Esthetic Gingival Management using Combination of Platelet-rich Fibrin and Collagen membrane: A Case Report

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.

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

Journal of Contemporary Dentistry ◽

10.5005/jp-journals-10031-1142 ◽

2016 ◽

Vol 6 (1) ◽

pp. 57-62 ◽

Cited By ~ 1

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.

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Nine-Year Results of Deep Miller Class I and Class II Gingival Recession Defects Treated with Platelet-Rich Fibrin (PRF): A Case Report

10.26226/morressier.5ac383272afeeb00097a45ed ◽

2018 ◽

Author(s):

Enes Kayan

Keyword(s):

Case Report ◽

Gingival Recession ◽

Class Ii ◽

Class I ◽

Platelet Rich Fibrin

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Revascularization of an immature tooth with a necrotic pulp using platelet‐rich fibrin: a case report

International Endodontic Journal ◽

10.1111/iej.12107 ◽

2013 ◽

Vol 46 (11) ◽

pp. 1096-1104 ◽

Cited By ~ 48

Author(s):

D. Keswani ◽

R. K. Pandey

Keyword(s):

Case Report ◽

Platelet Rich Fibrin

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Dentin-Derived-Barrier Membrane in Guided Bone Regeneration: A Case Report

Materials ◽

10.3390/ma14092166 ◽

2021 ◽

Vol 14 (9) ◽

pp. 2166

Author(s):

Jeong-Kui Ku ◽

In-Woong Um ◽

Mi-Kyoung Jun ◽

Il-hyung Kim

Keyword(s):

Case Report ◽

Bone Regeneration ◽

Guided Bone Regeneration ◽

Successful Outcome ◽

Collagen Membrane ◽

Type I ◽

Barrier Membrane ◽

Dentin Matrix ◽

Demineralized Dentin Matrix ◽

Demineralized Dentin

An autogenous, demineralized, dentin matrix is a well-known osteo-inductive bone substitute that is mostly composed of type I collagen and is widely used in implant dentistry. This single case report describes a successful outcome in guided bone regeneration and dental implantation with a novel human-derived collagen membrane. The authors fabricated a dentin-derived-barrier membrane from a block-type autogenous demineralized dentin matrix to overcome the mechanical instability of the collagen membrane. The dentin-derived-barrier acted as an osteo-inductive collagen membrane with mechanical and clot stabilities, and it replaced the osteo-genetic function of the periosteum. Further research involving large numbers of patients should be conducted to evaluate bone forming capacity in comparison with other collagen membranes.

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Evaluation of The Clinical Efficacy of Collagen Membrane In Combination with Bone Grafts in the Treatment of Miller’s Class I /II Marginal Tissue Recession: A Case Report

Dental Journal of Advance Studies ◽

10.1055/s-0038-1672035 ◽

2015 ◽

Vol 03 (03) ◽

pp. 179-184

Author(s):

Yash Dev ◽

Nitin Khuller ◽

Preetinder Singh ◽

Prabhjot Kaur ◽

Yashbir Raghav ◽

...

Keyword(s):

Case Report ◽

Bone Graft ◽

Clinical Effectiveness ◽

Gingival Recession ◽

Point Of View ◽

Tissue Response ◽

Class I ◽

Collagen Membrane ◽

Clinical Parameters ◽

Root Coverage

AbstractThe aim of this clinical trial was to evaluate the clinical effectiveness of a collagen barrier along with an alloplastic bone graft in the treatment of gingival recession defects. Two patients having Miller’s Class I or Class II recession defects participated in the study. One was treated with a collagen membrane covered by a coronally positioned flap. Second patient also had bone graft placed beneath the membrane. Clinical parameters were recorded. Patients were followed postoperatively and healing was evaluated at 1, 3 and 6 months, with recession depth as the primary criteria for assessment. This case report revealed a favorable tissue response to bone graft and collagen membrane from both clinical and esthetic point of view in the treatment of gingival recession. Root coverage tended to be better with the addition of bone graft.

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Surgical Management of Horizontal Root Fracture with Platelet Rich Fibrin (PRF) Placement: Case Report of Two Cases

Dental Journal of Advance Studies ◽

10.1055/s-0038-1671967 ◽

2013 ◽

Vol 01 (02) ◽

pp. 125-128

Author(s):

Parul Bansal ◽

Kalpana Kanyal ◽

Vineeta Nikhil

Keyword(s):

Case Report ◽

Tissue Regeneration ◽

Surgical Approach ◽

Permanent Teeth ◽

Periodontal Tissue ◽

Root Fracture ◽

Platelet Rich Fibrin ◽

Periodontal Tissue Regeneration ◽

Root Fractures ◽

Horizontal Root Fracture

AbstractRadicular fractures in permanent teeth are uncommon injuries among dental traumas, being only 0.5 - 7% of the cases. Horizontal root fractures can be managed endodontically or combined endodontic and surgical approach. Treatment varies according to the displacement and vitality of the fragments. This paper presents a case report of two cases of horizontal root fracture, present between the middle and apical third of central incisors, which were managed by combined endodontic and surgical approach, while in second case it was followed by PRF placement to facilitate osteoinduction and periodontal tissue regeneration.

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