Treatment of Gingival Recession Class II Defect using Buccal Fat Pad versus Platelet Rich Fibrin using Vestibular Incision Subperiosteal Tunnel Access Technique

Abstract

Aim of study: The aim of this study was to Compare the effectiveness of Non-pedicled buccal fat pad versus Platelet rich fibrin in treatment of Miller class II gingival recession using vistubular Incision Subperiosteal Tunnel Access TechniquePatients and methods:This study was conducted on 40 patients with class II gingival recession in anterior or premolar segment. The entire patients were selected from the out patient clinic of the Oral Medicine, Oral Diagnosis, and Periodontology Department. Faculty of Dentistry, Minya University.Forty patients with gingival recession class II were divided randomly into two groups:Group I: (20 defect) using VISTA technique with Non- pedicled buccal fat pad (NPBFP), Group II: (20 defect) using VISTA technique with platelet rich fibrin (PRF).Results: In both groups all clinical parameters were statistically significant from pre-operative period till 6 months follow up period. In the comparison between the two groups after 6 months follow up period, there were no statistically significant difference between two groups regarding all clinical parameters except percentage of root coverage; there was significant increase in percentage of root coverage after 3 and 6 months follow up period in group II with p value was less than 0.05.Conclusion: Both PRF membrane and NPBFP are effective in the management of Class II gingival recession defects using VISTA technique. PRF group has better results regarding percentage of root coverage than NPBPF group after 3 and 6 months follow up.

Efficacy of biologics in root coverage and gingival augmentation therapy: An American Academy of Periodontology best evidence systematic review and network meta‐analysis

“…Following the removal of duplicates, 837 records were screened for eligibility, and of them, 752 were excluded based on title and/or abstract. Subsequently, the full text version of 85 articles was assessed 29–113 . Thirty of them did not meet the eligibility criteria 29–58 .…”

“…Subsequently, the full text version of 85 articles was assessed 29–113 . Thirty of them did not meet the eligibility criteria 29–58 . The list of excluded articles and reasons for exclusion are reported in Table S4 in the online Journal of Periodontology .…”

Uso de células madre derivadas de la almohadilla grasa de bichat. Revisión de literature

“…(8,13) La corrección de las recesiones gingivales es importante para mejorar la estética dental y prevenir la progresión de la enfermedad periodontal. (14) El tratamiento de la recesión gingival realizado mediante injerto de BFP es una técnica confiable ya que mediante la revisión de varios artículos mencionan que se obtienen coberturas totales en las raíces de los dientes tratados con recesión Clase I y Clase II. Falcon et al Mencionan que las células grasas se reemplazan totalmente por tejido fibroso celular y se cubren con epitelio escamoso estratificado, es así que se puede observar epitelización de la BFP pediculada luego de la segunda semana y la epitelización completa se la verá entre la cuarta y sexta semana post operatoria.…”