Background: Platelet-rich fibrin (PRF) has been found to intensify soft-tissue healing and its use in the management of gingival recession eliminates the requirement of a donor site.
Aims & Objectives: The aim of this study is to compare the clinical effectiveness of Coronally advanced flap with PRF (CAF+PRF) and Sub-epitelial connective tiisue graft (SCTG) in the treatment of gingival recession.
Materials and Methods: Thirty subjects were treated by SCTG technique on control side and CAF+PRF technique on the test side. Simplified oral hygiene index (OHI-S), gingival index (GI) Probing depth (PD), clinical attachment level (CAL), keratinized gingival width (KTW), gingival thickness (GTH), Vertical recession depth (VRD), wound healing index were measured at baseline and regular intervals. Post-surgic?l discomfort l?v?ls w?r? ?ss?ss?d by ??ti?nts through VAS scale ?t 1 w??k, 2 w??k, ?nd 1 month int?rv?ls ?cross both sides of the ?rch. Esthetic outcomes were evaluated using the root coverage esthetic score (RES).
Results: The study showed a statistically significant improvement in CAL, GTH and VRD on both sides. Intergroup analysis showed that there were no significant differences between the test and control side with respect to PD, CAL, KTW, GTH and VRD except for VRD at 1 month. There was significant difference in HI, VAS, AP and RES value.
Conclusion: Within the limits of this study, PRF mimics SCTG function?lity, s?rving ?s ? bio?ctiv? sc?ffold th?t ?n?bl?s gingiv?l r?c?ssion tr??tm?nt whil? ?limin?ting donor sit? morbidity.
Keywords: Gingival recession, Gingival diseases, Chronic periodontitis, Platelet rich fibrin.
