scholarly journals Treatment of mandibular grade III furcation involvement using platelet-rich fibrin and allogenic graft with 12-month follow-up — A case report

2020 ◽  
Vol 10 (4) ◽  
pp. 542-546
Author(s):  
Zheng Zhou ◽  
Xia Qi ◽  
Tinisha Notice
2020 ◽  
pp. 7-8
Author(s):  
Valliammai Rajendran ◽  
David Kadakampally ◽  
Yamini Mannava ◽  
Deepa G Kamath ◽  
Ravalika N Kothuri

Introduction: Teeth with furcation involvement can be maintained in a state of function for a longer period of time if appropriately treated and if the patient is motivated adequately. This report highlights the effect of regenerative and resective therapy in the management of grade III furcation involvement. Observation: A 48 years old male patient was evaluated for furcation involvement with respect to the root canal treated lower right first molar tooth. Grade III furcation involvement was noted for which regenerative therapy was attempted with platelet rich fibrin (PRF) and bone grafts. After 2 years of follow up, the furcation involvement still persisted and patient had a complaint of food lodgement. Hence, resective osseous surgery (tunnel preparation) was done to make the furcation ease for maintaining oral hygiene. Commentary: In cases of periodontal loss, periodontal regenerative therapy must be the first treatment of choice. However, regeneration of grade III furcation involvement is more challenging and very few reports are available in the literature. Conclusion: The selection of cases for regenerative or resective therapy depends on the clinicians’ knowledge and practice. The ultimate goal of periodontal therapy is to provide a dentition that will function in health and comfort for life.


Author(s):  
Shahram Ghanaati ◽  
Sarah Al-Maawi ◽  
Yvonne Schaffner ◽  
Robert Sader ◽  
Joseph Choukroun ◽  
...  

2019 ◽  
Vol 1 (1) ◽  
pp. 22-27

Purposes: The aim of this clinical report is to discuss the advantages and the steps of the root separation and resection approach in a maxillary molar with a class III furcation of the palatine root with a follow-up of 24 months. Case report: A patient with tooth mobility and bleeding after probing, was diagnosed with a Chronic Periodontitis Generalized Moderate and Localized Severe. Hygienic phase with oral hygiene instructions, scaling and root planning was performed. Due to class III furcation of the palatine root of the teeth 16 and some remaining pockets deepths, was decided to execute an apical repositioning flap on the 1st sextant among with the palatine root amputation combined with the endodontic treatment. During the surgical procedure, it was also performed a reduction of the palate thickness from teeth 15 to 17; in distal area of the 17 a distal wedged was performed in order to remove all the pockets. After the surgery, the patient was inserted in a long-lasting individualized supportive periodontal treatment.This case has a follow up of 24 months. Conclusions: Similar survival rates are described in the literature when we compared the root amputation with the dental implants survival rate, but the first one is cheaper and allows to keep the natural tooth. We can’t forget that the periodontitis is a risk factor of peri-implantitis. This clinical case shows that, with a high motivated patient and with the complete periodontal treatment, is possible to obtain excellent results with root separation and resection in maxillary molars class III.


2015 ◽  
Vol 7 (2) ◽  
pp. 61-65
Author(s):  
Mohammad- Taghi Chitsazi ◽  
Adileh Shirmohammadi ◽  
Abouzar Moradi ◽  
Zahra goharfar

Idiopathic or hereditary gingival fibromatosis (HGF) is a relatively rare disease characterized by the enlargement of the gingiva, resulting in functional, esthetics and psychological disturbances. The degree of gingival overgrowth can be defined as: grade 0: no sign of gingival enlargement; grade I: enlargement confined to interdental papilla; grade II: enlargement involves papilla and marginal gingiva; and grade III: enlargement covers three quarters or more of the crown. This case report describes the case of a 16-year-old girl suffering from HGF with chief complaint of gingival swelling. Intraoral examination exhibited diffuse and grade III gingival enlargement in both jaws and also in both surfaces of buccal and lingual/palatal. Treatment included surgery (internal and external gingivectomy) in six sessions, and prescription of antibiotics and 0.2% chlorhexidine mouthwash. Moreover, gingivoplasty was performed in the esthetic zone of maxilla after performing all the surgeries in the mouth. The patient was under regular follow-up visits. The treatment outcomes after six months were satisfactory and no symptoms of recurrence were observed.


2021 ◽  
pp. 232020682110034
Author(s):  
Tuğçe Çevik ◽  
Emine Cansu Genc ◽  
Melike Koraltan

Radicular cysts are the most common inflammatory cysts of the jaws. Surgical intervention aims to eliminate periapical pathology in order to allow bone regeneration and healing of periapical tissues. Autologous platelet-rich fibrin is a healing biomaterial in oral surgical defects with the new perspective of accelerated healing. Titanium-prepared platelet rich fibrin (T-PRF) is a third-generation platelet concentrate developed to overcome the harmful effects of silica in glass tubes and also has a longer resorption rate. The purpose of this case report is to present the effects of T-PRF applied to the bone defect that occurs after the enucleation of the radicular cyst. A significant increase in bone density was observed after eight months of follow-up. T-PRF has been shown to be effective in the treatment of bone defects. Therefore, it is thought that it can be used as the only regenerative material in the treatment of bone defects.


Breast Care ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. 330-333
Author(s):  
Miaowei Wu ◽  
Yajing Huang ◽  
Wei Tian ◽  
Yihan Yao ◽  
Yongchuan Deng

Background: Primary breast angiosarcoma is a rare neoplasm; breast angiosarcoma patients under 20 years old are extremely rare. The prognosis is often poor due to a high relapse rate after surgical resection. Case Report: We report on a case of a 17-year-old woman suffering from a primary breast angiosarcoma, associated with the local recurrence of a right-breast angiosarcoma 86 months after mastectomy. She received extensive local excision and transplantation of an adjacent skin flap. The post-operation diagnosis was angiosarcoma of histological grade III. Conclusions: This is a rare case as the patient was below 18 years old and the follow-up was greater than 5 years. Taken together, long-term close follow-up is extremely important, regardless of how long after surgery and the status of the surgical margins.


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