Resumo

PEER, F  e  MOHANGI, GU. Comparing clinical outcomes of connective tissue grafts to platelet rich fibrin in gingival recession treatment - An extended case series. S. Afr. dent. j. [online]. 2019, vol.74, n.10, pp.538-548. ISSN 0375-1562.  http://dx.doi.org/10.17159/2519-0105/2019/v74no10a4.

AIM: To appraise clinical and aesthetic outcomes of connective tissue grafts (CTG) and platelet rich fibrin (PRF) in managing marginal gingival recession METHODS AND MATERIALS: Five patients each with at least two contralateral Miller's Class I and/or Class II recession lesions underwent treatment in a case series with a randomised split-mouth design. Each site was paired with a similar contralateral lesion and randomly assigned to the CTG (control) or PRF (test) treatment. Probing depth, recession depth, recession width, clinical attachment level, keratinised tissue width and gingival thickness were recorded and the data compared. Photographs were taken at baseline and at 24-weeks to evaluate aesthetics using the Pink Esthetic Score (PES). A questionnaire was used to assess patient satisfaction with treatment outcomes. RESULTS AND CONCLUSIONS: Both treatment options resulted in improved clinical measurements but CTGs demonstrated improvements at a greater number of sites than PRF (60% to 30% respectively). The aesthetic scores improved at four sites for both CTGs and PRF with only one site in each group scoring lower, whilst elsewhere scores did not change. Patients were satisfied with the aesthetic outcomes. Both CTGs and PRF membranes can be effective in treating gingival recession, improving clinical and aesthetic outcomes.

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