Efficacy of the membranous form of platelet-rich fibrin in root coverage
DOI:
https://doi.org/10.20453/reh.v34i3.5834Keywords:
platelet-rich fibrin, periodontal plastic surgery, gingival recessionAbstract
Objective: To evaluate the efficacy of the membranous form of platelet-rich fibrin associated with the coronally advanced flap in patients attended by consultation in periodontics at the Faculty of Stomatology of Villa Clara. Materials and methods: A longitudinal study was conducted at the Faculty of Stomatology, Villa Clara, Santa Clara, Cuba, from January 2016 to March 2017. The sample comprised 17 individuals selected using a purposive, non-probabilistic sampling method. The traditional coronally advanced flap procedure was applied to teeth with periodontal recession in this cohort. Additionally, a platelet-rich fibrin membrane, derived from autologous blood and prepared in the Regenerative Medicine Service of the same institution, was placed beneath the flap. The study analyzed the following variables: age, sex, recession length, Miller classification, root coverage, width and gain of inserted gingiva, evaluation categories, and therapeutic efficacy. Results: Root coverage percentage was higher in class I and increased over time in all Miller classes. Inserted gingival width and gain increased from one month to one year. The percentage efficacy was 93.18 %. Conclusions: Periodontal recession therapy, with the membranous form of platelet-rich fibrin associated with the coronally advanced flap, was considered effective in patients attended by consultation in periodontics at the Faculty of Stomatology of Villa Clara.
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References
Vargas AP. Cirugía plástica periodontal. En: Vargas AP, Yáñez BR, Monteagudo CA. Periodontología e implantología. 2.a ed. Ciudad de México: Editorial Médica Panamericana; 2016. pp. 223-252.
Takei HH, Scheyer ET, Azzi RR, Allen EP, Han TJ. Periodontal plastic aesthetic surgery. En: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editores. Newman and Carranza´s clinical periodontology. 13.a ed. Philadelphia: Elsevier Saunders; 2019. pp. 3621-3708.
Imbert JC, Kasaj A. Treatment of gingival recession: when and how? Int Dent J [Internet]. 2021; 71(3): 178-187. Disponible en: https://doi.org/10.1111%2Fidj.12617
Sarduy L, González Y, Barreto E, Corrales M. Tratamiento de recesiones periodontales con injerto libre y colgajo de reposición coronal más tejido conectivo. Medicent Electrón [Internet]. 2018; 22(3): 218-227. Disponible en: http://scielo.sld.cu/pdf/mdc/v22n3/mdc04318.pdf
Francetti L, Weinstein R, Taschieri S, Corbella S. Coronally advanced flap with or without subepithelial connective tissue graft for the treatment of single recession: 5-year outcomes from a comparative study. Int J Periodontics Restorative Dent. 2018; 38(6): 819-825. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29451926/https://doi.org/10.11607/prd.3036
Pini-Prato GP, Franceschi D, Cortellini P, Chambrone L. Long-term evaluation (20 years) of the outcomes of subepithelial connective tissue graft plus coronally advanced flap in the treatment of maxillary single recession-type defects. J Periodontol. 2018; 89(11): 1290-1299. Disponible en: https://doi.org/10.1002/jper.17-0619
Barootchi S, Tavelli L, Di Gianfilippo R, Shedden K, Oh TJ, Rasperini G, et al. Soft tissue phenotype modification predicts gingival margin long-term (10-year) stability: Longitudinal analysis of six randomized clinical trials. J Clin Periodontol [Internet]. 2022; 49(7): 672-683. Disponible en: https://doi.org/10.1111/jcpe.13641
Barootchi S, Tavelli L, Di Gianfilippo R, Byun HY, Oh TJ, Barbato L, et al. Long term assessment of root coverage stability using connective tissue graft with or without an epithelial collar for gingival recession treatment. A 12-year follow-up from a randomized clinical trial. J Clin Periodontol [Internet]. 2019; 46(11):.1124-1133. Disponible en: https://doi.org/10.1111/jcpe.13187
Rasperini G, Acunzo R, Pellegrini G, Pagni G, Tonetti M, Pini-Prato GP, et al. Predictor factors for long-term outcomes stability of coronally advanced flap with or without connective tissue graft in the treatment of single maxillary gingival recession: 9 years results of randomized controlled clinical trial. J Clin Periodontol [Internet]. 2018; 45(9): 1107-1117. Disponible en: https://doi.org/10.1111/jcpe.12932
Pinto NR, Temmeran A, Castro AB, Cortellini S, Teughels W, Quirynem M. Platelet-rich fibrin, biologic propertis and applications. En: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editores. Newman and Carranza´s Clinical Periodontology. 13.a ed. Philadelphia: Elsevier Saunders; 2019. pp. 3709-3769.
Tabelli L, McGuire MK, Zucchelli G, Rasperini G, Feinberg SE, Wang Hl, et al. Biologics-based regenerative technologies for periodontal soft tissue engineering. J Periodontol [Internet]. 2020; 91(2): 147-154. Disponible en: https://doi.org/10.1002/jper.19-0352
Miller PD. Cirugía plástica periodontal de reconstrucción y regeneración: cirugía mucogingival. Clin Odontol Norteam. 1988; 2: 301-319.
Arce MA, Díaz AM, Díaz M, Hernández VJ. Fibrina rica en plaquetas y leucocitos: biomaterial autólogo excelente para la regeneración tisular. Medicent Electrón [Internet]. 2018; 22(1): 19-26. Disponible en: https://medicentro.sld.cu/index.php/medicentro/article/view/2599/0http://www.medicentro.sld.cu/index.php/medicentro/article/view/2599
Sarduy L, Veitia F. Regeneración en recesiones periodontales. Valor de la fibrina rica en plaquetas en la terapéutica mucogingival. Medicent Electrón [Internet]. 2022; 26(3): 691-714. Disponible en: https://medicentro.sld.cu/index.php/medicentro/article/view/3679http://www.medicentro.sld.cu/index.php/medicentro/article/view/3679/2977
Ortega D, Pezzutti M, Viegas I, Garzón P. Recesión gingival unitaria. Reporte de caso. UNCuyo [Internet]. 2018; 12(2): 13-19. Disponible en: http://bdigital.uncu.edu.ar/app/navegador/?idobjeto=13343
Dai A, Huang JP, Ding PH, Chen LL. Root coverage for single gingival recessions: systematic review and meta-analysis. J Clin Periodontol [Internet]. 2019; 46(5): 572-585. Disponible en: https://www.efp.org/fileadmin/uploads/efp/Documents/JCP_Digest/Migration/JCPD65_Root_572-585.pdf
Joshi A, Suragimath G, Varma S, Zope SA, Pisal A. Is platelet rich fibrin a viable alternative to subepithelial connective tissue graft for gingival root coverage? Indian J Dent Res [Internet]. 2020; 31(1): 67-72. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32246685/https://doi.org/10.4103/ijdr.ijdr_434_18
Manccini L, Tarallo F, Quinzi V, Fratini A, Mummolo S, Marchetti E. Platelet Platelet-rich fibrin in single and multiple coronally advanced flap for type 1 recession: an updated systematic review and meta-analysis. Medicina [Internet]. 20212; 57(2)31(4): 144. Disponible en: https://doi.org/10.3390/medicina57020144
Tadepalli A, Chekurthi S, Kavassery S, Parthasarathy H, Ponnaiyan D. Comparative evaluation of clinical efficacy of leukocyte-rich platelet-rich fibrin with advanced platelet-rich fibrin in management of gingival recession defects: a randomized controlled trial. Med Princ Pract [Internet]. 2022; 31(4): 376-383. Disponible en: https://doi.org/10.1159/000525560
Louis JP, Crena JM, Prakash PSG, Subramanian S, Victor DJ, Madapusi T, et al. Evaluating the efficacy of platelet-rich fibrin matrix versus subepithelial connective tissue grafts in dental root coverage: A comparative study using modified ruben's technique. Med Sci Monit [Internet]. 2023; 29: e941473. Disponible en: https://doi.org/10.12659/msm.941473
Abu-Ta'a M. Advanced platelet-rich fibrin and connective tissue graft for treating marginal tissue recessions: a randomized, controlled split-mouth study. Cureus [Internet]. 2023; 15(3): e35761. Disponible en: https://doi.org/10.7759/cureus.35761
Li R, Liu Y, Xu T, Zhao H, Hou J, Wu Y, et al. The additional effect of autologous platelet concentrates to coronally advanced flap in the treatment of gingival recessions: a systematic review and meta-analysis. Biomed Res Int [Internet]. 2019; 201925: 2587245. Disponible en: https://doi.org/10.1155/2019/2587245
Wennström JL, Zucchelli G. Tratamiento mucogingival: cirugía plástica periodontal. En: Lindhe J, Lang NP, editores. Periodontología clínica e implantología odontológica. 6.a ed. Buenos Aires: Médica Panamericana; 2017. pp. 969-1055.
Scandola D, Muñoz-Corcuera M, Gil G, González E. Actualización de las técnicas para el tratamiento de las recesiones periodontales. Odontol Vital Odo. Vit. [Internet]. 2024; 1(40): 5-17. Disponible en: https://doi.org/10.59334/ROV.v1i40.560
Miron RJ, Moraschini V, Del Fabbro M, Piattelli A, Fujioka-Kobayashi M, Zhang Y, et al. Use of platelet- rich fibrin for the treatment of gingival recession: a. A systematic review and meta-analysis. Clin Oral Investig [Internet]. 2020; 24(8): 2543-2557281-290. Disponible en: https://doi.org/10.1007/s00784-020-03400-7https://doi.org/10.1902/jop.2015.150420
Chekurthi S, Tadepalli A, Parthasarathy H, Ponnaiyan D, Ramachandran L, Karthikeyan J. Evaluation of clinical efficacy of advanced platelet rich firin in the management of gingival recession defects: Case case series. Clin Adv Periodontics [Internet]. 2021; 12(2): 88-93. Disponible en: https://doi.org/10.1002/cap.10160
Kuka S, Ipci SD, Cakar G, Yilmaz S. Clinical evaluation of coronally advanced flap with or without platelet-rich fibrin for the treatment of multiple gingival recession. Clin Oral Investig Dent [Internet]. 2018; 22(3): 1551-1558. Disponible en: https://doi.org/10.1007/s00784-017-2225-9
Rajeswari RRaja RS, Kumar TA, Gowda TM, Mehta DS, Kumar A. Management of multiple gingival recession with the VISTA technique: an 18-month clinical case series. Int J Periodontics Restorative Dent [Internet]. 2018; 38(2): 245-251. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29447318/https://doi.org/10.11607/prd.2990
Stefanini M, Marzadori M, Aroca S, Felice P, Sangiorgi M, Zuccheli G. Decision making in root-coverage procedures for the esthetic outcome. Periodontol 2000 [Internet]. 2018; 77(1): 54-64. Disponible en: https://doi.org/10.1111/prd.12205
Pini-Prato G, Gianfilippo R. On the value of the 2017 classification of phenotype and gingival recession. J Periodontol Dent [Internet]. 2021; 92(5): 613-618. Disponible en: https://doi.org/10.1002/jper.20-0487
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Copyright (c) 2024 Lázaro Sarduy Bermúdez, Olga Lidia Véliz Concepción, Felisa Veitia Cabarrocas, Manuel Antonio Arce González, Eligio Eduardo Barreto Fiu
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