TITANIUM-PREPARED PLATELET RICH FIBRIN VERSUS CONNECTIVE TISSUE GRAFT FOR THE MANAGEMENT OF TYPE-2 GINGIVAL RECESSION (RT2) (RANDOMIZED CONTROLLED CLINICAL TRIAL) | ||||
| Alexandria Dental Journal | ||||
| Articles in Press, Corrected Proof, Available Online from 09 November 2024 PDF (839.84 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/adjalexu.2024.286489.1503 | ||||
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| Authors | ||||
RIZK BESHIR ALSARHY   1; Ahmed Mohamed Hommos2; Dr. Gehan Kotry 3; Gillan I. El-kimary4
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| 1periodontology, faculty of dentistry, Alexandria university, Alexandria, Egypt. | ||||
| 2Professor, Department of Oral Medicine, Periodontology, Oral Diagnosis and Radiology, Faculty of Dentistry, Alexandria University | ||||
| 3Department of oral medicine, periodontology ,oral radiology and diagnosis.Alexandria university ,Egypt. | ||||
| 4Department of Periodontology, faculty of dentistry, Alexandria university | ||||
| Abstract | ||||
| Background: Gingival Recession is an apical migration of the marginal gingiva concerning the Cemento-Enamel Junction. Different techniques are used to manage GR, including Platelet-Rich Fibrin (PRF). The latter has several advantages: it does not require a second surgical site intervention, is completely autogenous, and contains numerous growth factors. However, contamination of PRF may happen from plastic or glass tubes. Therefore, Titanium prepared Platelet-Rich Fibrin (T-PRF) can be used to overcome this disadvantage. Study objective: To assess the effect of using the T-PRF with Coronally Advanced Flap (CAF) in the management of Cairo gingival recession type-2 (RT2) and compare it to the use of Sub-Epithelial Connective Tissue Graft (SECTG). Materials and methods: This randomized controlled clinical trial was conducted on 44 sites with Cairo RT2. After performing phase I therapy, sites were divided into two groups: Test group, included 22 defects managed by CAF in conjunction with T-PRF. Control group: included 22 defects managed by CAF in conjunction with SECTG. Clinical assessment was done immediately before surgery, at baseline, then three and six months postoperatively. Results: It showed that both SECTG and T-PRF with CAF could improve the PD, CAL, and RD from baseline to six months follow up, but SECTG + CAF showed superior results. Conclusion: Within the limitations of this study, the results showed the superiority of autogenous CTG in root coverage (RC). However, T-PRF was a safe and effective choice for partial RC in RT2. However, it doesn't require a second surgical site intervention. | ||||
| Keywords | ||||
| Coronally Advanced Flap; Gingival Recession Type 2; Titanium Prepared Platelet Rich Fibrin; Sub-Epithelial Connective Tissue Graft | ||||
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