Application of platelet rich fibrin for management of an electrosurgery induced osteonecrosis involving maxillary alveolus

Background

Application of principles of electrocautery for hemostasis dates back to prehistoric times. Its modern implementation in various fields of general and head and neck surgeries have been well documented. However its usage in minor oral surgical procedures has gained popularity only recently.

Complications associated with electrosurgery in the dental field are relatively rare and there is insufficient literature on its management.

Case report

We present a case report on management of an electrosurgery induced osteonecrosis involving maxillary alveolus of left premolars.

Discussion

Inadvertent contact of the electrosurgery tip on bone can result in necrosis making it necessary to remove the sequestrum and graft the defect. Platelet rich fibrin in combination with bone grafts have been well documented to provide successful periodontal regeneration.

Clinical implications

Our aim of presenting this report is to create awareness among the health care providers regarding electrosurgical injuries. To our knowledge, this is the first time platelet rich fibrin has been used in the management of intraoral electrosurgical injury. Combining bone grafts with platelet rich fibrin is a good alternative as it can be done with relative ease and predictable outcome.