Abstract
Free gingival graft is one of the technique used for root coverage so as to increase the inadequate keratinized tissue. The donor tissue is most frequently taken from the palate and generally the donor site is not covered or protected. Platelet rich fibrin is one of the good option for the wound coverage of donor site after free gingival graft so as to reduce the pain perception to patient and faster wound healing. The case report includes two cases with gingival recession, treated on the same day with free gingival graft with the use of platelet rich fibrin in the donor site in case 1 and without platelet rich fibrin in case 2 respectively which were compared for pain perception and wound healing postoperatively at 24 hours, 3 days, 5 days, 7 days and 14 days. There was less pain perception and discomfort in the donor site with the use of platelet rich fibrin and enhanced healing compared to donor site without platelet rich fibrin.
Keywords: Donor site; free gingival graft; platelet rich fibrin.
References
Farnoush A. Techniques for the protection and coverage of the donor sites in free soft tissue graft. J Periodontol. 1978;49(8):403-5.Shah R, Thomas R, Mehta DS. Recent modifications of free gingival graft: A case series. Contemp Clin Dent. 2015;6:425-7.
Femminella B, Iaconi MC, Di Tullio M, Romano L, Sinjari B, D’Arcangelo C, et al. Clinical comparison of platelet rich fibrin and a gelatin sponge in the management of palatal wounds following epithelialized free gingival graft harvest: a randomized clinical trial. J Periodontol. 2016 Feb;87(2):103-13.
Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJ, Mouhyi J, Gogly B. Platelet-rich fibrin (PRF):a second generation platelet concentrate. Part I: technological concepts and evolution. Oral Surg Oral Med Oral Path Oral Radiol Endod. 2006;101:E37-44.
Choukroun J, Diss A, Simonpieri A, Girard MO, Schoeffler C, Dohan SL, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part IV: clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:e56–e60.
Ustaoglu G, Ercan E Tunali M. The role of titanium-prepared platelet-rich fibrin in palatal mucosal wound healing and histoconduction. Acta Odontol Scand. 2016;74(7):558-64.
Aravindaksha SP, Batra P, Sood V, Kumar A, Gupta G. Use of platelet-rich fibrin membrane as a palatal bandage. Clinic Adv Periodontics. 2013;4:246–50.
Tomar N, Singh R, Jain G, Kaushik M, Dureja D. Enhancement of healing of donor hard palate site using platelet-rich fibrin. J Curr Res Sci Med. 2016;2:132-5.
Kulkarni MR, Thomas BS, Varghese JM, Bhat GB. Platelet‑rich fibrin as an adjunct to palatal wound healing after harvesting a free gingival graft: A case series. J Indian Soc Periodontol. 2014;18:399-402.
Soileau KM, Brannon RB. A histologic evaluation of various stages of palatal healing following subepithelial connective tissue grafting procedures: A comparison of eight cases. J Periodontol. 2006;77:1267-73.
Yen CA, Griffin TJ, Cheung WS, Chen J. Effects of Platelet Concentrate on Palatal Wound Healing After Connective Tissue Graft Harvesting. J Periodontol. 2007;78:601-10.
Reddy S, MGS Prasad, S Singh, P Krishnanand, Bhowmik N, N Ashwini. Enhancing palatal wound healing by using platelet rich fibrin membrane as fibrin bandage. Int J Applied Dent Sci. 2015;1(4):02-04.
