Novel use of platelet-rich fibrin matrix and MTA as an apical barrier in the management of a failed revascularization case

Dental Traumatology : Official Publication of International Association for Dental Traumatology
Pankaj YadavMahesh Verma

Abstract

We report management of a failed revascularization/revitalization case, which could be due to inadequate removal of biofilm and bacteria in dentinal tubules. The use of an apical matrix barrier in form of a platelet-rich fibrin (PRF) membrane for stabilization of MTA in root end apexification procedure is described. The canal was cleansed of old MTA present in the cervical third using H files, irrigated using saline and finally irrigated with 2.5% NaOCl and saline. To obtain canal disinfection, calcium hydroxide paste was temporized in the canal. In subsequent appointments, PRF was placed at the root tip followed by 5-mm apical plug with mineral trioxide aggregate. One week later, the root canal was obturated with thermoplasticized gutta-percha. A 6-month and a 2-year follow ups showed reduction of periapical radiolucency and adequately functional tooth. One-visit apexification techniques provide an alternative treatment for failed revascularization cases. Follow up confirmed complete healing periradicularly. Apexification in one step using an apical barrier of PRF and a plug of MTA can be considered a predictable treatment and may be an alternative to long-term revascularization failures.

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Citations

Aug 27, 2016·Journal of Conservative Dentistry : JCD·Aamir Rashid PurraRiyaz Farooq
Apr 11, 2019·Brazilian Dental Journal·Luiz Alexandre ChisiniFlávio Fernando Demarco
Mar 22, 2019·Materials·Simone StaffoliAntonella Polimeni
May 20, 2018·International Endodontic Journal·S G KimB Kahler

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