Comparison between microsurgical and Macrosurgical techniques for the Treatment of gingival recessions using Coronally advanced flap and platelet Rich fibrin - a randomized controlled Clinical trial

Abstract

ABSTRACT INTRODUCTION: Gingival recession is a prevalent aesthetic concern among patients, with an increased susceptibility leading to a greater risk of root caries. Restoring the periodontium to health is the aim of periodontal plastic surgery. Coronally Advanced Flap (CAF) has been the technique of choice for treatment of isolated gingival recessions. The combination of platelet rich fibrin along with CAF has shown beneficial effects in treatment of gingival recession. New surgical approaches are necessary to minimize the surgical trauma and overcome the limitations related to the manual ability and natural vision of the surgeons. The incorporation of a surgical microscope to periodontal plastic surgery provides better illumination and adequate magnification to increase the precision of a surgeon’s surgical skill. Hence, the present study was undertaken to compare the clinical efficacy of macro-surgically and micro-surgically treated coronally positioned flap technique with platelet rich fibrin membrane for the treatment of Miller's class I gingival recessions. AIM: To assess and compare the macro and microsurgical techniques using a coronally advanced flap and platelet rich fibrin for the treatment of Miller’s class-1 gingival recession.