TREATMENT OF CLASS I GINGIVAL RECESSION DEFECTS USING SINGLE FLAP APPROACH AND PLATELET RICH FIBRIN- A CASE REPORT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 15
Abstract
PRESENTATION OF CASE A male patient aged 42 years reported to the hospital with the chief complaint of receding gums in the upper left front tooth region. There was no relevant medical, dental and family history. No deleterious oral habits. On physical examination, he appeared to be healthy and all his vital signs were within normal limit. On clinical examination, no significant extra-oral findings were noted. During clinical examination, Miller’s class-I gingival recession was noticed with maxillary left lateral incisor and left canine i.e. with #22 and #23. Gingival recession of 3 mm were recorded with teeth 22 and 23 respectively (Figure 1). Gingival biotype was thin and width of attached gingiva was adequate. Whole surgical procedure was explained to the patient and written consent was obtained. Complete blood investigations were done before surgical procedure and scaling, and root planing was carried out. Oral hygiene instructions were given mainly in terms of proper brushing technique. Three weeks following this initial therapy, the periodontal re-evaluation was done for oral hygiene maintenance and to examine gingival tissue response to the initial therapy. After reevaluation, surgical procedure was carried out. An effective plaque control, good initial healing and proper defect anatomy was achieved; hence, a regenerative therapy was the treatment modality of choice. To correct this recession defect, single flap approach combined with platelet rich fibrin (PRF) was carried out. The single flap approach (SFA) is a simplified surgical procedure for treatment of recession.1 The basic underlying principle of the SFA consists of the elevation of a limited mucoperiosteal flap to allow access to the defect from either the buccal or oral aspect only, depending on the main buccal/ oral extension of the lesion (as assessed by preoperative bone sounding), allowing the interproximal supracrestal gingival tissues to remain intact. Aims behind the use of PRF in this surgical procedure were to correct the thin gingival biotype in recession area and to improve wound healing
Authors and Affiliations
Amera Ayubi Parveen, Shivaprasad Bilichodmath, Nalini M. S, Paunami Paul, Ume Sameera
Keywords
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- EP ID EP414447
- DOI 10.14260/jemds/2018/433
- Views 76
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