Root Coverage and Volumetric Outcomes of a Novel Porcine-Derived Acellular Dermal Matrix with the Tunneled Coronally Advanced Flap (TCAF) for Treatment of Multiple Adjacent Gingival Recessions: A Clinical Prospective Study

Barootchi, Shayan; Mancini, Leonardo; Sabri, Hamoun; Wang, Hom‐Lay; Tavelli, Corrado; Tavelli, Lorenzo

doi:10.11607/prd.6721

Cited by 2 publications

(3 citation statements)

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“…It is an advanced method that involves creating a tunnel-like incision in the gum tissue, which is then used to cover exposed tooth roots and correct the recession. TCAF is preferred for its aesthetic results and minimal tissue trauma trying to reduce invasiveness [ 11 , 17 ]. Pain and discomfort are common concerns after any surgical procedure, including periodontal plastic surgery.…”

Section: Discussionmentioning

confidence: 99%

“…The use of a single releasing incision mesial or distal to the tooth allowed to release and easily advance the flap in order to cover the CTG underneath ensuring a blood supply to the graft. The main important aspect of this procedure is the split thickness of the flap, the stabilization of the graft, and finally the stabilization of the flap with slicing sutures on the papillae [ 11 ].…”

Section: Case Reportmentioning

confidence: 99%

“…The healing period and the first days of healing are crucial for the stability of the graft and the readaptation of the flap or tissues around the treated site [ 11 ]. During this period, patients showed swelling, edema, pain, and some minor bleeding in the first 24 hours.…”

Section: Introductionmentioning

confidence: 99%

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Parodontgel® on Wound Healing and Patient-Reported Outcome Measures (PROMs) after Tunneled Coronally Advanced Flap (TCAF)

Mancini,

Mancini

2024

Case Reports in Dentistry

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The adjunctive use of healing gels following periodontal plastic surgery is not common in clinical practice, and no definitive benefits have yet been demonstrated. Case Presentation. A 33-year-old male patient with a central lower incisor class RT1 recession sought treatment due to sensitivity and dissatisfaction with the appearance of his smile. The patient had no history of periodontal disease; however, he was under orthodontic treatment contributing to the gingival recession and irregular gum contours. Treatment. The patient underwent two sequential surgical procedures. Initially, an apically repositioned flap (APF) was performed to correct the frenulum reducing flap tension and improving the gum line aesthetics. Subsequently, after 8 weeks, a tunneled coronally advanced flap (TCAF) was executed to further refine the gum contours and achieve root coverage. Postoperative Healing Protocol. To enhance the healing process and alleviate postoperative discomfort, a healing gel containing hyaluronic acid as the active molecule was applied to the surgical sites. The gel was expected to reduce pain perception and minimize the need for painkiller intake during the critical first week of recovery. The patient was asked to fill a pain chart for the initial 7 days, recording pain levels on a visual analogue scale (VAS 0-10) and the number of paracetamol tablets taken as painkillers. Results. After both the APF and TCAF surgeries, the patient reported pain levels with a mean VAS score of 4.33 and 4.25, respectively. The painkiller intake during the first week was noted to be 3 tablets for the APF and 2 tablets for the TCAF. Notably, the application of the healing gel with hyaluronic acid did not cause any adverse reactions, indicating its potential safety and efficacy in this context. Conclusion. The application of a healing gel containing hyaluronic acid after periodontal plastic surgery showed promising results in reducing postoperative pain and the need for painkillers during the initial week of recovery. However, further investigations through randomized clinical trials are required to establish the potential benefits and broader applicability of such healing gel applications in the context of periodontal plastic surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

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Parodontgel® on Wound Healing and Patient-Reported Outcome Measures (PROMs) after Tunneled Coronally Advanced Flap (TCAF)

Mancini,

Mancini

2024

Case Reports in Dentistry

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Autologous platelet concentrates in root coverage procedures

Barootchi,

Tavelli,

Vinueza

et al. 2024

Periodontology 2000

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Gingival recessions are vastly prevalent among the general population. With regards to their treatment, recent advancements in periodontal and microsurgical procedures, focusing on minimal invasiveness and patient‐centered therapies, have propelled a shift in their contemporary treatment, highlighting the field of biologics and bioactive mediators. Among different classes and types of biologics, autologous platelet concentrates (APCs), also referred to as autologous blood‐derived products, are commonly used and preferred among many clinicians. These are essentially obtained via venipuncture (intravenous access) followed by centrifugation, for which numerous protocols and preparation methods have been used, leading to varieties of blood‐derived products. In this review, via a systematic search, we explored the efficacy of the different utilized preparation methods and centrifugation protocols of APCs (e.g., platelet‐rich plasma (PRP), platelet‐rich fibrin (PRF), leucocyte‐PRF, advanced‐PRF, concentrated growth factor (CGF), etc.) for the treatment of type 1 gingival recessions (RT1, without interproximal attachment loss or noticeable tooth displacement), as well as their effectiveness relative to a common control (treatment with flap advancement alone without any additional material). Based on the available literature from randomized trials found in our systematic search, we observed that utilization of PRF can significantly enhance treatment outcomes when performing a coronally advanced flap, in terms of the amount of root coverage. The improvement in root coverage was further enhanced in the presence of baseline keratinized tissue width, and with an increasing relative magnitude (the more the baseline keratinized tissue width, the better the root coverage outcomes when using PRF). The efficacy of these products needs to be further explored with different graft substitutes and matrices, as well as relative to other commonly applied biologics, through well‐conducted and adequately‐powered randomized clinical trials.

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Root Coverage and Volumetric Outcomes of a Novel Porcine-Derived Acellular Dermal Matrix with the Tunneled Coronally Advanced Flap (TCAF) for Treatment of Multiple Adjacent Gingival Recessions: A Clinical Prospective Study

Cited by 2 publications

References 0 publications

Parodontgel® on Wound Healing and Patient-Reported Outcome Measures (PROMs) after Tunneled Coronally Advanced Flap (TCAF)

Parodontgel® on Wound Healing and Patient-Reported Outcome Measures (PROMs) after Tunneled Coronally Advanced Flap (TCAF)

Autologous platelet concentrates in root coverage procedures

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