rich fibrin (A‐PRF) provides a greater number of evenly distributed autologous cells within the clot 9 . Among all platelet concentrates second generation platelet concentrates A‐PRF+ given by Ghanaati et al in 2014 is based on the concept of low‐speed centrifugation concept 10 .…”

Section: Introductionmentioning

confidence: 99%

Novel biomaterial advanced platelet‐rich fibrin plus block for multiple gingival recession

Mallappa

Patil

Mani

et al. 2023

Clin Adv Periodontics

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BackgroundThe study was aimed to assess and compare hard and soft tissue augmentation clinicoradiographically with and without advanced platelet‐rich fibrin + (A‐PRF+) block for the treatment of multiple gingival recession using vestibular incision subperiosteal tunnel access (VISTA).MethodsA total of 24 patients, exhibiting multiple Miller's Class I or II recessions in the maxillary esthetic zone were included. Participants were divided into two groups, Group 1 was treated with VISTA & A‐PRF+ block whereas Group 2 was with VISTA technique alone. Clinical parameters probing depth, width of keratinized gingiva, gingival biotype, recession depth, and clinical attachment level were recorded at baseline and the end of 6 months. The radiographic cone beam computed tomography measurements of labial plate thickness were taken at baseline and 6 months postoperatively.ResultsFrom baseline to 6 months both the groups showed a clinical and statistical improvement in the parameters. However, a statistically significant difference between the treatment modalities was not observed. In the inter‐group comparison radiographically, labial plate thickness was statistically significant at the end of 6 months when compared to the baseline.ConclusionA‐PRF+ block along with the VISTA technique can be an alternative effective root coverage procedure for the management of multiple gingival recessions in the maxillary esthetic zone.Key pointsWhy is this case new information?To the best of our knowledge, this is the first study using advanced platelet‐rich fibrin plus block for the treatment of multiple gingival recession with a thin labial plate.What are the keys to the successful management of this case?Minimally invasive vestibular incision subperiosteal tunnel access technique, and avoidance of second surgical site morbidity are important factors for treatment and for patient compliance.What are the primary limitations of this study?Short study duration, small sample size, and no histological correlation can be considered as limitations of the study.

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Section: Introductionmentioning

confidence: 99%

Novel biomaterial advanced platelet‐rich fibrin plus block for multiple gingival recession

Mallappa

Patil

Mani

et al. 2023

Clin Adv Periodontics

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Advanced platelet‐rich fibrin versus connective tissue graft in maxillary gingival recession management

Tadepalli,

Ramachandran,

Parthasarathy

et al. 2024

Clin Adv Periodontics

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BackgroundPlatelet concentrates have gained significant attention in periodontology due to their regenerative properties. This randomized clinical trial was aimed to compare the clinical efficacy of advanced platelet‐rich fibrin (A‐PRF) and connective tissue graft (CTG) in the management of recession defects. The objectives were to compare changes in recession height and root coverage percentage between the groups.MethodsSystemically healthy individuals presenting Cairo's RT1/RT2 gingival recession defects in the maxilla (n = 40) were treated with either A‐PRF or CTG in combination with coronally advanced flap (CAF). Clinical parameters were measured at baseline, 3 months, and 6 months. Mean and complete root coverage percentages were calculated at 3 and 6 months.ResultsIn both the test (CAF + A‐PRF) and control (CAF + CTG) groups, a statistically significant reduction in mean recession height was seen from baseline values of 2.90 ± 0.55 mm and 3.15 ± 0.87 mm to 0.80 ± 0.95 mm and 0.15 ± 0.48 mm at 6 months, respectively (p < 0.001). In the test group, 10 sites had complete root coverage at 6 months with mean root coverage of 73.76 ± 29.58%. In the control group, 18 of 20 sites had complete root coverage with mean root coverage of 93.35 ± 23.1%. The control sites had a significantly greater reduction in recession height and higher mean and complete root coverage percentages at 6 months (p < 0.05).ConclusionsThe study findings suggest that, the CTG had resulted in superior outcomes than A‐PRF along with CAF.Key points Question: To compare the efficacy of advanced platelet‐rich fibrin (A‐PRF) with connective tissue graft (CTG) in the management of gingival recession defects. Finding: Both interventions showed satisfactory healing. At 6 months, the CTG group demonstrated superior results than the A‐PRF group. Meaning: CTG has a greater therapeutic potential than A‐PRF in the management of gingival recessions. Plain language summaryPlatelet‐derived membranes are widely used in various dental therapies due to their healing properties. Limited studies have been conducted using the novel platelet preparations in the management of receding gums. This study compared the effects of advanced platelet‐rich fibrin membrane with conventional soft tissue harvested from the palate in the treatment of gum recession. Twenty‐three patients requiring gum augmentation were recruited and treated with either platelet‐derived membrane (test group) or tissue harvested from their palate (control group). Clinical parameters were measured at baseline (before intervention), 3 months, and 6 months. Both treatment modalities resulted in significant gum coverage at the end of 6 months. On comparison, the control sites had significantly greater improvements in all the measured clinical parameters indicating that tissue obtained from the palate had superior therapeutic potential.

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Clinical efficacy of Vestibular Incision Subperiosteal Tunnel Access (VISTA) for treatment of multiple gingival recession defects: a systematic review, meta-analysis and meta-regression

Sabri,

SamavatiJame,

Sarkarat

et al. 2023

Clin Oral Invest

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Minimally invasive treatment of gingival recession by vestibular incision subperiosteal tunnel access technique with collagen membrane and advanced platelet-rich fibrin: A 6-month comparative clinical study

Cited by 7 publications

References 17 publications

Novel biomaterial advanced platelet‐rich fibrin plus block for multiple gingival recession

Novel biomaterial advanced platelet‐rich fibrin plus block for multiple gingival recession

Advanced platelet‐rich fibrin versus connective tissue graft in maxillary gingival recession management

Clinical efficacy of Vestibular Incision Subperiosteal Tunnel Access (VISTA) for treatment of multiple gingival recession defects: a systematic review, meta-analysis and meta-regression

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