Management of Deep Gingival Recessions by Modified Coronally Advanced Tunnel Technique with Titanium Platelet Rich Fibrin Membrane or Connective Tissue Graft: 36 Months Follow-up Clinical Study

Yıl 2020, Cilt: 10 Sayı: 3, 297 - 303, 29.09.2020

Cenker Zeki Koyuncuoğlu , Esra Ercan , Bilge Uzun , Mustafa Tunalı , Erhan Firatli

https://doi.org/10.33808/marusbed.767457

Cited By: 1

Öz

Objectives: The goal of the study is to evaluate the results of Titanium-Platelet rich fibrin (T-PRF) membrane and Connective Tissue Graft (CTG) with modified coronally advanced tunnel technique (MCATT) in treatment of deep gingival recession defects.
Methods: Twenty-one systemically healthy patients displaying 62 Miller Class I/II gingival recession defects ≥ 3.0 mm in depth were treated with MCATT with CTG or T-PRF membrane were included in this retrospective study. The periodontal parameters were assessed at baseline, 6 and 36 months after surgery. The percentages of the mean root coverage (MRC) and complete root coverage (CRC) were calculated.
Results: The baseline probing depth values were reduced at 36 months according to baseline for both groups (p<0.05). The keratinized tissue (KT) was increased at 6 months according to baseline for both groups (from 1.69±0.74mm to 3.61±0.67 mm for T-PRF; and 3.40±1.60 mm to 4.52±2.33 for CTG). The 36th month measurement of KT showed an increase in the T-PRF group compared to 6 months, while the CTG group showed a significant decrease (3.86±0.76 mm and 2.76±1.45 mm, respectively). The CRC ratios were 80% and 56% at 6 and 36 months, respectively for CTG group. However, this ratio remained same (64.86%) for T-PRF group. There was statistically significant difference between CRC ratio of two groups at 36 months (p<0.05).
Conclusion: T-PRF membrane with MCATT procedure is as predictable as a CTG with MCATT for management of deep gingival recessions. However, future prospective studies about this topic with a split-mouth design are needed.

Anahtar Kelimeler

Gingival Recession, Titanium-Platelet Rich Fibrin, Root Coverage, Periodontal Plastic surgery

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

The authors thank Dr. Hakan Ozdemir (Osmangazi University, Faculty of Dentistry, Department of Periodontology, Eskisehir, Türkiye) for comments that greatly improved the manuscript.

Kaynakça

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