Innovative use of increasing the width of attached gingiva using chorion membrane along with platelet rich fibrin membra
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Innovative use of increasing the width of attached gingiva using chorion membrane along with platelet rich fibrin membrane Shaila Kothiwale
. Jyoti Ajbani
Received: 19 August 2020 / Accepted: 6 November 2020 Ó Springer Nature B.V. 2020
Abstract Width of attached gingiva plays an important role in maintaining periodontal health, provides stabilization of the gingival margin against frictional forces and aids in dissipating physiological forces exerted by the muscular fibers of the alveolar mucosa on the gingival tissues. Inadequate width of attached gingiva leads to attachment loss, soft tissue recession, and impedes oral hygiene measures. Hence, procedures using autografts and allografts have been proposed to augment the attached gingiva. Allografts like chorionic membrane (CM) are known to enhance release of growth factors, promote neovascularization, healing and enhance biotype. To assess the efficacy of CM in increasing the width of attached gingiva, vestibular depth and gingival thickness. Fifteen patients with inadequate attached gingival width were included in the study. Patients were randomly allocated to each group: Control group, CM group and CM ? platelet rich fibrin (PRF) group. Attached gingiva width, vestibular depth, and gingival thickness were measured at baseline and 4 weeks post procedure. The control, CM and CM ? PRF groups showed an increase in all parameters from baseline to 4 weeks.
S. Kothiwale (&) J. Ajbani Department of Periodontics, KLEs V. K. Institute of Dental Sciences, KAHER, Belagavi, Karnataka 590010, India e-mail: [email protected] J. Ajbani e-mail: [email protected]
The increase in the attached gingiva (p = 0.042) width, vestibular depth (p = 0.043) and gingival thickness (p = 0.034) were statistically significant at 4 weeks for CM group and CM ? PRF group respectively. The CM ? PRF group showed better results compared to other groups. CM and PRF can be effectively incorporated to increase the width of attached gingiva and depth of vestibule. Keywords Chorion membrane Vestibuloplasty Periodontitis Platelet rich fibrin Muco-gingival problems
Introduction Attached gingiva is the part of the gingiva that is firmly attached to the underlying tooth and bone (Orban 1948). It increases resistance to external injury and contributes to stabilization of the gingival margin against frictional forces. It also aids in dissipating physiological forces exerted by the muscular fibers of the alveolar mucosa on the gingival tissues. The width of the attached gingiva varies in different individuals and on different teeth of the same individual (Santhosh Kumar and Anand 2015). Teeth with narrow width of attached gingiva and decreased vestibular depth cause accumulation of food particles during mastication and impede oral hygiene measures
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Cell Tissue Bank
(Rajpal et al. 2013). Several studies have evaluated the role of adequate vestibular depth in the maintenance of oral hygiene. Cases with high t
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