TY - JOUR T1 - LOKALİZE DİŞETİ ÇEKİLMESİ TEDAVİSİNDE KORONALE KAYDIRILAN FLEP VE TROMBOSİTTEN ZENGİN FİBRİN İLE KORONALE KAYDIRILAN FLEP VE SUBEPİTELYAL BAĞ DOKUSU GREFTİNİN KARŞILAŞTIRILMASI: BİR OLGU SUNUMU AU - Uslu, Mustafa Özay AU - Dündar, Serkan AU - Eltas, Abubekir PY - 2018 DA - April DO - 10.17567/ataunidfd.419007 JF - Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi JO - Ata Diş Hek Fak Derg PB - Atatürk Üniversitesi WT - DergiPark SN - 1300-9044 SP - 228 EP - 232 VL - 28 IS - 2 LA - tr AB - Bu vakanın amacıolgumuzda maksiller kanin dişlerdeki Miller Sınıf-I dişeti çekilmelerindekoronale kaydırılan flep (KKF) ve subepitelyal bağ dokusu grefti (SBDG)tedavisi ile KKF ve trombositten zengin fibrin (TZF)  tedavisinin sonuçlarını karşılaştırmaktı.             Sistemik açıdansağlıklı 31 yaşında bayan hasta, kliniğimize dişlerinde hassasiyet ve estetikşikayeti ile başvurdu. Maksiller sağ ve sol kanin dişinde Miller Sınıf-I dişetiçekilmesi mevcuttu. Hastadan alınan kandan TZF elde edildi. Dişetiçekilmelerinin tedavisi için her iki dişte önce tam kalınlık mukoperiostal flepkaldırıldıktan sonra mukogingival birleşimden itibaren yarım kalınlık flep kaldırıldı.Kök yüzeyi debridmanı gerçekleştirildikten sonra papil bölgesi deepitelizeedildi ve TZF interdental papile süture edildi. Sol kaninde ise SBDG papilleresüture edildi. Her iki mukoperiostal flep koronale kaydırılarak kök yüzeyikapatıldı. Operasyon bölgesi öjenolsüz bir pat ile korundu. Hastaya operasyonsonrası antienflamatuvar ve klorheksidin glukonat içeren gargara reçete edildi.Operasyon sonrası erken dönemde herhangi bir komplikasyon izlenmedi. Pat vesüturlar operasyondan 10 gün sonra alındı. Bir ay sonra sağ kaninde %100 kökkapanmasının sağlandığı görüldü. Sol kaninde ise 1.5 mm dişeti çekilmesimevcuttu ve keratinize dişeti kalınlığı TZF uygulanan dişe göre daha fazlaydı. On beşay sonraki dişeti çekilmesi her iki tarafta da 1 mm olarak ölçüldü.Lokalize Miller Sınıf-Ive sınıf-II dişeti çekilmelerinde TZF kullanılarak yapılan tedaviler hakkındabaşarılı klinik sonuçlar bulunmaktadır. İkinci bir cerrahi müdahaleninolmaması, daha az zaman alması, donör saha morbiditesininortadan kalkması ve post-operatif rahatsızlığın olmaması gibi avantajlarıylaTZF SBDG’yeiyi bir alternatif olarak görülmektedir.Anahtar Kelimeler: Bağ dokusu grefti, Diş eti çekilmesi, Trombositten zengin fibrinTHE COMPARISON OF CORONALLY ADVANCED FLAP WITHPLATELET RICH FIBRIN AND CORONALLY ADVANCED FLAP WITH SUBEPITHELIAL CONNECTIVETISSUE GRAFT IN THE TREATMENT OF LOCALIZED GINGIVAL RECESSION: A CASE REPORTABSTRACTThepurpose of this case was comparing the efficacy of coronally advanced flap (CAF) with subepithelial connective tissue graft (SCTG) treatment and CAF with platelet-rich fibrin (PRF) in the maxillary canine teeth with Miller Class-I gingival recessions.Systemicallyhealthy 31 year-old female patient was admitted to ourclinic witha complaint of aesthetic and hypersensitivity.Miller Class-I gingival recession was present in maxillary right and left canine teeth. PRF was obtained from the patient’sblood. Full thickness mucoperiosteal flap was reflected followed by a partial thickness flapbeyond the mucogingival junction forthe treatment of gingival recessions at both tooth. Thepapilla area was deepitelized after root surface debridement andPRF was sutured to the interdentalpapilla. SCTG was sutured to papilla at left canine. Root surface was closed by sliding the both mucoperiosteal flaps coronally.The surgical area was protected using a non-eugenol dres- sing. After surgery anti-inflammatory and chlorhexidinegluconate mouthwash was prescribed. There were no complications in the early period afterthe operation.The dressing and sutures were removed 10 days after the operation. 100% root coverage was maintained at right canine one month later. There was 1.5 mm gingival re- cession at left canine and keratinized gingival thickness was higher accordingto the PRF applied teeth. The gingi- val recession was 1 mm at both sides fifteen month later.Thereare successful clinical results​​ in thetreatment of localized Miller Class-I andClass-II gingival recessions using PRF. PRF is seen as a goodalternative to SCTG with advantages such as the absence of asecond surgical intervention, less time consuming, the elimination of donor site morbidity and the lack of post-operativediscomfort.Keywords: Connective tissue graft, Gingival recession, Platelet rich fibrin KW - Bağ dokusu grefti KW - Diş eti çekilmesi CR - 1. Smith RG. Gingival recession. Reappraisal of an enigmatic condition and a new index for monitoring. J Clin Periodontol 1997;24:201-5. CR - 2. Eltas A, Toy VE. Malatya Bölgesinde Dişeti Çekil- mesinin Yaygınlığının, Şiddetinin ve Etkenlerinin Araştırılması. İnonu Univ Saglık Bilimleri Derg 2013;1:29-33. CR - 3. Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc 2003;134:220-5. CR - 4. Nizam N, Akcalı A. 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Root-coverage procedures for the treatment of localized recession-type defects: a Cochrane systematic review. J Periodontol 2010;81:452-78. UR - https://doi.org/10.17567/ataunidfd.419007 L1 - http://dergipark.org.tr/tr/download/article-file/464389 ER -