Management of Periapical cyst using Beta Tricalcium Phosphate Bone Substitute and Platelet Rich Fibrin Membrane Following Enucleation

Abstract

The pulp and periodontium are connected anatomically, functionally, and developmentally. It might be challenging to diagnose and arrange effective treatments when pulpal issues and inflammatory periodontal disease coexist. One of the most frequent oral cavity cysts is the radicular cyst, which is typically brought on by trauma or an infection. There are a number of techniques that are now being used to enhance postoperative recovery and hasten the repair and regeneration of the damaged area. An investigation revealed that a 38-years-old patient had a radicular cyst, which was initially treated by endodontic treatment of the involved teeth, followed by enucleation of the cyst and a further bone graft placement followed by Platelet rich fibrin membrane. The patient's main complaint was pain in lower front jaw region for two to three months. Patient also had few episodes of pus discharge on its own through the same region. After three months, there was an increase in clinical attachment level and a decrease in probing depth. There was a sizable bone fill, according to radiographic findings.