Autologous Fibrin Glue as a Novel Platelet Concentration in Palatal Wound Healing

Abstract

Aim: Free gingival grafts (FGG) are one of the most commonly used autogenous soft tissue grafts to treat mucogingival problems. Postoperative complications can be seen in the FGG as the donor area which heals by secondary wound healing. In this study, it was aimed to minimize the complications that can be seen in the donor area after free gingival graft operation with ‘autologue fibrin glue’(AFG) application. Methods: Systemically healthy, 28 year-old female patient applied to Department of Periodontology with complaints of bleeding, pain and esthetics due to recession of gingiva in the lower central teeth. As a result of the clinical examination, inadequate attached gingiva was detected in the area related. FGG operation was planned to increase the amount of gingival tissue. In addition, AFG application to the palatal region was planned in order to minimize the complications that may be seen in the donor area after the operation. AFG, which were obtained from the patient's blood, was applied to the open wound surface. Wound healing was assessed with clinical parameters at 3, 7, 14 days and 1 month postoperatively. Results: Wound healing was achieved without any complications. It was seen that the use of AFG in palatal wound healing, reduced post-operative complications and accelerated the healing process. Conclusion: The adhesive structure of AFG may be preferred to another platelet concentrates with ease of use in the palatal region.