Journal of Health Sciences & Research

Register      Login

VOLUME 12 , ISSUE 1 ( January-June, 2021 ) > List of Articles


Pouch and Tunnel Techniques with and without the Use of Platelet-rich Fibrin for Root Coverage: Case Reports

Shiny Inasu, Biju Thomas

Keywords : Appearance, Gingival recession, Periodontal disease, Platelet-rich fibrin, Surgery

Citation Information : Inasu S, Thomas B. Pouch and Tunnel Techniques with and without the Use of Platelet-rich Fibrin for Root Coverage: Case Reports. J Health Sci Res 2021; 12 (1):17-20.

DOI: 10.5005/jp-journals-10042-1101

License: CC BY-NC 4.0

Published Online: 21-07-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Root coverage procedures for managing gingival recessions are found to be effective; however, each technique varies in its indication and its surgical procedure. Coronally advanced flap (CAF) is a widely used surgical procedure for root coverage. Several regenerative materials, such as platelet-rich plasma and platelet-rich fibrin (PRF), are also combined with it to improve the clinical outcome. This case report compares CAF in combination with PRF and CAF alone, to overview on the technique that has been carried out and provided better results and complete root coverage.

  1. Moskowitz ME, Nayyar A. Determinants of dental esthetics: a rational for smile analysis and treatment. Compend Contin Educ Dent. 1995;16(12):1164-1166, passim; quiz 1186. PMID: 8598015.
  2. Lang NP, Bartold PM. Periodontal health. J Periodontol 2018;89:S9–S16. DOI: 10.1002/JPER.16-0517.
  3. Loe H, Anerud A, Boysen H. The natural history of periodontal disease in man: prevalence, severity and extent of gingival recession. J Periodontol 1992;63(6):489–495. DOI: 10.1902/jop.1992.63.6.489.
  4. Patil VA, Patil ST. A novel approach in root coverage coronally repositioned flap with GTR membrane and frenotomy. J Indian Soc Periodontol 2013;17(2):261–264. DOI: 10.4103/0972-124X.113094.
  5. Hägewald S, Spahr A, Rompola E, et al. Comparative study of emdogain and coronally advanced flap technique in the treatment of human gingival recessions: a prospective controlled clinical study. J Clin Periodontol 2002;29(1):35–41. DOI: 10.1034/j.1600-051x.2002.290106.x.
  6. Deswal H, Grover H, Singh Y, et al. Coronally advanced flap for the treatment of gingival recession in molars: a clinical case. Int J Med Sci Clin Invent 2016;3(1). DOI: 10.18535/ijmsci/v3i1.02.
  7. Zabalegui I, Sicilia A, Cambra J, Gil J, Sanz M. Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: a clinical report. Int J Periodontics Restorative Dent. 1999 Apr;19(2):199-206. PMID: 10635186.
  8. Chambrone L, Tatakis DN. Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol 2015;86(2 Suppl.):S8–S51. DOI: 10.1902/jop.2015.130674.
  9. Ramachandra SS, Rana R, Reetika S, et al. Options to avoid the second surgical site: a review of literature. Cell Tissue Bank 2014;15(3):297–305. DOI: 10.1007/s10561-013-9395-8.
  10. Al-Jasser R. Platelet-rich fibrin as a new approach in treating gingival recession: systematic review and meta-analysis. 2017. DOI: 10.15226/jdodt.2017.00173.
  11. Borie E, Oliví DG, Orsi IA, Garlet K, Weber B, Beltrán V, Fuentes R. Platelet-rich fibrin application in dentistry: a literature review. Int J Clin Exp Med. 2015 May 15;8(5):7922-9. PMID: 26221349; PMCID: PMC4509294.
  12. Dani S, Dhage A, Gundannavar G. The pouch and tunnel technique for management of multiple gingival recession defects. J Indian Soc Periodontol 2014;18(6):776–780. DOI: 10.4103/0972-124X.147431.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.