An Analysis of Connective Tissue Graft and PRF in Comparison for Recession Coverage

Abstract

Introduction: A common clinical disease known as gingival recession (GR) is when the gingival margin shows apical movement, which increases the risk of root cavities, causes cosmetic problems, and exposes the roots. Managemnt of multiple adjacent recession defects (MARD) requires efficient management techniques are essential.

Objectives: With an emphasis on root coverage, gingival biotype improvement, and postoperative healing, the study compares the clinical results of PRF membranes and CTG in the treatment of MARD.

Methods: Two male patients with multiple adjacent gingival recessions were treated with different techniques. Case 1 involved a 45-year-old male treated with PRF, while Case 2 involved a 40-year-old male treated with CTG. Both cases employed a coronally advanced flap procedure. Clinical indicators were assessed both at the initial 6-month follow-up and at baseline.

Results: The PRF-treated patient showed a 3 mm increase in root coverage and improved gingival biotype, with enhanced postoperative healing and minimal discomfort. The CTG-treated patient exhibited a 2 mm increase in root coverage and improved gingival biotype, but experienced more postoperative discomfort due to the secondary surgical site.

Conclusions: Both PRF and CTG are effective for treating MARD. PRF offers simpler preparation, better postoperative healing, and reduced patient morbidity, making it preferable for patients concerned about discomfort and recovery time. CTG provides predictable, aesthetically pleasing results. Further research is needed to validate these findings over longer periods and larger populations.