Two-year follow-up of platelet-rich fibrin-reinforced and modified coronally advanced flap: Pinnacle of the regeneration milieu: Case series

Abstract

Root coverage (RC) is a sine qua non for the restoration of periodontal vigor altered by the gingival recession (GR). The objective of this study was to clinically evaluate platelet-rich fibrin + coronally advanced flap (P-CAF) and novel platelet-rich fibrin + laterally slided coronally advanced flap (PLSCAF) procedures. RC is done using an assortment of biomaterials, even though they are overpriced and technique sensitive. The success of any autograft depends upon the survival of the same, which is determined by conducive healing. PRF has an edge for being autogenous, angiogenic, immunogenic, inexpensive, easily available, and lacks donor-site morbidity. This study was conducted on three middle-aged systemically healthy patients, one female and two males who had sufficient width, length, and thickness of keratinized tissue adjacent to isolated Miller's I or II GR. A significant improvement in recession width, depth, and gingival thickness was clearly delineated at the second year follow-up. We evinced expected positive outcome on all patients, besides a 100% RC with PLSCAF prowess. Within the limitation of this case series, P-CAF and PLSCAF demonstrated to be promising techniques when treating Miller's I or II GR. Nonetheless, embracing a four-pronged strategy for rapid healing is veritably demonstrated here.