European Journal of Molecular & Clinical Medicine

Abstract

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.