 |
Case Report
Periodontal microsurgery using Zucchelli’s modification of coronally advanced flap with PRF membrane for root coverage
1 PG Resident, Department of Periodontology, Army Dental Centre (R&R), New Delhi, India
2 Professor, Department of Periodontology, Army Dental Centre (R&R), New Delhi, India
3 Associate Professor, Department of Periodontology, Army Dental Centre(R&R), New Delhi, India
4 Assistant Professor, Dept of Periodontology, Army Dental Centre(R&R), New Delhi, India
Address correspondence to:
Sangeeta Singh
Department of Periodontology, Army Dental Center (R&R), New Delhi - 110010,
India
Message to Corresponding Author
Article ID: 100977Z01MR2018
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Rathi M, Jha AK, Singh S, Prakash P. Periodontal microsurgery using Zucchelli’s modification of coronally advanced flap with PRF membrane for root coverage. Int J Case Rep Images 2018;9:100977Z01MR2018.ABSTRACT
Introduction: Marginal tissue recession (MTR) is a most common mucogingival condition found in population. The patient’s concerns include poor esthetics leading to root exposure and sensitivity, affecting patient’s quality of life. Multiple novel techniques have been introduced for treating isolated as well as multiple MTR. Zucchelli introduced a modification of coronally advanced flap(CAF) for treating multiple MTR in the esthetic region. Results from many randomized clinical trials have shown autologous plateletrich fibrin (PRF) having remarkable ability of promoting soft-tissue wound healing. This case report highlights the use of Zucchelli’s modification of CAF with PRF under the periodontal microscope to treat multiple MTR.
Case Report: A 42-year-old male non-smoker, reported to this centre with complaint of receding gums and sensitivity in upper left anterior teeth region. Multiple MTR (Miller’s Class I) was observed in maxillary left lateral incisor, cuspid and first premolar. Root coverage procedure was done using Zucchelli’s modification of CAF with PRF membrane under periodontal microscope. Six months post-operative results revealed 100% root coverage with reduction in hypersensitivity and higher patient satisfaction.
Conclusion: With the introduction of minimally invasive technique in dentistry, periodontal microsurgery has led to excellent postoperative outcomes in terms of patient perception and clinical results. This case report demonstrates the effectiveness of periodontal microsurgery which utilises the microincisions and improved visibility of the operating field. This reduces the post-operative discomfort, better clinical outcome of the procedure. The use of PRF membrane provides an alternative in cases where SCTG is not feasible.
Keywords: Cosmetic periodontal plastic surgery, Gingival recession, Mucogingival surgery, Plastic periodontal surgery
SUPPORTING INFORMATION
Author Contributions
Manish Rathi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Anil Kumar Jha - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Sangeeta Singh - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Priyanka Prakash - Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this study.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 Manish Rathi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
