Marine Collagen Matrix Carrier with Injectable Platelet-Rich Fibrin in Management of Gingival Recession Defects

Deepikha Krishnaraj; Harinath Parthasarathy; Anupama Tadepalli; Deepa Ponnaaiyan; A Thirumal Raj; Shankargouda Patil; Snehashish Ghosh

doi:10.1155/2023/3357323

Marine Collagen Matrix Carrier with Injectable Platelet-Rich Fibrin in Management of Gingival Recession Defects

Case Rep Dent. 2023 Dec 6:2023:3357323. doi: 10.1155/2023/3357323. eCollection 2023.

Authors

Deepikha Krishnaraj¹, Harinath Parthasarathy¹, Anupama Tadepalli¹, Deepa Ponnaaiyan¹, A Thirumal Raj², Shankargouda Patil^{3

4}, Snehashish Ghosh⁵

Affiliations

¹ Department of Periodontics, SRM Dental College and Hospital, Bharathi Salai, Ramapuram, Chennai 600089, Tamil Nadu, India.
² Dept. of Oral Pathology and Microbiology, Sri Venkateshwara Dental College and Hospital, Chennai, India.
³ College of Dental Medicine, Roseman University of Health Sciences, South Jordan, Utah-84095, USA.
⁴ Centre of Molecular Medicine and Diagnostics (COMManD), Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.
⁵ Department of Oral Pathology, College of Medical Sciences, Bharatpur, Nepal.

Abstract

Background: The gold standard in the management of gingival recession (GR) defects has been connective tissue graft (CTG) with coronally advanced flap (CAF). But patient morbidity associated with graft harvesting is a major drawback and has led to the development of various substitute biomaterials which have been tried and tested.

Aim: Our study is aimed at checking the efficacy of marine collagen matrix (MCM) impregnated with injectable platelet-rich fibrin (I-PRF) with modified CAF in the treatment of Miller's class I and II recession defects. Case Description. Six patients with ten GR defects in maxilla were treated with CAF + MCM + I-PRF. Clinical parameters like recession height (RH), recession width (RW), root coverage (RC%), width of attached gingiva (WAG), keratinized tissue height (KTH), probing pocket depth (PPD), clinical attachment level (CAL), gingival biotype (GB), plaque index (PI), and visual analogue score (VAS-E) esthetic scores were evaluated up to six months. There was significant root coverage observed at three- and six-month follow-ups.

Conclusion: The proposed treatment was effective in the management of GR defects and improvement in soft tissue biotype without the morbidity associated with soft tissue harvest.

Publication types

Case Reports