PMC2846677_01
Pre-operative view
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The distance between the cemento-enamel junction and gingival margin was 5 mm and the distance between the gingival margin and the base of the pocket was 2 mm [Figure 1].
Platelet-rich-fibrin clot
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Platelet-rich-fibrin membrane
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PRF, speedy blood collection and immediate centrifugation before the clotting cascade is initiated, is absolutely essential. PRF can be obtained in the form of a membrane by squeezing out the fluids in the fibrin clot [Figure 3].
De-epithelialized
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A reverse bevel 'V' shape incision was made along the soft tissue margin of the recipient site in order to remove the epithelium around the root surface [Figure 4].
Flap elevation
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Then the donor site was prepared by giving a vertical incision from the gingival margin to outline the flap adjacent to the recipient site and a full thickness flap was elevated [Figure 5].
Platelet-rich-fibrin membrane placed
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The PRF membrane was placed over the denuded roots and stabilized [Figure 6].
Sutures placed
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The flap was then slided to completely cover the membrane and secured using sling sutures [Figure 7].
10 days post-operative
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Both dressings and sutures were removed 10 days after surgery [Figure 8].
One month post-operative
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Post-operative follow up was done for one month [Figure 9].
Six months post-operative
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Complete coverage was achieved six months after the procedure, with excellent tissue contour and color [Figure 10].