Fibrin glue and tetracycline root conditioning for gingival recession.
Journal name: Journal of Indian Society of Periodontology
Original article title: Fibrin glue application in conjunction with tetracycline hydrochloride root conditioning and semilunar coronally repositioned flap in the treatment of gingival recession
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Joann Pauline George, M. L. V. Prabhuji, K. B. Shaeesta, Flemingson Lazarus
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Fibrin glue application in conjunction with tetracycline hydrochloride root conditioning and semilunar coronally repositioned flap in the treatment of gingival recession
Year: 2011 | Doi: 10.4103/0972-124X.82259
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
The case report illustrates the successful application of the Fibrin Adhesive System (FAS) as a topical biological tissue adhesive in treating maxillary buccal recessions. The patient, a 40-year-old male, had class I buccal recession defects on maxillary cuspids. The treatment involved a combination of a semilunar coronally repositioned flap technique, root debridement, and root conditioning with tetracycline hydrochloride. The findings indicated that the defect treated with FAS demonstrated significant improvements in recession height reduction and clinical attachment compared to the control site without FAS application.
Enhanced Root Coverage with Fibrin Adhesive System
The application of FAS alongside tetracycline root conditioning significantly increased the amount of root coverage achieved in anterior teeth with gingival recession. The results revealed about 50% root coverage in the FAS-treated site versus almost no root coverage at the control site. This highlights the potential of the FAS to improve the outcomes of periodontal surgeries by enhancing the adhesion and stabilization of the gingival flap, thus promoting better healing and attachment. The study supports the idea that fibrin sealants can simulate the body’s natural healing processes, fostering tissue integration and regeneration.
Conclusion
The results from this case suggest that the use of Fibrin Adhesive in conjunction with the semilunar coronally repositioned flap technique and tetracycline root conditioning is effective for managing buccal recessions, particularly in shallow defects. The improvement in clinical parameters post-treatment underscores the benefits of employing biologic adhesives in periodontal plastic surgery. However, further research involving larger sample sizes is necessary to validate these findings and comprehensively evaluate the clinical advantages of using FAS in periodontal treatment.
FAQ section (important questions/answers):
What is the purpose of the Fibrin Adhesive System (FAS)?
FAS is a topical biological tissue adhesive used to enhance wound healing and tissue adhesion, especially during periodontal surgeries such as the treatment of maxillary buccal recessions.
What treatment methods were used in the case report?
The case report utilized a semilunar coronally repositioned flap technique with tetracycline root conditioning and applied FAS to one defect, comparing outcomes with a control site that did not receive FAS.
What were the results of using FAS for root coverage?
The defect treated with FAS showed about 50% root coverage, significant recession height reduction, and attachment gain, while the control site exhibited almost no root coverage.
How does tetracycline hydrochloride aid in periodontal treatments?
Tetracycline hydrochloride enhances wound healing by regulating plasma protein adsorption, promoting blood clot adhesion, and stimulating collagen deposition on root surfaces.
What are potential benefits of using FAS in periodontal surgery?
FAS enhances tissue fixation, reduces inflammation compared to sutures, and can improve clinical outcomes in root coverage surgeries, especially in shallow gingival recession defects.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Fibrin glue and tetracycline root conditioning for gingival recession.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Surface:
The surface of the root is significant in periodontal procedures, particularly regarding the adoption of treatments like tetracycline hydrochloride root conditioning, which enhances adhesion and promotes healing. The effectiveness of tissue adhesives such as the Fibrin Adhesive System in securing the flap to the root surface is emphasized in the context of this case report.
2) Post:
Post refers to the postoperative period during which clinical parameters such as recession height, width, and clinical attachment level are monitored. This phase is crucial for evaluating the success of surgical interventions like the semilunar coronally repositioned flap combined with FAS, allowing determination of treatment efficacy over time.
3) Blood:
Blood plays a central role in wound healing and periodontal surgeries. The Fibrin Adhesive System leverages the normal blood coagulation pathway, utilizing components like fibrinogen and thrombin to facilitate hemostasis and tissue adhesion. This biological mechanism is crucial for maintaining stability at surgical sites.
4) Table:
The table referenced in the text likely contains clinical parameters before and after the treatment, serving as a means of documenting and comparing the outcomes of the surgical interventions at baseline and follow-up periods. It helps in assessing the clinical effectiveness and improvements in the patient's condition.
5) Dressing:
Periodontal dressing is used post-surgery to protect the surgical site and aid in healing. In this study, it was applied after the flap was repositioned, helping to maintain stability and reducing the risk of complications such as infection, which is critical in postoperative care.
6) Incision:
The incision technique described in the semilunar coronally repositioned flap procedure is crucial for creating proper access and achieving effective root coverage. It involves careful planning and execution to minimize trauma and optimize flap adaptation, impacting the overall surgical outcome.
7) Fixation:
Fixation in surgical procedures is essential for ensuring that flaps remain in place during the healing process. The Fibrin Adhesive System enhances fixation by providing a biologically compatible sealing method that minimizes the need for sutures, promoting better tissue adaptation and recovery.
8) Hygiene (Hygienic):
Oral hygiene is pivotal in the context of periodontal treatments, as it impacts the success rate of surgical interventions and healing times. Patients are instructed on hygiene practices to eliminate factors contributing to gingival recession and maintain healthy conditions leading up to and following surgery.
9) Cotton:
Cotton pellets soaked in tetracycline hydrochloride solutions were applied to the root surfaces during the surgical procedure as a root conditioning agent. This serves to cleanse the root and enhance healing by promoting better adhesion of the blood clot and tissue adhesive to the surface.
10) Water:
Water is used as a solvent during the preparation of tetracycline hydrochloride solutions, which are integral for root conditioning. Proper dilution ensures the efficacy of the treatment in enhancing periodontal healing and facilitating the processes that stabilize the root surface post-surgery.
11) Edema (Oedema):
Edema is a common postoperative response that may occur at the surgical site. In this case report, edema was noted at the control site, indicating localized inflammation which is important to monitor as it can affect healing outcomes and patient comfort during the recovery period.
12) Male (Mālē):
The patient in this case report was a 40-year-old male, a demographic that may be relevant in understanding the prevalence and types of gingival recession observed in different age groups and genders, potentially influencing treatment approaches and outcomes in periodontal surgeries.
13) Krishnadevaraya:
Krishnadevaraya Dental College and Hospital is the institution where the case report study was conducted. The choice of a reputable institution underlines the importance of professional oversight and expertise in executing periodontal procedures and clinical research in dental care.
14) Inflammation:
Inflammation is a natural response following surgical procedures that can impact healing and the success of interventions. Monitoring signs of inflammation at the surgical site post-surgery is crucial, as excessive inflammation can hinder recovery and aesthetic outcomes in periodontal practices.
15) Observation:
Observation refers to the careful monitoring of clinical parameters during follow-up visits after surgery. It encompasses evaluating the efficacy of treatments like FAS and TTC application, which is vital in assessing healing, patient outcomes, and further validating the procedures used.
16) Surrounding:
The surrounding tissues play a significant role in the healing process post-surgery. Their health and adaptation to the techniques used, such as the Fibrin Adhesive System, is critical for achieving optimal outcomes in root coverage and overall periodontal health post-treatment.
17) Antibiotic (Antibacterial):
Antibiotics, such as tetracycline hydrochloride, are employed in this case to condition the root surface for enhanced healing. Their antimicrobial properties assist in preventing infection during and after surgical interventions, playing an important part in the overall success of periodontal therapies.
18) Karnataka (Karṇāṭaka):
Karnataka refers to the Indian state where the study was conducted. The geographical context may influence the choice of treatment modalities, population demographics, and engagement in dental health practices, which are relevant in interpreting the research findings presented in the case report.
19) Medicine:
Medicine encompasses various treatments applied in dentistry, such as the use of tetracycline and the Fibrin Adhesive System. The integration of medical knowledge into dental procedures provides a foundation for advancing techniques and improving patient care in periods of periodontal healthcare.
20) Bleeding:
Bleeding management is crucial during surgical procedures in dentistry. The application of the Fibrin Adhesive System was noted to help with hemostasis, reducing bleeding risks that complicate surgeries, ensuring a cleaner surgical field, and promoting better healing environments for the patient.
21) Quality:
Quality is a paramount factor in dental treatments, particularly in achieving desired outcomes from periodontal surgeries. Ensuring high-quality techniques and materials, such as the use of FAS and proper conditioning, significantly influences effectiveness and patient satisfaction in surgical interventions.
22) Family:
The term 'family' in this context may refer to the classification of proteins, such as fibronectin that enhances tissue adhesion during surgeries. Understanding protein interactions within the periodontal context aids in optimizing healing processes and ensuring better restoration of tissue integrity.
23) Powder:
Powder refers to the formulation of tetracycline hydrochloride used in creating solutions for root conditioning. The powdered form allows precise dosing and enhances the bioavailability of the antibiotic during its application, contributing to effective periodontal healing and improved clinical outcomes.
24) Desire:
Desire in the context of periodontal treatment reflects the patient's and clinician's aspiration for improved aesthetics and dental health. Addressing gingival recession not only fulfills functional needs but also satisfies the growing patient demand for cosmetic enhancements in dental practices.
25) Field:
Field refers to the domain of periodontal dentistry where treatments such as the application of Fibrin Adhesive Systems take place. It encompasses the professional practices, knowledge, and techniques utilized to enhance dental health and patient care experiences in addressing gingival issues.
26) Study (Studying):
Study refers to the case report conducted to evaluate the efficacy of the Fibrin Adhesive System in conjunction with other treatments. Through detailed observation and clinical assessment, this investigative approach aims to contribute to the understanding and improvement of periodontal surgical practices.
27) Diet:
Diet plays a significant role in postoperative recovery and overall oral health. Patients are advised to follow a soft diet after surgery to minimize trauma to the surgical site while ensuring that nutritional requirements are met to support healing processes and maintain general well-being.
28) Pain (Paiṇ):
Pain management is an important aspect of any surgical procedure. The study gathered patient-reported outcomes on pain in the immediate postoperative phase, helping to inform clinicians on the effectiveness of postoperative care protocols and contributing to patient comfort during recovery.