Keywords
Platelet Rich Fibrin
Wound Healing
How to Cite
Abstract
Introduction: Gingivectomy and gingivoplasty surgery associated with osteotomy can generally cause an increase in postoperative morbidity, therefore, possibly the use of platelet concentrates such as Platelet and Leukocyte Rich Fibrin (PLRF) can help to reduce this morbidity. Objective: The present report aims to report a case of gingivectomy and gingivoplasty associated with osteotomy and osteoplasty and using PLRF. Case Report: Female patient, 20 years old, melanoderma, non-smoker, without systemic involvement and without previous allergies, was referred to the specialization course in periodontics in northern Brazil with the main complaint of “small teeth” and during the anamnesis and clinical examinations it was observed that he was in the final phase of orthodontic treatment, approximately 1 year and 6 months ago, with aligners in the upper arch and fixed appliance in the lower arch, in addition to short clinical crowns, excessive gingival exposure characterizing a smile gingival and buccal torus. After clinical examinations and adaptation of the patient's environment, blood was collected via venipuncture, 5 tubes with EDTA of blood were removed and taken to centrifuge for 15 minutes at 12,000 rpm. Subsequently, he received bilateral local anesthesia in the infraorbital nerve and with confirmed analgesia, probing and demarcations were carried out with a Williams-type millimeter probe from teeth 15 to 25, then 3 incisions were made (internal bevel; intrasulcular and 90º degrees) to remove the collar, Then, using a 2-4 molt detacher, the flap was lifted for osteotomy and osteoplasty with high rotation. Finally, the 5 PLRF membranes formed after centrifugation were placed in the area to observe their help in the patient's postoperative period. Conclusion: It is concluded from this report that PLRF can help improve the healing of periodontal surgical wounds such as gingivectomy and gingivoplasty but does not affect the aesthetic result.
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Copyright (c) 2024 Amanda Goncalves de Oliveira, Hicso Augusto Figueiredo do Carmo, Rhaisa Vasconcelos da Graça, Emilly Silva e Silva, Manoella Santiago Almeida Lima, Rodrigo Araujo Marvão, Carlos Eduardo Vieira da Silva Gomes, Antônio Carlos Rosário Vallinoto, Luiz Fernando Almeida Machado, Ricardo Roberto de Souza Fonseca