Treatment of Gingival Recession Class II Defect using Buccal Fat Pad versus Platelet Rich Fibrin using Vestibular Incision Subperiosteal Tunnel Access Technique

Aya Kamal; Ahmed  Abdel Meguid Moustafa; Ahmed   Abdallah Khalil

doi:10.3889/oamjms.2021.6536

Authors

Aya Kamal Department of Oral Diagnosis and Periodontology, Faculty of Dentistry, Minya University, Minya, Egypt https://orcid.org/0000-0003-0266-1577
Ahmed Abdel Meguid Moustafa Department of Oral Diagnosis and Periodontology, Faculty of Dentistry, Minya University, Minya, Egypt
Ahmed Abdallah Khalil Department of Oral Diagnosis and Periodontology, Faculty of Dentistry, Minya University, Minya, Egypt

DOI:

https://doi.org/10.3889/oamjms.2021.6536

Keywords:

Gingival recession, Buccal fat pad, Vestibular incision subperiosteal tunnel access, Platelet rich fibrin, Keratinized tissue width, Non-pedicled buccal fat pad

Abstract

ABSTRACT
Aim of study: The aim of this study was to Compare the effectiveness of Non-pedicled buccal fat pad versus Platelet rich fibrin in treatment of Miller class II gingival recession using vistubular Incision Subperiosteal Tunnel Access Technique
Patients and methods:
This study was conducted on 40 patients with class II gingival recession in anterior or premolar segment. The entire patients were selected from the out patient clinic of the Oral Medicine, Oral Diagnosis, and Periodontology Department. Faculty of Dentistry, Minya University.
Forty patients with gingival recession class II were divided randomly into two groups:
Group I: (20 defect) using VISTA technique with Non- pedicled buccal fat pad (NPBFP), Group II: (20 defect) using VISTA technique with platelet rich fibrin (PRF).
Results: In both groups all clinical parameters were statistically significant from pre-operative period till 6 months follow up period. In the comparison between the two groups after 6 months follow up period, there were no statistically significant difference between two groups regarding all clinical parameters except percentage of root coverage; there was significant increase in percentage of root coverage after 3 and 6 months follow up period in group II with p value was less than 0.05.
Conclusion: Both PRF membrane and NPBFP are effective in the management of Class II gingival recession defects using VISTA technique. PRF group has better results regarding percentage of root coverage than NPBPF group after 3 and 6 months follow up.

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