Comparative Evaluation of Coronally Advanced Flap Using Platelet-rich Fibrin Membrane and Fresh Amniotic Membrane in Gingival Recession

Abstract

Background: the aim of this study was to evaluate and compare the effectiveness of root coverage with coronally advanced flap combined with Platelet Rich Fibrin or Fresh Amniotic Membrane. Materials and Methods: thirty patients had Miller class I or II in maxillary anterior teeth were involved in the present study. Each recession defect was randomly assigned to one of the treating groups: coronally advanced flap with Platelet rich fibrin (PRF group) and coronally advanced flap with fresh amniotic membrane (AM) (AM Group). Clinical measurements of recession depth (RD), root coverage percentage (RC%) pocket depth (PD), clinical attachment level (CAL) and width of keratinized tissue (WKT) were evaluated at the baseline, three months, six months and nine months postoperatively. Statistical analysis was performed for intergroup and intragroup comparisons respectively. Results: intragroup comparison displayed statistical significant difference with regard to RD and CAL at different time interval. No statistical significant difference between groups at different time interval with regard to RD, PD, CAL while WKT, AM group demonstrated statistical significant increase compared to PRF group. Conclusion: Both the membranes provided successful and predictable root coverage when combined with CAF. AM was more effective in terms of increase in WKT.