Platelet-Rich Fibrin in the Treatment of Bilateral Gingival Recessions

Introduction: Subepithelial connective tissue graft (SCTG) + coronally advanced flap (CAF) has been suggested as the most predictable technique for treatment of recession defects. However, the SCTG technique necessitates a second surgical site and increases the risk of morbidity linked with harvesting the autogenous palatal donor mucosa. Platelet-rich fibrin (PRF) has been shown to accelerate soft-tissue healing. The use of PRF in treatment of gingival recessions eliminates the requirement of a donor site. The aim of this case report is to evaluate the clinical effectiveness of the CAF+PRF combined technique and CAF+SCTG in the treatment of bilateral gingival recessions. Case Presentation: The surgical treatment of a 23-year-old female patient with bilateral gingival recessions in maxillary cuspids is discussed in this case report. Sites were randomly assigned to CAF+PRF (test) or CAF+SCTG (control) sites. Clinical periodontal parameters were recorded and clinical photographs were taken at baseline; 1, 3, and 6 months; and 1 year. The recession area was analyzed with a digital image analysis program. In addition, gingival thickness was evaluated at baseline and at 1 year. Conclusions: Root coverage amount, gingival thickness, and keratinized tissue width were improved in both sites. The outcomes remained stable for 1 year. CAF+PRF presents an alternative to CAF+SCTG in the treatment of gingival recessions. The PRF method is practical and simple to perform. Additionally, PRF seems to be superior to SCTG since it eliminates the requirement of a donor site.