Treatment of root coverage with platelet rich fibrin and coronally advanced flap: A case report

Claudia Michelle Darjanki, Okkinardo Arief and Agung Krismariono *

Department of Periodontics, Department of Periodontology, Faculty of Dental Medicine, Airlangga Universitas, Surabaya, Indonesia.
 
Case Study
World Journal of Advanced Research and Reviews, 2022, 14(03), 263–268
Article DOI: 10.30574/wjarr.2022.14.3.0540
 
Publication history: 
Received on 06 May 2022; revised on 11 June 2022; accepted on 13 June 2022
 
Abstract: 
Background: Gingival recession was one of disorder that frequently found in periodontal tissue. It is a result in exposed root surface and causing discomfort on patient due to the dentin hypersensitivity. One of various modification of gingival recession treatment is the use of platelet-rich fibrin (PRF) in combined with coronally positioned flap. Objective: The present case aims to describe the effectiveness of coronally advanced flap (CAF) in combined with PRF in root coverage of Miller’s class 1 gingival recession.
Case: A 23 years old female patient complains that she feels a slight pain discomfort on her upper right teeth while taking cold beverages. Clinical findings shows that her upper right premolars having a gingival recession, making her root exposed.
Case management: Prior the surgery, patient was performed scaling and root planning. Afterward, coronally advanced flap in combined with PRF was done on premolar region to cover the exposed root surface.
Results: Clinical observation of three weeks revealed a complete root coverage with an adequate keratinized tissue and good healing.
Conclusion: Coronally advanced flap in combination with platelet-rich fibrin provide an effective treatment in root coverage.
 
Keywords: 
Gingival Recession; Platelet-Rich Fibrin; Coronally Advanced Flap; Root Coverage
 
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