Regenerative periapical surgery: A case report

Introduction: Periapical surgery is an important treatment alternative in the presence of a large periapical cyst. To achieve optimal healing and regeneration of the bone different bone substitutes can be used. Case Report: A 35 year old male patient reported with the soft diffuse swelling in anteri...

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Main Authors: Sonam Bhandari, T S Ashwini, Reshma Naik, Tushar Bandiwadekar, Saleem Makandar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Dental Hypotheses
Subjects:
Online Access:http://www.dentalhypotheses.com/article.asp?issn=2155-8213;year=2013;volume=4;issue=2;spage=61;epage=66;aulast=Bhandari
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author Sonam Bhandari
T S Ashwini
Reshma Naik
Tushar Bandiwadekar
Saleem Makandar
author_facet Sonam Bhandari
T S Ashwini
Reshma Naik
Tushar Bandiwadekar
Saleem Makandar
author_sort Sonam Bhandari
collection DOAJ
description Introduction: Periapical surgery is an important treatment alternative in the presence of a large periapical cyst. To achieve optimal healing and regeneration of the bone different bone substitutes can be used. Case Report: A 35 year old male patient reported with the soft diffuse swelling in anterior palatal region and drainings in us with 21 labially. He had a history of trauma 5 years back. The clinical and radiographic diagnosis of infected periapical cyst with 11,21; invasive cervical root resorption with 21 and internal root resorption with 11 was made. Endodontic treatment was performed with11,2 followed by periapical curettage. A picectomy and retrograde filling with white mineral trioxide aggregate (MTA) was carried out with 11,21. The cervical resorption defect with 21 was restored with white MTA. Platelet rich fibrin (PRF) was mixed with demineralised bone matrix (Osseograft) and used as a regenerative biomaterial in the periapiacl defect. 14 months follow up shows satisfactory healing and regeneration of periapical region. Discussion: There is considerable clinical interest in using PRF alone or in combination with graft materials as it is a reservoir of many growth factors and have potential for accelerated soft-and hard tissue healing. PRF is a new generation of platelet concentrate, derived from patients own blood.
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spelling doaj.art-d7e9436c3d3948e9b98ddc4b7f39ef292022-12-22T01:37:28ZengWolters Kluwer Medknow PublicationsDental Hypotheses2155-82132013-01-0142616610.4103/2155-8213.113017Regenerative periapical surgery: A case reportSonam BhandariT S AshwiniReshma NaikTushar BandiwadekarSaleem MakandarIntroduction: Periapical surgery is an important treatment alternative in the presence of a large periapical cyst. To achieve optimal healing and regeneration of the bone different bone substitutes can be used. Case Report: A 35 year old male patient reported with the soft diffuse swelling in anterior palatal region and drainings in us with 21 labially. He had a history of trauma 5 years back. The clinical and radiographic diagnosis of infected periapical cyst with 11,21; invasive cervical root resorption with 21 and internal root resorption with 11 was made. Endodontic treatment was performed with11,2 followed by periapical curettage. A picectomy and retrograde filling with white mineral trioxide aggregate (MTA) was carried out with 11,21. The cervical resorption defect with 21 was restored with white MTA. Platelet rich fibrin (PRF) was mixed with demineralised bone matrix (Osseograft) and used as a regenerative biomaterial in the periapiacl defect. 14 months follow up shows satisfactory healing and regeneration of periapical region. Discussion: There is considerable clinical interest in using PRF alone or in combination with graft materials as it is a reservoir of many growth factors and have potential for accelerated soft-and hard tissue healing. PRF is a new generation of platelet concentrate, derived from patients own blood.http://www.dentalhypotheses.com/article.asp?issn=2155-8213;year=2013;volume=4;issue=2;spage=61;epage=66;aulast=BhandariBonegraftinvasive cervical resorptionmineral trioxide aggregateplatelet-rich fibrin
spellingShingle Sonam Bhandari
T S Ashwini
Reshma Naik
Tushar Bandiwadekar
Saleem Makandar
Regenerative periapical surgery: A case report
Dental Hypotheses
Bonegraft
invasive cervical resorption
mineral trioxide aggregate
platelet-rich fibrin
title Regenerative periapical surgery: A case report
title_full Regenerative periapical surgery: A case report
title_fullStr Regenerative periapical surgery: A case report
title_full_unstemmed Regenerative periapical surgery: A case report
title_short Regenerative periapical surgery: A case report
title_sort regenerative periapical surgery a case report
topic Bonegraft
invasive cervical resorption
mineral trioxide aggregate
platelet-rich fibrin
url http://www.dentalhypotheses.com/article.asp?issn=2155-8213;year=2013;volume=4;issue=2;spage=61;epage=66;aulast=Bhandari
work_keys_str_mv AT sonambhandari regenerativeperiapicalsurgeryacasereport
AT tsashwini regenerativeperiapicalsurgeryacasereport
AT reshmanaik regenerativeperiapicalsurgeryacasereport
AT tusharbandiwadekar regenerativeperiapicalsurgeryacasereport
AT saleemmakandar regenerativeperiapicalsurgeryacasereport