Fibrin-assisted soft tissue promotion (FASTP) as a simple root coverage technique: A case report

Objective: This article presents fibrin-assisted soft tissue promotion (FASTP), a simple root coverage surgical procedure associated with the use of A-PRF as a source of autogenous growth factors that allow the recipient soft tissue to promote the fabrication of new keratinized and attached tissue without a donor site. Methods: A 20-year-old non-smoker female patient was referred to the Universitas Airlangga Dental Hospital with a chief complaint of tooth hypersensitivity to cold stimuli at the posterior right maxilla and mandibular. A 1-1.5 mm gingival recession was found on the buccal aspect of teeth number 14, 15, 44 and 46. A final diagnosis of clinically healthy gingiva on reduced periodontium in a non-periodontitis patient was made. The treatment plan included dental health education with a focus on brushing methods and scaling procedures that were performed as non-surgical therapy. A FASTP procedure was planned for root coverage treatment on the buccal aspect of teeth number 14, 15, 44 and 46. Results: A 1-year evaluation was done and showed complete root coverage with an acceptable gingival phenotype. Conclusion: FASTP is a simple root coverage surgical technique without harvesting tissue from a donor site, thereby decreasing procedure-related morbidity. Case selection plays an important role in proper surgical technique consideration.