title: Bilateral multiple recession coverage with platelet-rich fibrin in comparison with amniotic membrane.
abstract: Various plastic procedures are done to enhance esthetics, relieve hypersensitivity or even prevent root caries. The most predictable plastic procedure is the coronally advanced flap procedure, with subepithelial connective tissue. Owing to the second surgical donor site and difficulty in procuring a sufficient graft in multiple recessions, various alternative additive membranes are used. This is a case report, the first of its kind, wherein a bilaterally occurring multiple Millers class I recession was managed by using Platelet-rich Fibrin (PrF) and amniotic membrane, in a 40-year-old male, who presented to the Department of Periodontics. He complained of hypersensitivity in relation to the upper right and left back region, a bilateral Millers class I recession in relation to 15, 16, and 25, 26 of 3 mm each. Both the recessions were planned for root coverage with coronally advanced flap and additive membrane. The sites were randomly assigned for the use of platelet-rich fibrin and an aminotic membrane. The clinical outcome of the surgical procedure accounted for 100% root coverage, an enhanced gingival biotype, with both the membranes. Furthermore, the results were stable even after seven months in the amniotic membrane-treated site. Hence, the use of amniotic membrane as a novel approach to root coverage is more advantageous than PrF owing to the laboratory preparation of the autologous biomaterial.
authors.affiliation: Department of Periodontology and Implantology, Oxford Dental College and Hospital, Bangalore, Karnataka, India.
authors.forename: Sonia S
authors.initials: SS
authors.lastname: Shetty
authors.affiliation: Department of Periodontology and Implantology, Oxford Dental College and Hospital, Bangalore, Karnataka, India.
authors.forename: Anirban
authors.initials: A
authors.lastname: Chatterjee
authors.affiliation: Department of Periodontology and Implantology, Oxford Dental College and Hospital, Bangalore, Karnataka, India.
authors.forename: Somik
authors.initials: S
authors.lastname: Bose
keywords: Amniotic membrane; bilateral; coronally advanced flap; hypersensitivity; platelet-rich fibrin; recession
references.citation: Dent Clin North Am. 1976 Jan;20(1):199-213
references.pmid: 1061689
references.citation: Oral Maxillofac Surg. 2014 Jun;18(2):153-64
references.pmid: 23242942
references.citation: J Maxillofac Oral Surg. 2011 Dec;10(4):283-7
references.pmid: 23204741
references.citation: J Periodontol. 2002 Jan;73(1):110-4
references.pmid: 11846191
references.citation: Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Mar;101(3):e45-50
references.pmid: 16504850
references.citation: Plast Reconstr Surg. 2013 Jul;132(1):172-181
references.pmid: 23806920
references.citation: Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Feb;117(2):e83-7
references.pmid: 22981093
references.citation: J Periodontol. 2003 May;74(5):741-56
references.pmid: 12816306
references.citation: J Clin Periodontol. 1976 Nov;3(4):208-19
references.pmid: 1069011
references.citation: Int J Oral Maxillofac Surg. 2006 Mar;35(3):247-51
references.pmid: 16386878
references.citation: Am J Obstet Gynecol. 2005 Jul;193(1):247-55
references.pmid: 16021087
references.citation: J Periodontol. 1992 Jun;63(6):489-95
references.pmid: 1625148
references.citation: J Periodontol. 2009 Feb;80(2):244-52
references.pmid: 19186964
references.citation: Ann Periodontol. 2003 Dec;8(1):303-20
references.pmid: 14971258
references.citation: Br J Oral Maxillofac Surg. 2012 Sep;50(6):545-9
references.pmid: 22024106
references.citation: J Periodontol. 2009 Nov;80(11):1694-7; author reply 1697-9
references.pmid: 19905939
references.citation: J Clin Periodontol. 1997 Mar;24(3):201-5
references.pmid: 9083906
references.citation: CDS Rev. 1979 May;72(5):27-34
references.pmid: 293227