Alternativas de tratamiento en recesiones gingivales : Fibrina Rica en Plaquetas e Injerto Subepitelial, Revisión de la literatura.

Abstract

Gingival recession has been a persistent problem for some years in the population and this leads the patient to seek good mucogingival therapy. Gingival retraction has consequences for oral health, it is aesthetically unacceptable for patients, it causes dentin hypersensitivity; carious and non-carious cervical lesions; loss of dental pieces. Objective: To determine the XI efficacy of Platelet Rich Fibrin (PRF) and Subepithelial Graft (SCTG) as treatment alternatives for gingival recessions. Materials and Methods: Review of the literature, of articles from 2011 to 2022, using the PubMed, Google Scholar, Cochrane metasearch engines. Of the 110 articles found, a sample of 33 articles was chosen. Results: Regarding the etiology of gingival recessions, the main one is traumatic toothbrushing. In the same way, they indicated that the most relevant advantage of FRP is the effectiveness of tissue healing and regeneration. On the other hand, the most important advantage of the subepithelial graft is the gain of keratinized tissue. According to the literature, the FRP presents complete root coverage of 81.83% and the SCTG 88.75%. Conclusion: Despite its similarity in complete root coverage between FRP and SCTG. It was established that FRP does not have periodontal indices to replace SCTG, which is currently considered the gold standard.