Use of Platelet‐Rich Fibrin Membrane as a Palatal Bandage

Abstract

Introduction: Free gingival grafting is one of the most common techniques used to increase the dimensions of keratinized tissue (KT). The palatal donor sites heal with secondary intention, require a longer time, and cause discomfort to patients. This case series describes the use of platelet‐rich fibrin (PRF) membrane as a palatal bandage to cover donor sites. To the best of the authors’ knowledge, this is the first report that describes the use of PRF membrane as a palatal bandage. Case Series: Five patients requiring augmentation of KT are described in this case series. The palatal donor sites of four of these patients were covered with PRF membranes as a palatal bandage. The donor site of the fifth patient was allowed to heal in a conventional way without PRF membrane to evaluate the difference in healing. The healing was evaluated visually by hydrogen peroxide test at days 12, 13, 18, 19, 24, 25, 30, and 31. Palatal donor sites covered with PRF membranes demonstrated considerably faster healing compared with the site not covered by PRF membrane. Conclusions: The superior healing observed at the PRF membrane sites supports its use in accelerating soft‐tissue healing. PRF membrane as a palatal bandage is an efficacious approach to protect the raw wound area of a palatal donor site to reduce healing time and patient discomfort.

Clinical Comparison of Platelet‐Rich Fibrin and a Gelatin Sponge in the Management of Palatal Wounds After Epithelialized Free Gingival Graft Harvest: A Randomized Clinical Trial

“…These data agree with results from Aravindaksha et al, 19 who reported complete healing at week 3 in 100% of PRF‐treated patients.…”

“…Another interesting finding from the present study is the lower degree of D and the minor CFH observed in the test group. This observation cannot be compared with others in the literature because the only other study of PRF palatal bandages 19 did not evaluate the patients’ morbidity.…”

“…In a recent case report, Aravindaksha et al 19 showed that the use of a PRF membrane as a palatal bandage is effective in accelerating soft tissue healing. The present results from this RCT on 40 patients confirm this observation by comparing the use of a PRF membrane with the use of a commonly used hemostatic agent.…”

“…Recently, Aravindaksha et al 19 presented results from four patients whose palatal donor sites were covered by PRF membranes as palatal bandages, which showed very fast healing.…”

Management of chronic luxated central incisor with hopeless prognosis

“…Earlier studies with PRF have demonstrated faster healing and bone fill when used in the treatment of cystic cavity,[20] sinus lift procedures,[24] socket preservation,[20] palatal bandage[25] and mandibular Grade II furcation defects. [26]…”