scholarly journals Alveolar bone defect regeneration after bilateral periapical cyst removal with and without use of platelet rich fibrin: A case report

2017 ◽  
Vol 74 (10) ◽  
pp. 987-991
Author(s):  
Nemanja Vukovic ◽  
Marjan Marjanovic ◽  
Bojan Jovicic ◽  
Ema Aleksic ◽  
Katarina Kalevski ◽  
...  
Keyword(s):  
Case Report ◽  
Alveolar Bone ◽  
Surgical Techniques ◽  
Collagen Membrane ◽  
Pulp Tissue ◽  
Platelet Rich Fibrin ◽  
Periapical Lesions ◽  
Residual Defect ◽  
Local Bone ◽  
Periapical Cyst

Introduction. Periapical inflammatory lesions are local bone responses around the apex of a tooth that occur after necrosis of the pulp tissue. The ultimate goal of reconstructive surgical techniques in the treatment of the intra-bone defects is a regeneration of lost bone tissue. The aim of this report was to evaluate clinical and radiographic outcome following the removal of two big, periapical lesions, approximately of the same size, located around maxillary lateral incisors, in the same person at the same time, using two different regenerative approaches. Case report. A healthy, 21-year-old female presented with two large periapical lesions around both upper lateral incisors, and a surgical treatment was indicated. One residual defect (tooth #12) was filled with the mixture of bovinederived hydroxyapatite xenograft and platelet rich fibrin (PRF) gel and covered with PRF membrane, while the other (tooth #22) was filled with bovine-derived hydroxyapatite xenograft only and covered with a resorbable collagen membrane. Clinical and radiographic examinations were performed seven months after the surgery. All clinical and radiographic parameters were significantly improved after the treatment on both sites; however, a newly formed bone around the tooth 12 showed a higher bone density. Conclusion. The use of PRF significantly speeded up filling of the defect compared to bovine- derived hydroxyapatite xenograft.

The Application of Three-Dimensional Printing Model and Platelet-Rich Fibrin Technology in Guided Tissue Regeneration Surgery for Severe Bone Defects

2019 ◽  
Vol 45 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Lihong Lei ◽  
Yuanyuan Yu ◽  
Ting Ke ◽  
Weilian Sun ◽  
Lili Chen
Keyword(s):  
Tissue Regeneration ◽  
Alveolar Bone ◽  
Three Dimensional ◽  
Guided Tissue Regeneration ◽  
Collagen Membrane ◽  
Three Dimensional Printing ◽  
Platelet Rich Fibrin ◽  
Bony Anatomy ◽  
Regenerative Periodontal Therapy ◽  
Radiographic Followup

A 36-year-old male patient diagnosed with severe chronic periodontitis was treated with novel surgery for his maxillary right lateral incisor. Preoperatively, a 3D printer was used, based on CBCT datasets, to produce a photosensitive resin bony anatomy replica. The patient's blood was centrifuged to obtain advanced platelet-rich fibrin (A-PRF) and injected platelet-rich fibrin (I-PRF), then mixed with Bio-Oss and packed onto the 3D replica to form the ideal shape. The replica was positioned at the planned sites without changes. The A-PRF membrane was applied over the replica as well as a Bio-Gide collagen membrane. Fifteen months after the surgery, clinical and radiographic followup revealed greatly reduced pocket depths and significant 3D alveolar bone fill at the treatment site. Based on these short-term results, the initial 3D printing surgical temple assisted guided tissue regeneration method resulted in significant clinical and radiographic improvements; A-PRF/I-PRF should be considered an ideal biomaterial for regenerative periodontal therapy.

scholarly journals Treatment of chronic oroantral fistula with platelet-rich fibrin clot and collagen membrane: a case report

2018 ◽  
Vol Volume 10 ◽  
pp. 245-249 ◽  
Author(s):  
Mohammed Jasim AL-Juboori ◽  
Mohammed Ahmed AL-Attas ◽  
Luiz Carlos Magno Filho
Keyword(s):  
Case Report ◽  
Fibrin Clot ◽  
Collagen Membrane ◽  
Platelet Rich Fibrin ◽  
Oroantral Fistula

scholarly journals Management of a Traumatized Open Apex Tooth with a Combination of Mineral Trioxide Aggregate Apical Plug and Platelet-rich Fibrin Apical Matrix

2016 ◽  
Vol 6 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Ritesh Balasaheb Pawar ◽  
Sumanthini V Margsahayam
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Calcium Sulphate ◽  
Permanent Tooth ◽  
Collagen Membrane ◽  
Apical Constriction ◽  
Platelet Rich Fibrin ◽  
Freeze Dried

ABSTRACT The absence of a natural apical constriction in permanent tooth makes endodontic treatment a challenge. Traditionally, calcium hydroxide was used for inducing the formation of an apical barrier. Currently, mineral trioxide aggregate (MTA) has shown promising results for apexification procedures. In an open apex, it is imperative to limit the MTA placement within the confines of the root canal for predictable healing. The placement of an internal matrix may limit the extrusion to some extent. Many materials can be used as internal matrix such as collagen membrane, calcium sulphate, hydroxyapatite, freeze dried bone, and platelet-rich fibrin (PRF) among others. This case report presents a successful demonstration of the management of an open apex using MTA placed over an internal apical matrix of PRF. How to cite this article Pawar RB, Margsahayam SV, Shenoy VU, Shaikh SAH. Management of a Traumatized Open Apex Tooth with a Combination of Mineral Trioxide Aggregate Apical Plug and Platelet-rich Fibrin Apical Matrix. J Contemp Dent 2016;6(1):57-62.

scholarly journals Healing of periapical lesion after root canal treatment: A case report

2021 ◽  
Vol 6 (4) ◽  
pp. 228-232
Author(s):  
Emna Hidoussi Sakly ◽  
Zahraa M Al-Hawwaz ◽  
Neila Zokkar ◽  
Nabiha Douki
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Healing Process ◽  
Good Clinical Practice ◽  
Periapical Lesion ◽  
Microbial Infection ◽  
Invasive Treatment ◽  
Pulp Tissue ◽  
Periapical Lesions ◽  
Infected Area

Most of periapical lesions usually result from microbial infection with oral microorganisms originating from the degenerated pulp tissue. These lesions are commonly painless and incidentally found on routine radiographic examinations. Treating these cases using non-surgical root canal is the fruit of the innovative techniques, tools and root medicaments as well as the tendency toward minimally invasive treatment. The healing process of the infected area is conditioned by a proper diagnosis, a treatment that follows good clinical practice under aseptic environment including cleaning, shaping and root filing. The aim of the present clinical case report was to report non-surgical healing of a periapical lesion of endodontic origin associated with maxillary left central incisor, observed over a period of 2 years.

scholarly journals Treatment Of Multiple Adjacent Recession Defects With Zucchelli’s Modified Coronally Advanced Flap With And Without Adjunctive Use Of Platelet Rich Fibrin: A Case Report

2019 ◽  
pp. 16-21
Author(s):  
Pallavi Prashar ◽  
Vandana . ◽  
Surpreet Kaur ◽  
Surbhi Kapoor ◽  
Karandeep Kaur
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Key Words ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Root Coverage ◽  
Present Case Report ◽  
Platelet Rich Fibrin ◽  
Coronally Advanced Flap ◽  
Selection Of

When there are multiple recession defects affecting adjacent teeth, patient related considerations suggest the selection of the surgical techniques that allow simultaneous correction of all gingival defects with soft tissue close to the defects themselves. The present case report highlights the effectiveness of Zucchelli’s modified coronally advanced flap with envelope technique along with use of Platelet Rich Fibrin for the treatment of multiple recession defects in patients with aesthetics demands. Key Words Gingival recession, Zucchelli’s modified coronally advance flap, platelet rich fibrin, root coverage

scholarly journals Abordagem endodôntica não cirúrgica em extensa lesão periapical: relato de caso

2020 ◽  
Vol 9 (6) ◽  
pp. 513-516
Author(s):  
Mailon Cury Carneiro ◽  
Fernanda Angelio Da Costa ◽  
Paula Gabriela Vieira Chicora ◽  
Marcos Sergio Endo ◽  
Vanessa Cristina Veltrini
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Surgical Management ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Periapical Lesion ◽  
Periapical Lesions ◽  
Periapical Cyst

O objetivo deste trabalho é relatar um caso clínico de uma extensa lesão periapical em maxila, tratada somente por uma abordagem endodôntica não cirúrgica, com expressivo reparo periapical. Paciente do sexo feminino, 52 anos, compareceu à clínica odontológica, com a queixa principal de “cisto crescendo na boca”. Os dentes 13, 14 e 15 apresentavam-se sem vitalidade pulpar. Os exames radiográficos mostraram duas áreas radiolúcidas, uniloculares, envolvendo os ápices dos dentes 13 e 15, ambos sem sinais de intervenção endodôntica. As áreas eram sugestivas de granuloma periapical e cisto periapical inflamatório, respectivamente. Realizou-se tratamento endodôntico dos dentes 13, 14 e 15. Após 11 meses, notou-se regressão significativa da rarefação óssea periapical, não sendo necessária qualquer intervenção cirúrgica. A paciente continuará em proservação até a remissão completa da lesão. O preparo químico-mecânico, associado ao emprego de medicação intracanal, pode ser suficiente para o reparo de lesões periapicais extensas. Sugere-se que o tratamento conservador seja sempre a primeira opção em casos semelhantes, de forma a se evitar cirurgias parendodônticas invasivas desnecessárias. Descritores: Endodontia; Cisto Radicular; Tratamento Conservador. Referências Hammouti J, Chhoul H, Ramdi H. Non-surgical management of large periapical cyst like lesion: case report and litterature review. J Oral Heal Dent Sci. 2019;3(1):1–7. Mitra A, Adhikari C. Management of large periapical lesions by non surgical endodontic approach - two case reports. 2017;2(5):97–104. Al Khasawnah Q, Hassan F, Malhan D, Engelhardt M, Daghma DES, Obidat D, et al. Nonsurgical clinical management of periapical lesions using calcium hydroxide-iodoform-silicon-oil paste. Biomed Res Int. 2018;2018:1-8. Schulz M, von Arx T, Altermatt HJ, Bosshardt D. Histology of periapical lesions obtained during apical surgery. 2009;35(5):634-42. Ramachandran Nair PN, Pajarola G, Schroeder HE. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81(1):93-102. Gutmann JL, Baumgartner JC, Gluskin AH, Hartwell GR, Walton RE. Identify and define all diagnostic terms for periapical/periradicular health and disease states. JOE. 2009;35(12):1658-74. Antoh M, Hasegawa H, Kawakami T, Kage T, Chino T, Eda S. Hyperkeratosis and atypical proliferation appearing in the lining epithelium of a radicular cyst. Report of a case. J Cranio-Maxillo-Facial Surg. 1983;21(5):210-13. Natkin E, Oswald RJ, Carries LI. The relationship of lesion size to diagnosis, incidence, and treatment of periapical cysts and granulomas. Oral Surg. 1984;57(1):82-94. Rathod DM, Mulay SA. Non-surgical treatment of large periapical lesion using various formulations of calcium hydroxide & nd: yag laser. Int J Curr Res. 2017;9(8):56668-72. Rosenberg PA, Frisbie J, Lee J, Lee K, Frommer H, Kottal S, et al. Evaluation of pathologists (histopathology) and radiologists (cone beam computed tomography) differentiating radicular cysts from granulomas. J Endod. 2010;36(3):423-28. Sant’ana Filho M, Rados PV. Lesões apicais. In: Silveira JOL, Beltrão GC. Exodontia. 1Porto Alegre: Missau; 1998. cap. 22, p. 275-85. Sood N, Maheshwari N, Gothi R, Sood N. Treatment of large periapical cyst like lesion: a noninvasive approach: a report of two cases. Int J Clin Pediatr Dent. 2015;8(2):133-37. Singh U, Nagpal R, Sinha D, Tuhin, Tyagi N. Iodoform based calcium hydroxide paste (metapex):an aid for the healing of chronic periapical lesion. J Adv Res Biol Sci. 2013;6(1):63-7. Dandotikar D, Peddi R, Lakhani B, Lata K, Mathur A, Chowdary UK. Nonsurgical management of a periapical cyst: a case report. J Int Oral Health. 2013;5(3):79-84. Calişkan MK. Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment: a clinical review. Int Endod J. 2004;37(6):408-16.  Kanmaz F, Altunbaş D, Zan R, Akpınar KE. Nonsurgical endodontic treatment of a large periradicular lesion. Turk Endod J. 2017;2(1):21–4. Öztan MD. Endodontic treatment of teeth associated with a large periapical lesion. Int Endod J. 2002;35(1):73–8. Barroso JAY, Uchimura JYT, Endo MS, Pavan NNO, Queiroz AF. Avaliação in vitro da influência da lima patência na manutenção do comprimento de trabalho. Rev Odontol UNESP. 2017;46(2):72-6. Madhusudhana K, Surada R, Kumar CS, Lavanya A. Non-surgical management of a large periapical lesion: a case report. Ann Essences Dent. 2017;9(2):22-5. Soares J, Santos S, Silveira F, Nunes E. Nonsurgical treatment of extensive cyst-like periapical lesion of endodontic origin. Int Endod J. 2006;39(7):566-75. Mohammadi Z, Shalavi S, Yazdizadeh M. Antimicrobial activity of calcium hydroxide in endodontics: a review. Chonnam Med J. 2013;48(3):133-40. Estrela C, Bammann LL, Pimenta FC, Pécora JD. Control of microorganisms in vitro by calcium hydroxide pastes. Int Endod J. 2001;34(5):341-45. Soares JA, Brito-Júnior M, Silveira FF, Nunes E, Santos SMC. Favorable response of an extensive periapical lesion to root canal treatment. J Oral Sci. 2008;50(1):107-11.

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