Clinical Oral Investigations

, Volume 22, Issue 3, pp 1551–1558 | Cite as

Clinical evaluation of coronally advanced flap with or without platelet-rich fibrin for the treatment of multiple gingival recessions

  • Samed Kuka
  • Sebnem Dirikan Ipci
  • Gokser Cakar
  • Selcuk Yılmaz
Original Article



The aim of this randomized, controlled study was to assess the clinical effect of platelet-rich fibrin (PRF) in combination with coronally advanced flap (CAF) on root coverage, esthetics, and patient satisfaction when compared to CAF alone for the treatment of multiple Miller class I recessions.

Materials and methods

A total of 24 patients with 52 Miller class I multiple recessions ≥ 3 mm were included and divided into CAF + PRF and CAF groups. At baseline and 12 months after surgery, recession height (RH), keratinized tissue height, gingival thickness (GT), and mean and complete defect coverage were evaluated. Patient satisfaction and root coverage esthetic scores were also assessed.


Baseline RH in CAF + PRF and CAF groups was 3.15 ± 0.24 and 3.36 ± 0.34 mm, respectively. Intragroup comparisons revealed significant differences at 12 months for all parameters (p < 0.05). RH reduction was 2.75 ± 0.33 and 2.51 ± 0.33 mm (mean root coverage of 88.36 and 74.63%) in the CAF + PRF and CAF groups, respectively. Intergroup differences were found to be significant for GT gain (p < 0.05).


The additional use of PRF membrane did not provide additional benefits in terms of root coverage outcomes compared with CAF alone. The use of PRF membranes increased tissue thickness significantly.


Platelet-rich fibrin Coronally advanced flap Multiple gingival recessions Root coverage Gingival thickness 


Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This clinical study adheres to the ethics and principles as per Helsinki Declaration (2008). The guidelines, consent forms, and all other related items were approved by the Insititutional Review Board of Yeditepe University in Istanbul, Turkey.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  • Samed Kuka
    • 1
  • Sebnem Dirikan Ipci
    • 2
  • Gokser Cakar
    • 2
  • Selcuk Yılmaz
    • 3
  1. 1.Private PracticeAcıbademIstanbulTurkey
  2. 2.Faculty of Dentistry, Department of PeriodontologyAltınbaş UniversityIstanbulTurkey
  3. 3.Private PracticeIstanbulTurkey

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