PRF As An Alternative Membrane To Autogenous Gingival Graft In The Treatment For Gingival Recession

Abstract

Gingival recession is a term when the marginal gingiva apically shifts from its normal position to the root surface level beyond the cementoenamel junction. Gingival recession can cause aesthetic and functional problems. Coronally advanced flap combined with Platelet-Rich Fibrin (PRF) is considered a better therapy for the autogenous gingival graft because it doesn’t require a second surgical site. PRF is a potential growth factor for periodontal regeneration. The existence of leukocytes and various cytokines contained in PRF enables the self-modulation of infectious and inflammatory processes. This case report aims to describe the use of PRF for root coverage on the labial surfaces of the mandibular anterior teeth. Case Presentation: A female 42 years old, systemically healthy, non‑smoking patient came with a chief complaint that the mandibular teeth often feel sensitive when exposed to iced or something cold. Clinical examinations revealed Miller’s Class I in #42 and #43. Case Management: The patient said that she doesn’t want a second surgical site. After initial therapy and maintenance, the patient was treated with a coronally advanced flap combined with PRF. Conclusion: The growth factors in PRF are involved in wound healing and is proposed as tissue regeneration promoter. PRF with coronally advanced flap has been shown to be a promising and successful approach for root coverage procedures. It significantly presents a significant gain in clinical attachment and also simultaneously helps with the gingival recession.