Dr Kunal Keshaw
Patient reported with a history of severe sensitivity,past one and a half years ,on examination miller’s class 2 gingival recession and exposed root surface was evident. tissue biotype was very thin and even the root could be seen beneath.
it was planned to go for a minimal invasive procedure where not to create another operative site to harvest connective tissue graft, rather single point of surgery with platelet rich fibrin membrane,A-PRF and the same as injectable form,i.e, i-PRF was opined.
Again the flap design opted was lateral bridge flap,which was again modified as to the combination of full thickness and partial thickness along with crevicular incisions along side papilla not releasing them, and advancing the whole coronally. after the surgical procedure putting A-PRF membrane instead of connective tissue,at certain intervals the site was injected with i-PRF, following choukran and dohan’s protocol to obtain.
Provided single site of surgery and opting minimal invasive approach,we could get almost complete coverage of the exposed root surface along with absolute increase in the tissue biotype,appearance of stippling and pigmentation at the site. patient enjoying wholesome of all those treats she wanted to have for long. Happy and satisfied.
The motive was to see for the results of this out of the box ,other than conventional approach,keeping in mind the minimal invasive protocol, not just to cover the exposed root surface but to provide its optimal physiologic esthetic appearance and function.