الاثنين، 30 ديسمبر 2013

Use of autologous platelet rich plasma to treat gingival recession in esthetic periodontal surgery

autologous platelet rich plasma


Coronally advanced flap (CAF) and guided tissue regeneration are considered among the successful approaches to replace lost, damaged gingival tissues and treat gingival recession.

An article was published in Journal of Indian Society of Periodontology by Naik AR, Ramesh AV, Dwarkanath CD, Naik MS, Chinnappa AB - Department of Periodontics, Dayananda Sagar College of Dental Sciences, Bangalore, Karnataka, India aimed to investigate the role of Platelet rich plasma (PRP), containing autologous growth factors in promoting soft-tissue healing and to evaluate the efficacy of PRP in combination with CAF in the treatment of gingival recession .

The study was carried on 15 systemically healthy patients with buccal Miller's class I and class II gingival recession in cuspids or premolars. CAF procedure was done and PRP with collagen sponge was placed over the defect, clinical parameters such as recession depth, recession width, surface area, width of keratinized gingival (KG), clinical attachment level (CAL), probing depth, plaque index and gingival index were evaluated at 3, 6 and 9 months post-surgery, the percentage of root coverage was calculated.

It has been shown that CAF procedure provides a predictable and simple technique in the treatment of localized Class I and Class II gingival recession. And the additional application of PRP significantly increases the width of KG and gain in clinical attachment.

However further studies needed to determine the long-term benefits following surgical treatment of such defects.




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