Yazar "Firatli, Erhan" seçeneğine göre listele

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  • [ X ]
    Öğe
    Innovative i-PRF semisurgical method for gingival augmentation and root coverage in thin periodontal phenotypes: a preliminary study
    (Quintessence Publishing Co Inc, 2023) Alan, Ralf; Ercan, Esra; Firatli, Yigit; Firatli, Erhan; Tunali, Mustafa
    Objectives: The aim of the study was to evaluate the effect of in-jectable platelet-rich fibrin (i-PRF) on gingival thickness and gingi-val recession in individuals with thin periodontal phenotypes.Method and materials: In this prospective study, i-PRF was ap-plied via a semisurgical method to augment 53 tooth regions with thin periodontal phenotypes. In order to ensure that sufficient blood clot formed on the side of the gingiva facing the bone and that i-PRF reached the area, a minimal incision was made with the help of a scalpel in the apical region of the relevant region, and the periosteum was elevated with a microsurgical instrument. To en-sure sustained exposure to angiogenetic growth factors and en-hance the histoconductive properties, i-PRF injection was applied to the relevant areas in four sessions at 10-day intervals.Results: An increase in gingival thickness was achieved in 92.5% of the areas treated with i-PRF, and the desired gingival thickness (0.8 mm) was achieved in 44.9% of these areas. In addition, signif-icant reductions in the amount of recession were observed in 83.3%ofthe 12 gingival recession areas (P= .005). Moreover, com-plete coverage was achieved in 60% of these regions.Conclusion: With the new i-PRF sem isu rgica I method, it was shown that gingi-val thickness can be increased in tooth regions with thin gingiva, and that areas of gingival recession can be covered. Further com-prehensive studies are needed to fully understand the role of i-PRF in enhancing angiogenesis and the histoconductive properties of this fu lly autogenous blood concentrate. (Quintessence Int2023;54: 734-743; doi:10.3290/j.gi.b4328831)
  • [ X ]
    Öğe
    Management of Deep Gingival Recessions by Modified Coronally Advanced Tunnel Technique with Titanium Platelet Rich Fibrin Membrane or Connective Tissue Graft: 36 Months Follow-up Clinical Study
    (Marmara Univ, Inst Health Sciences, 2020) Koyuncuoglu, Cenker Zeki; Ercan, Esra; Uzun, Bilge Cansu; Tunali, Mustafa; Firatli, Erhan
    Objective: The goal of the study is to evaluate the results of Titanium-Platelet Rich Fibrin (T-PRF) membrane and Connective Tissue Graft (CTG) with modified coronally advanced tunnel technique (MCATT) in treatment of deep gingival recession defects. Methods: Twenty-one systemically healthy patients displaying 62 Miller Class I/II gingival recession defects >= 3.0 mm in depth, treated either with MCATT with CTG or with T-PRF membrane were included in this retrospective study. The periodontal parameters were assessed at baseline, and at 6 and 36 months after surgery. The percentages of the mean root coverage (MRC) and complete root coverage (CRC) were calculated. Results: The probing depth values were decreased at 36 months according to baseline values for both groups (p<0.05). Keratinized tissue (KT) was increased at 6 months according to baseline for both groups (from 1.69 +/- 0.74 mm to 3.61 +/- 0.67 mm for T-PRF; and 3.40 +/- 1.60 mm to 4.52 +/- 2.33 for CTG). The 36th month measurement of KT showed an increase in the T-PRF group compared to the 6th month measurement, while the CTG group showed a significant decrease (3.86 +/- 0.76 mm and 2.76 +/- 1.45 mm, respectively). The CRC ratios were 80% and 56% at 6 and 36 months, respectively for the CTG group. However, this ratio remained the same (64.86%) for the T-PRF group. There was statistically significant difference between CRC ratios of both groups at 36 months (p<0.05). Conclusion: T-PRF membrane with MCATT procedure is as predictable as CTG with MCATT for management of deep gingival recessions. However, future prospective studies about this topic with a split-mouth design are needed.