EFFICACY OF INCREASING GINGIVAL PAPILLA HEIGHT USING INJECTABLE PLATELET-RICH FIBRIN

Thị Mai An Trần, Bích Vân Nguyễn, Ngọc Yến Thư Nguyễn

Main Article Content

Abstract

Purpose: To evaluate the effectiveness of injectable Platelet-Rich Fibrin (i-PRF) in promoting interdental papilla regeneration in patients with papilla recession. Materials and methods: The study included 38 sites of papilla recession in both the maxilla and mandible. i-PRF was collected using a centrifugation process at 700 rpm with a force of 60G for 3 minutes and was then injected into the papilla using a 1ml syringe with a 30G needle. Each patient received two injections, with the second injection administered 10 days after the first. Clinical periodontal indices and papilla height were recorded at baseline (T0) and 3 months post-treatment (T2). Results: After 3 months of treatment, the height of interdental papilla showed a sighnificant increase, with an initial measurement of 3,0 (2,7 – 3,7) mm at T0, increasing to 3,9 (3,2 – 4,2) mm post-treatment. However, full coverage of the interdental space were not entirely achieved. The plaque index (PlI) decreased from 1,0 (0,0 – 1,0) to 0,0 (0,0 – 0,0) (p < 0,001). No significant differences observed in the outcomes of the GI, PPD, CAL and BOP (p > 0,05). Conclusion: i-PRF injections represent a promising, simple, and rapid method for treating papilla recession, utilizing autologous materials with no risk of allergic reactions. This technique effectively increases papilla height and enhances aesthetic outcomes for patients.

Article Details

References

Ahila E, Saravana Kumar R, Reddy VK, Pratebha B, Jananni M, Priyadharshini V. Augmentation of Interdental Papilla with Platelet-rich Fibrin. Contemp Clin Dent. 2018 Apr-Jun; 9(2):213-217. doi: 10.4103/ccd.ccd_812_17. PMID: 29875563; PMCID: PMC5968685.
2. Trivedi, et al. Comparative evaluation of injectable-platelet rich fibrin and hyaluronic acid injections in the treatment of gingival black triangles. International journal of scientific research. 2021;64-68. 10.36106/ijsr/3417009.
3. Mourao, Carlos Fernando & Valiense, Helder & Melo, et al. Obtention of injectable platelets rich-fibrin (i-PRF) and its polymerization with bone graft: technical note. Revista do Colégio Brasileiro de Cirurgiões. 2015; 42. 421-423. 10.1590/0100-69912015006013.
4. Cardaropoli D, Re S, Corrente G. The Papilla Presence Index (PPI): a new system to assess interproximal papillary levels. Int J Periodontics Restorative Dent. 2004 Oct;24(5):488-92. doi: 10.11607/prd.00.0596. PMID: 15506030.
5. Sharma P, Vaish S, Sharma N, et al. Comparative evaluation of efficacy of subepithelial connective tissue graft versus platelet-rich fibrin membrane in surgical reconstruction of interdental papillae using Han and Takie technique: A randomized controlled clinical trial. J Indian Soc Periodontol. 2020 Nov-Dec;24(6):547-553. doi: 10.4103/jisp.jisp_125_20. Epub 2020 Nov 14. PMID: 33424172; PMCID: PMC7781246.
6. Chandramohan, Nikhila & A, Swetha. Evaluation of i-PRF injection technique as an alternative for reconstruction of interdental papillae - a pilot study. A Indian Journal of applied research. 2021, 50-53. 10.36106/ ijar/9514273.
7. Fakher, I., Hazzaa, H. H., & Abdelgawad, N. Use of Injectable Hyaluronic Acid Gel and Injectable Platelet-rich Fibrin in the Treatment of Gingival Black Triangles: A Randomized Clinical Trial. Al-Azhar Dental Journal for Girls. 2023, 10 (2), 471-477.
8. Bissar, M. W., Nasser, N., & El-Mofty, M. S. Volumetric Soft Tissue Changes After Using Injectable Platelet-Rich Fibrin (I-PRF) Versus Subepithelial Connective Tissue Graft in Interdental Papillae Defects: A Randomized Controlled Clinical Study. Perio J.2022; 6(1), 2635.https://doi.org/10.26810/perioj.2022.a3.