Comparison of Injectable Platelet-rich Fibrin and Semilunar Flap with Tuberosity Graft for Gingival Black Triangles: A Randomized Clinical Trial
Year: 2025
Type: article
Study designs: Randomized Controlled Trial, Clinical Trial
Abstract: AIM: To evaluate and compare the clinical efficacy of injectable platelet-rich fibrin (i-PRF) and semilunar coronally positioned flap (SCPF) with tuberosity connective tissue graft (T-CTG) in the management of gingival black triangles (GBTs). MATERIALS AND METHODS: Twenty patients who presented with class I and class II gingival black triangles (GBTs) were split into two groups for a randomized clinical trial: SCPF with TCTG and i-PRF. At baseline, 3, and 6 months after treatment, clinical measures such as papillary height, black triangle decrease, and periodontal pocket depth were measured. RESULTS: Both groups demonstrated significant improvements in clinical parameters and patient satisfaction. The i-PRF group exhibited faster healing and greater patient comfort, while the SCPF with TCTG group achieved superior aesthetic outcomes with greater black triangle closure. However, the SCPF group experienced more postoperative discomfort and required longer healing times. CONCLUSION: The i-PRF and SCPF with TCTG are effective in managing GBTs, with each having distinct advantages. i-PRF offers a minimally invasive option with enhanced healing, whereas SCPF with TCTG provides superior aesthetic results. Clinical goals and patient requirements should guide the selection of the best approach. CLINICAL SIGNIFICANCE: Comparison of Injectable Platelet-rich Fibrin and Semilunar Flap with Tuberosity Graft for Gingival Black Triangles: A Randomized Clinical Trial. J Contemp Dent Pract 2025;26(4):418-425.
Language: English
Subfield: Urology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4411502499