Intentional Reimplantation Combining the Benefits of Leukocyte- and Platelet-rich Fibrin and Biodentine™ for the Treatment of a Large Periapical Cyst: A Case Report.

Q3 Dentistry International Journal of Clinical Pediatric Dentistry Pub Date : 2024-11-01 Epub Date: 2024-12-19 DOI:10.5005/jp-journals-10005-2987
Swagata Saha, Mohanaram Selvaraj, Y Rajmohan Shetty, Manju Raman Nair
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Abstract

Background: This case report examines the efficacy of intentional reimplantation (IR) in endodontics and explores the increased interest driven by recent advancements in regenerative techniques.

Case presentation: A 14-year-old male patient reported pain in the lower left back tooth (tooth #36). The radiographic assessment revealed a 4 mm × 4 mm periapical cyst. The patient chose an innovative approach, undergoing root canal therapy, atraumatic extraction, and immediate replantation using leukocyte and platelet-rich fibrin (L-PRF). A year later, radiographs confirmed cyst resolution with no new dental concerns.

Conclusion: IR with L-PRF and Biodentine™ was successful in the treatment of periapical cysts, offering a less invasive but effective alternative for complex endodontic cases.

How to cite this article: Saha S, Selvaraj M, Shetty YR, et al. Intentional Reimplantation Combining the Benefits of Leukocyte- and Platelet-rich Fibrin and Biodentine™ for the Treatment of a Large Periapical Cyst: A Case Report. Int J Clin Pediatr Dent 2024;17(11):1277-1280.

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结合富含白细胞和血小板的纤维蛋白和生物登汀™治疗大根尖周囊肿的益处:1例报告。
背景:本病例报告探讨了有意再植(IR)在牙髓学中的疗效,并探讨了近年来再生技术的进步所带来的兴趣。病例介绍:一名14岁男性患者报告左下后牙(36号牙)疼痛。x线检查显示一个4毫米× 4毫米的根尖周围囊肿。患者选择了一种创新的方法,接受根管治疗,非创伤性拔牙,并立即使用白细胞和血小板丰富的纤维蛋白(L-PRF)进行再植。一年后,x光片证实囊肿消退,没有新的牙齿问题。结论:IR联合L-PRF和Biodentine™治疗根尖周囊肿是成功的,为复杂的根管病例提供了一种侵入性较小但有效的选择。如何引用本文:Saha S, Selvaraj M, Shetty YR,等。结合富含白细胞和血小板的纤维蛋白和生物登汀™治疗大根尖周囊肿的益处:1例报告。中华儿科杂志;2009;17(11):1277-1280。
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