scholarly journals Effectiveness of Amniotic Membrane with Coronally Advanced Flap in the Treatment of Gingival Recession in Adult Patients: A Systematic Review

2021 ◽  
Vol 10 (1) ◽  
pp. 25-35
Author(s):  
Ankita A Katkurwar ◽  
Swapna A Mahale
Keyword(s):  
Systematic Review ◽  
Amniotic Membrane ◽  
Gingival Recession ◽  
Adult Patients ◽  
Coronally Advanced Flap

scholarly journals Comparative Evaluation of Coronally Advanced Flap with Platelet-rich Fibrin vs Amniotic Membrane for the Treatment of Gingival Recession

2017 ◽  
Vol 8 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Abhishek Gautam
Keyword(s):  
Amniotic Membrane ◽  
Comparative Evaluation ◽  
Gingival Recession ◽  
Class I ◽  
Root Coverage ◽  
Platelet Rich Fibrin ◽  
Coronally Advanced Flap ◽  
Keratinized Tissue ◽  
Probing Depth ◽  
To Receive

ABSTRACT Background The purpose of this clinical trial was to compare the outcome of gingival recession technique using the coronally advanced flap (CAF) with platelet-rich fibrin (PRF) and amniotic membrane. Materials and methods About 15 patients with bilateral Miller class I buccal gingival recessions (4–5 mm) in maxillary and mandibular canines were selected. The recessions were randomly assigned to receive either the CAF with PRF or the CAF with amniotic membrane. Recession height (RH), recession width (RW), width of keratinized tissue (WKT), thickness of keratinized tissue (TKT), probing depth (PD), and clinical attachment level (CAL) were measured at baseline as well as 6 months postsurgery. Patient satisfaction with esthetics, root sensitivity, and postoperative pain was also evaluated. Results The average percentages of root coverage for CAF with PRF and CAF with amniotic membrane were 92.95% and 97.40% (p < 0.05) respectively, and the complete root coverage observed was 56.94% and 76.47% respectively. The CAF with amniotic membrane showed a statistically significant increase in TKT (p < 0.05). There were no significant differences between the two groups with regard to RH, RW, WKT, PD, and CAL. The esthetic condition after both treatments was considered satisfactory by the patients. Conclusion The outcome of this study reflects that CAF with PRF and amniotic membrane can be successfully used to treat class I gingival recession. How to cite this article Gautam A. Comparative Evaluation of Coronally Advanced Flap with Platelet-rich Fibrin vs Amniotic Membrane for the Treatment of Gingival Recession. J Health Sci Res 2017;8(1):31-37.

scholarly journals Coronally advanced flap with amniotic membrane in the treatment of gingival recession: Three case reports

2019 ◽  
Vol 9 (2) ◽  
pp. 111 ◽  
Author(s):  
PathakotaKrishnajaneya Reddy ◽  
Vijayalakshmi Bolla ◽  
Butchibabu Kalakonda ◽  
Pradeep Koppolu ◽  
E Manaswini
Keyword(s):  
Amniotic Membrane ◽  
Case Reports ◽  
Gingival Recession ◽  
Coronally Advanced Flap

scholarly journals Additive Effect of Platelet Rich Fibrin with Coronally Advanced Flap Procedure in Root Coverage of Miller’s Class I and II Recession Defects—A PRISMA Compliant Systematic Review and Meta-Analysis

Materials ◽  
2020 ◽  
Vol 13 (19) ◽  
pp. 4314
Author(s):  
Saurav Panda ◽  
Anurag Satpathy ◽  
Abhaya Chandra Das ◽  
Manoj Kumar ◽  
Lora Mishra ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Gingival Recession ◽  
Additive Effect ◽  
Class I ◽  
Cochrane Central Register ◽  
Root Coverage ◽  
Platelet Rich Fibrin ◽  
Gingival Thickness ◽  
Coronally Advanced Flap

Aim: This systematic review and meta-analysis aims to assess the additive effect of leukocyte and platelet-rich fibrin (L-PRF) on coronally advanced flap (CAF) procedures in root coverage of Miller’s class I and II gingival recession defects. Review methodology: A comprehensive search in MEDLINE (PubMed), Scopus and CENTRAL (the Cochrane Central Register of Controlled Trials), along with an additional hand search, provided eight randomized clinical trials to be included in this review. A total of 167 patients with 470 gingival recession defects were analyzed. A meta-analysis was carried out to assess the change in gingival thickness (GT), width of keratinized gingiva (WKG), root coverage percentage (%RC), clinical attachment level (CAL) and recession depth (RD) at all follow-ups between CAF alone and CAF + L-PRF groups for all included studies. A subgroup analysis was carried out based on recession type (single/multiple). Results: Overall, a significant improvement in GT, CAL and RD was found when treated with CAF + L-PRF. There was a trend for a positive effect in terms of an increase in WKG when using L-PRF, especially in the treatment of single recession, though significance was not achieved (p = 0.08 overall). The results of heterogeneity among the subgroups were varied and were found to be greater than 91.3% for GT and 32.8% for WKG. Conclusion: L-PRF when used in addition to CAF showed favorable results for the treatment of class I and II gingival recession defects.

scholarly journals Bilaminar Technique with Coronally Advanced Flap and Cryopreserved Human Amniotic Membrane in the Treatment of Gingival Recessions

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Mario Martelloni ◽  
Pietro Boccaletto ◽  
Giulia Montagner ◽  
Diletta Trojan ◽  
Roberta Abate
Keyword(s):  
Case Report ◽  
Amniotic Membrane ◽  
Gingival Recession ◽  
Class I ◽  
Gingival Tissue ◽  
Human Amniotic Membrane ◽  
Alternative Technique ◽  
Coronally Advanced Flap ◽  
Keratinized Tissue ◽  
Surgical Wounds

Gingival recessions are usually treated with surgical therapies which involve the use of connective tissue autograft in order to thicken the gingival tissue. This has an important biological repercussion on patients since they will have surgical wounds in two different oral cavity sites. In this case report, we offer an alternative technique for the treatment of a Miller class I gingival recession. A 40-year-old female patient has been treated with a combination of bilaminar and coronally advance flap techniques to cover a Miller class I gingival recession with addition of cryopreserved human amniotic membrane. The human amniotic membrane has been employed to thicken the keratinized tissue. The human amniotic membrane in combination with bilaminar and coronally advance flap techniques has produced aesthetically and functionally satisfying results, covering completely the gingival recession and restoring the natural colour and thickness of the gingiva. Bilaminar technique with coronally advanced flap and cryopreserved human amniotic membrane is a valid alternative in treating Miller class I and II gingival recessions and reduce the biological morbidity of a double intervention.

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