Gingival Recession Coverage Using Collagen Matrix and Platelet-Rich Plasma (PRP) – Case Report

VOKURKA, Jan and Antonín FASSMANN. Gingival Recession Coverage Using Collagen Matrix and Platelet-Rich Plasma (PRP) – Case Report. In Dentsply Friadent World Symposium. 2012.

Basic information

• Original name: Gingival Recession Coverage Using Collagen Matrix and Platelet-Rich Plasma (PRP) – Case Report
• Name in Czech: Krytí giongiválního recesu pomocí kolagenní matrix s plazmou bohatou na trombocyty (PRP) - kazuistika
• Authors: VOKURKA, Jan and Antonín FASSMANN.
• Edition: Dentsply Friadent World Symposium, 2012.

Other information

• Original language: English
• Type of outcome: Conference abstract
• Field of Study: 30200 3.2 Clinical medicine
• Country of publisher: Czech Republic
• Confidentiality degree: is not subject to a state or trade secret
• Organization unit: Faculty of Medicine
• Keywords (in Czech): gingivální recesus, kolegenní matrix, plazma bohatá na trombocyty, PRP, kazuistika
• Keywords in English: gingival recession, collagen matrix, platelet-rich plasma, PRP, case report
• Tags: collagen matrix, gingival recession, PRP

Abstract

Coverage of gingival recession represents one of the main challenges in mucogingival surgery. Among other causes, insufficient amount and width of keratinized gingiva, protrusion of teeth, and traumatic brushing represent the most frequent causes of gingival recession. Surgery procedures such as autologous free mesenchymal graft with coronally advanced flap are used for coverage of gingival recession. Morbidity, pain and discomfort of the donor site led to development of new techniques and materials. Collagen Matrix (CM; Mucograft, Geistlich, Switzerland) was developed for gingival recession coverage and for augmentation of keratinized tissue around teeth and implants. CM eliminates the need for donor site surgery, can be easily trimmed using scissors and is packed in sterile box. CM can be used immediately without any activation or preparation. CM is a predictable alternative to free mesenchymal graft. In dry state the handling is almost similar to autologous tissue. CM can be sutured to allow tight adaptation to the root surface and to ensure complete immobility during healing. Platelet-Rich Plasma (PRP) is autologous peripheral blood derivate that contains high concentration of growth factors. We assumed that addition of PRP to CM can lead to better clinical outcomes and diminish postoperative swelling and discomfort of the patient. In the case report we present successful gingival recession coverage using combination of CM and PRP. Within the limitation of small number of operated patients we can conclude that PRP helps to diminish the postoperative swelling and speeds up the healing process. Future research is needed to prove the benefits of combined CM and PRP therapy.