Comparative Evaluation of Connective Tissue Graft and Platelet Rich Fibrin for The Management of Gingival Recession: A Split Mouth Study in 40 Cases with Long Follow Up of 3 Years

Abstract

Introduction: Periodontal problems have taken top priority for treatment in patients suffering from periodontal diseases including gingival recession. This study aimed to compare Connective Tissue Graft (CTG) along with Coronally Advanced Flap (CAF) versus Platelet Rich Fibrin (PRF) along with Coronally Advanced Flap (CAF) in 40 sites of miller’s class I and II recession sites over a period of 3 years. Materials and methods: 40 bilateral Miller's class I and class II gingival recession cases were selected for the study and divided into two groups. Group A was treated with PRF and CAF whereas Group B was treated with CTG and CAF. Following clinical parameters i.e., change in recession depth, change in probing depth, change in clinical attachment level, change in width of keratinized gingiva were assessed at baseline 3, 6 and 36-months post-surgery. Results: 1. Group A showed root coverage of 71.00% whereas in Group B it was 83.33%. Group B subjects showed clinically higher and statistically significant amount of root coverage as compared to Group A. 2. Group B was associated with better clinical outcomes in terms of keratinized tissue gain. Conclusion: Current study concludes that CTG along with CAF is a better option for root coverage procedure as compared to PRF along with CAF.