Online ISSN: 2515-8260

Keywords : Coronally Advanced Flap


Comparing of the patient related esthetic outcome Using Platelet rich fibrin (PRF) membrane with Coronally Advanced Flap With and Without Vertical Releasing Incisions (the envelope-type flap and the flap with VRIs) in Miller Class I and II Gingival recession defects: A Study Protocol

Dr. Deepika Masurkar; Dr. Priyanka Jaiswal; Dr. Diksha R. Agrawal

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 2052-2059

Abstract: Aim: To compare the patient related esthetic outcome Using Platelet rich fibrin
(PRF) membrane with Coronally Advanced Flap With and Without Vertical Releasing
Incisions (the envelope-type flap and the flap with VRIs) in Miller Class I and II Gingival
recession defects
Material and Methods- 14 defects will be randomly divided into test and control group
consisting of 7 defects in each. Test group will be treated by PRF + CAF without VRI
group and control group will be treated by PRF +CAF with VRI.Primary outcome will be
gain in root coverage and secondary outcome will be Plaque index (PI), Papillary bleeding
index (PBI), probing pocket depth (PPD), relative attachment level (RAL), relative gingival
margin level (RGML), recession depth (RD), gingival thickness (GT) and width of
keratinized gingiva (WKG). Clinical evaluation will be performed at 3 & 6 months of
therapy.
Result-Student’s paired t-test will be utilized to analyze data from the day of surgery to six
months. A comparison of both groups at baseline and six months will be achieved by
student’s unpaired t-test. Comparison of the PI and PBI at baseline & six months will be
performed by student’s paired t-test. When all the parameters will be compared at 6 months
post-operatively to baseline data, both the treatment group (test and control) will show
significant gain in root coverage, RAL gain, PPD reduction, decrease in reduction depth,
increase in GT and WKG.No significant difference will be found in the two groups for
reduction of recession and CAL and satisfaction of patient with regards to esthetics.
Higher chances of complete root coverage and increase WKG will be seen in control
group.
Conclusion- The combination of PRF and CAF without VRI will be effective in the
treatment of gingival recession. PRF in combination with CAF without VRI will have
significant clinical outcome as compared to GTR membrane and CAF with VRI.

Comparative Evaluation Of Effectiveness Of Pinhole Surgical Technique With Coronally Advanced Flap For The Treatment Of Gingival Recession Defects In Humans- A Clinical Study

DR. AKANKSHA NIBUDEY; DR. VIDYA SUDHINDRA BALIGA

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 2011-2017

Introduction : Gingival recession is seen commonly in the overall population and often is an indication.to the patient to pursue treatment for denuded roots due to hypersensitivity and/ to improve aesthetics. It is a constantly developing and growing research field. In order to avoid progress of recession. A surgical procedure that deal with all the GR defects in a single visit, that is easy, practical, operator friendly, not requiring a second surgical site, time efficient, and most significantly, meet up the patient’s esthetic concerns is a desirable option. Aim/ Objectives : To evaluate the effectiveness Of Pinhole Surgical Technique with Coronally Advanced Flap for the treatment of gingival recession defects for root coverage (RC), improvement in relative attachment level (RAL), increase in width of keratinized gingiva (WKG) and gingival thickness. Methodology : 20 healthy patients with class I or class II recession will be assigned randomly to either pinhole surgical technique or coronally advanced flap. Follow up of 1, 3 and 6 months will be done. Results: At 6 months improvement in RC, RAL and the amount of WKG. Along with improvement in gingival thickness will also be seen. Plaque index and Bleeding index will be reduced at 6 months. Conclusion : In this study we will try to achieve practicability of a novel invasive approach of pinhole technique to root exposure in Class I or II type of GR defects and to compare this technique with CAF with PRF procedure for root coverage.