The use of platelet‐rich fibrin in vestibuloplasty: A 36‐month follow‐up technique report

doi:10.1002/cap.10201

Q3 · MedicineImpact Factor · 0.786

AutoresÁngel-Orión Salgado-Peralvo, Andrea Uribarri, Naresh Kewalramani, Juan‐Francisco Peña‐Cardelles, Antonio Liñares

Por qué importa

Este informe técnico presenta una técnica de vestibuloplastia utilizando fibrina rica en plaquetas (PRF) en una paciente de 35 años con fenotipo gingival fino y recesiones. La vestibuloplastia busca aumentar el vestíbulo y el tejido queratinizado, procedimientos donde los injertos de tejido gingival libre (ITG) son el estándar, pero implican una segunda zona quirúrgica, mayor morbilidad y riesgo de complicaciones. El estudio propone la PRF como una alternativa válida y efectiva a la epitelización secundaria y a los ITG, mostrando resultados aceptables en ganancia de tejido queratinizado y cobertura radicular, con un mínimo malestar postoperatorio. La correcta orientación de las membranas de PRF hacia el lecho receptor y la obtención de un mínimo de cuatro membranas solapadas son claves para el éxito, aunque la estabilidad de la PRF representa una limitación principal.

Abstract original

INTRODUCTION: Vestibuloplasty is a mucogingival procedure that aims to increase the vestibule and the amount of keratinized tissue (KT) around teeth and dental implants. Currently, the gold standard in this procedure is still represented by free gingival grafts (FGGs); however, they require a second surgical site, which means more morbidity for the patient and a higher risk of surgical complications, as well as surgical time and chromatic alteration of the recipient area. CASE PRESENTATION: This is a description of the vestibuloplasty technique with platelet-rich fibrin (PRF) in a 35-year-old female patient with a thin gingival phenotype and no medical history of interest. The reason for consultation was tooth sensitivity during brushing and the presence of recessions in the fifth sextant. CONCLUSIONS: The use of PRF as a graft biomaterial in vestibuloplasty is a valid and effective option as an alternative to secondary epithelialization of the surgical site, as well as to FGGs, with acceptable results in terms of KT gain and root coverage, and with minimal postoperative discomfort. KEY POINTS: Why is this case new information? The use of PRF is an interesting option as an alternative to second-intention healing, as FGGs in vestibuloplasty. What are the keys to successful management of this case? The most important part of the membranes is the part that was in close relation to the erythrocyte fraction in the blood collection tube, so this part must be oriented toward the recipient bed. A minimum of four membranes should be obtained, overlapping one on top of the other. What are the primary limitations to success in this case? The stability of the PRF.

Leer texto completo ↗DOI · 10.1002/cap.10201

Autores Doctor&Cols

Cómo citar

Salgado-Peralvo Á, Uribarri A, Kewalramani N, Peña‐Cardelles J, Liñares A. The use of platelet‐rich fibrin in vestibuloplasty: A 36‐month follow‐up technique report. Clinical Advances in Periodontics. 2022. doi:10.1002/cap.10201