Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
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Leukocyte platelet-rich fibrin in endodontic microsurgery: a report of 2 cases

  • Mariana Domingos Pires (Department of Endodontics, Faculdade de Medicina Dentaria, Universidade de Lisboa) ;
  • Jorge N.R. Martins (Department of Endodontics, Faculdade de Medicina Dentaria, Universidade de Lisboa) ;
  • Abayomi Omokeji Baruwa (Department of Endodontics, Faculdade de Medicina Dentaria, Universidade de Lisboa) ;
  • Beatriz Pereira (Department of Endodontics, Faculdade de Medicina Dentaria, Universidade de Lisboa) ;
  • Antonio Ginjeira (Department of Endodontics, Faculdade de Medicina Dentaria, Universidade de Lisboa)
  • Received : 2021.07.22
  • Accepted : 2021.10.06
  • Published : 2022.05.31
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Abstract

Endodontic microsurgery is a predictable treatment option when orthograde treatment or retreatment is unsuccessful or unfeasible. However, when there is a gross compromise of periapical bone, achievement of bone regeneration after the surgical procedure may be hampered. In such cases, the application of guided tissue regeneration principles, with adjunctive use of leukocyte platelet-rich fibrin to fill the bone defect as a bone substitute and as a membrane to cover the site, provides a cost-effective solution with the benefits of accelerated physiological healing and reduced post-surgical pain and discomfort. This case report presents 2 cases of endodontic microsurgery of the upper lateral incisors with loss of buccal cortical plate, where platelet-rich fibrin was successfully applied.

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References

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