Therapeutic efficacy of connective tissue autotransplants with periosteum and platelet rich plasma in the menagement of gingival recession

Bojan Jovičić; Zoran Lazić; Milica Nedić; Stevo Matijević; Aleksandra Gostović Špadijer

doi:10.2298/1812

Bojan Jovičić Clinic of Dentistry, Military Medical Academy, Belgrade, Serbia
Zoran Lazić Clinic of Dentistry, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Milica Nedić Faculty of Dentistry, Pančevo, Serbia
Stevo Matijević Clinic of Dentistry, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Aleksandra Gostović Špadijer Faculty of Dentistry, University in Belgrade, Belgrade, Serbia

DOI: https://doi.org/10.2298/1812

Keywords: gingival recession, dentistry, operative, transplantation, autologous, platelet-rich plasma, treatment outcome,

Abstract

Background/Aim. Gingival recession progression in clinical practice has influenced the development of various surgical procedures and techniques for solving esthetic imperfections and subjective difficulties coused by gingival recession. The aim of this study was to verify efficacy of surgical procedures and to compare both of surgical procedures through the keratinized tissue width. Methods. The study included 20 teeth with gingival recesion, Müller class I and II. Ten teeth with gingival recession were treated with connective tissue autotransplants with periosteum in combination with coronary guided surgical flap (CTG group). On the contralateral side 10 teeth with gingival recession were treated with the same surgical procedures but in combination with platelet-rich plasma (CTG-PRP group). We measured the keratinized tissue width. For statistical significance we used the Student's t-test. Results. The study reveled a statistical significance in reducing vertical deepress of recession by both used treatments. Root deepness in CTG and CTG-PRP group was 90% and 93.5%, respectively. With both surgical techniques we achieved larger zone of keratinized gingiva but with a wide zone of keratinized tissue in CTG – the PRP group. Conclusion. The concept regeneration technique with PRP and with the stimulating influence of platele activated growth factors results in the regeneration of deep periodontal tissue as an important prerequisite for the successfull treatment of gingival recession.

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