Zucchelli’s Technique Of Coronally Advanced Flap With PRF Membrane – A Novel Technique For The Treatment Of Multiple Gingival Recessions
Zucchelli’s Technique Of Coronally Advanced Flap With PRF Membrane – A Novel Technique For The Treatment Of Multiple Gingival Recessions
Keywords:
Gingival recession, Multiple gingival recessions, PRF, hypersensitivity, Growth factorsAbstract
Background: Gingival recession is both unpleasant and unaesthetic. Gingival recession associated with
dentinal hypersensitivity is one of the commonest issues addressed by the periodontist. The treatment of choice for
such cases should address biological as well as patient chief complaint. Meeting the esthetic and functional demands
of patients with multiple gingival recessions remains a major therapeutic challenge. Coronally advanced flaps for root
coverage are the most commonly used technique for multiple teeth recessions. This case report describes a case of
Class I gingival recession due to faulty brushing technique associate with dentinal hyper sensitivity treated with
Zucchelli’s modification of conventional coronally advanced flap with PRF membrane. [Agrawal I NJIRM 2016; 7(3): 55
- 59]
References
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of Periodontal Terms, 4th Ed Chicago 2001
2. Joshipura KJ, Kent RL, DePaola PF. Gingival
recession: intraoral distribution and associated
factors. J Periodontol l994; 65:864-871.
3. Wennstrom JL, Pini Prato GP: Mucogingival therapy
periodontal plastic surgery. In: ClinicalPeriodontology and implant dentistry. J Lindhe, N P
Lang, T Karring, Eds; 4th Edn.; Blackwell Publication,
Munksgaard, 2003; pp576-649.
4. Marmar M. and Hom LW. Tunneling procedure for
root coverageusing acellular dermal matrix: a case
series. Int J Periodontics Restorative Dent 2009;
29:395-403.
5. Philipe G, David N, Daniel E and Francis M. Efficacy
of the supraperiostealenvelope technique: a
preliminary comparative clinicalstudy. Int J
Periodontics Restorative Dent2009;29:201-211.
6. Miller PD. Root coverage using the free tissue auto
graft citric acidapplication. III. A successful and
predictable procedure in deepwiderecession.Int J
Periodontics Restorative Dent1985;5:15-37.
7. Harris, R.J. and Harris, A.W. The coronally positioned
pedicle graft with inlaid margins: A predictable
method of obtaining root coverage of shallow
defects. Int J Periodontics Restorative Dent 1995;
14:229-241.
8. Langer B and Langer L. Sub epithelial connective
tissue graft techniquefor root coverage. J
Periodontol1985; 56:715-720.
9. Pini PG, Clauser C, Cortellini P, Tinti C, Vincenzi G
and PaqliaroU. Guided tissue regeneration versus
mucogingival surgery inthe treatment of human
buccal recession. A 4-year follow-upstudy. J
Periodontol1996; 67:1216-1223.
10. Del Corso M, Sammartino G, Dohan Ehrenfest DM.
Clinical evaluation of a modifiedcoronally advanced
flap alone or in combination with a platelet-rich
fibrin membrane for the treatment of adjacent
multiple gingival recessions: a 6-month study. J
Periodontol 2009; 80: 1694–1697.
11. Mc Guire MK, Cochran DL.Evaluation of human
recession defects treated withcoronally advanced
flaps and either enamel matrix derivative or
connective tissue. Part 2. Histologic evaluation. J
Periodontol 2003; 74: 1126-1135.
12. Roccuzzo M, Bonino M, Needleman I, Sanz M.
Periodontal plastic surgery fortreatment of localized
gingival recessions: a systematic review. J
ClinPeriodontol2002; 29(Suppl3): 178-194.
13. Zucchelli G and De Sanctis M. Treatment of multiple
recession type-defects in patients with esthetic
demands. J Periodontol2000; 71:1506-1514.
14. Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan
AJ, Mouhyi J, Gogly B.Platelet-rich fibrin (PRF): a
second-generation platelet concentrate. Part II:-
related biologic features. Oral Surg Oral Med Oral
Pathol Oral RadiolEndod 2006; 101: e45-50.
15. Loe H, Anerud A,Boyen H. The natural history of
periodontaldisease in man; prevalence, severity,
extent of gingival recessionPeriodontol1992;
63:489-495.
16. Isik AG, Tarim B, Hafez AA, Yalcin FS, Onan U and
Cox CF. Acomparative scanning electron microscopic
study on the characteristicsof demineralized dentin
root surface using differenttetracycline HCL
concentrations and application times. J
Periodontol2000; 71:219-225.
17. Allen EP, Miller PD. Coronal positioning of existing
gingiva: Short term results in the treatment of
shallow marginal tissue recession. J Periodontol
1989;60:316 – 319.
18. Ainamo A, Bergenholtz A, Hugoson A, Ainamo J.
Location of the mucogingival junction 18 years after
apically repositioned flap surgery. J ClinPeriodontol
1982; 9:49-52
19. Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR,
Strauss JE, Georgeff KR.Platelet-rich plasma: growth
factor enhancement for bone grafts. Oral Surg Oral
Med Oral Pathol Oral RadiolEndod 1998; 85: 638-46.
20. Anitua E, Sanchez M, Orive G, Andia I. The potential
impact of the preparation rich in growth factors
(PRGF) in different medical fields. Biomaterials 2007;
28:4551-60.
21. Dohan Ehrenfest DM. How to optimize the
preparation of leukocyte- andplatelet-rich fibrin (LPRF,
Chokuron’s technique) clots and
membranes:Introducing the PRF Box. Oral Surg Oral
Med Oral Pathol Oral RadiolEndod2010; 110: 275-
278.
22. Del Corso M, Sammartino G, Dohan Ehrenfest
D.M. Choukroun's platelet-rich fibrin (PRF)
membranes in periodontal surgery: understanding
the biomaterial or believing into the magic of
growth factors?. J Periodontol. 2009;80:1694–1697.
of Periodontal Terms, 4th Ed Chicago 2001
2. Joshipura KJ, Kent RL, DePaola PF. Gingival
recession: intraoral distribution and associated
factors. J Periodontol l994; 65:864-871.
3. Wennstrom JL, Pini Prato GP: Mucogingival therapy
periodontal plastic surgery. In: ClinicalPeriodontology and implant dentistry. J Lindhe, N P
Lang, T Karring, Eds; 4th Edn.; Blackwell Publication,
Munksgaard, 2003; pp576-649.
4. Marmar M. and Hom LW. Tunneling procedure for
root coverageusing acellular dermal matrix: a case
series. Int J Periodontics Restorative Dent 2009;
29:395-403.
5. Philipe G, David N, Daniel E and Francis M. Efficacy
of the supraperiostealenvelope technique: a
preliminary comparative clinicalstudy. Int J
Periodontics Restorative Dent2009;29:201-211.
6. Miller PD. Root coverage using the free tissue auto
graft citric acidapplication. III. A successful and
predictable procedure in deepwiderecession.Int J
Periodontics Restorative Dent1985;5:15-37.
7. Harris, R.J. and Harris, A.W. The coronally positioned
pedicle graft with inlaid margins: A predictable
method of obtaining root coverage of shallow
defects. Int J Periodontics Restorative Dent 1995;
14:229-241.
8. Langer B and Langer L. Sub epithelial connective
tissue graft techniquefor root coverage. J
Periodontol1985; 56:715-720.
9. Pini PG, Clauser C, Cortellini P, Tinti C, Vincenzi G
and PaqliaroU. Guided tissue regeneration versus
mucogingival surgery inthe treatment of human
buccal recession. A 4-year follow-upstudy. J
Periodontol1996; 67:1216-1223.
10. Del Corso M, Sammartino G, Dohan Ehrenfest DM.
Clinical evaluation of a modifiedcoronally advanced
flap alone or in combination with a platelet-rich
fibrin membrane for the treatment of adjacent
multiple gingival recessions: a 6-month study. J
Periodontol 2009; 80: 1694–1697.
11. Mc Guire MK, Cochran DL.Evaluation of human
recession defects treated withcoronally advanced
flaps and either enamel matrix derivative or
connective tissue. Part 2. Histologic evaluation. J
Periodontol 2003; 74: 1126-1135.
12. Roccuzzo M, Bonino M, Needleman I, Sanz M.
Periodontal plastic surgery fortreatment of localized
gingival recessions: a systematic review. J
ClinPeriodontol2002; 29(Suppl3): 178-194.
13. Zucchelli G and De Sanctis M. Treatment of multiple
recession type-defects in patients with esthetic
demands. J Periodontol2000; 71:1506-1514.
14. Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan
AJ, Mouhyi J, Gogly B.Platelet-rich fibrin (PRF): a
second-generation platelet concentrate. Part II:-
related biologic features. Oral Surg Oral Med Oral
Pathol Oral RadiolEndod 2006; 101: e45-50.
15. Loe H, Anerud A,Boyen H. The natural history of
periodontaldisease in man; prevalence, severity,
extent of gingival recessionPeriodontol1992;
63:489-495.
16. Isik AG, Tarim B, Hafez AA, Yalcin FS, Onan U and
Cox CF. Acomparative scanning electron microscopic
study on the characteristicsof demineralized dentin
root surface using differenttetracycline HCL
concentrations and application times. J
Periodontol2000; 71:219-225.
17. Allen EP, Miller PD. Coronal positioning of existing
gingiva: Short term results in the treatment of
shallow marginal tissue recession. J Periodontol
1989;60:316 – 319.
18. Ainamo A, Bergenholtz A, Hugoson A, Ainamo J.
Location of the mucogingival junction 18 years after
apically repositioned flap surgery. J ClinPeriodontol
1982; 9:49-52
19. Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR,
Strauss JE, Georgeff KR.Platelet-rich plasma: growth
factor enhancement for bone grafts. Oral Surg Oral
Med Oral Pathol Oral RadiolEndod 1998; 85: 638-46.
20. Anitua E, Sanchez M, Orive G, Andia I. The potential
impact of the preparation rich in growth factors
(PRGF) in different medical fields. Biomaterials 2007;
28:4551-60.
21. Dohan Ehrenfest DM. How to optimize the
preparation of leukocyte- andplatelet-rich fibrin (LPRF,
Chokuron’s technique) clots and
membranes:Introducing the PRF Box. Oral Surg Oral
Med Oral Pathol Oral RadiolEndod2010; 110: 275-
278.
22. Del Corso M, Sammartino G, Dohan Ehrenfest
D.M. Choukroun's platelet-rich fibrin (PRF)
membranes in periodontal surgery: understanding
the biomaterial or believing into the magic of
growth factors?. J Periodontol. 2009;80:1694–1697.
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Published
2018-01-21
How to Cite
Agrawal, I., Bakutra, G., & chandran, S. (2018). Zucchelli’s Technique Of Coronally Advanced Flap With PRF Membrane – A Novel Technique For The Treatment Of Multiple Gingival Recessions: Zucchelli’s Technique Of Coronally Advanced Flap With PRF Membrane – A Novel Technique For The Treatment Of Multiple Gingival Recessions. National Journal of Integrated Research in Medicine, 7(3), 55–59. Retrieved from http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/1078
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