Endodontic management of single rooted immature mandibular second molar with single canal using MTA and platelet-rich fibrin membrane barrier: A case report

Kathuria, Ambica; Chaudhry, Sarika; Talwar, Sangeeta; Verma, Mahesh

doi:10.4317/jced.3.e487

Cited by 11 publications

(9 citation statements)

References 13 publications

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“…Narang et al [92] came to a different conclusion, observing better efficacy of PRF than PRP and BC in promoting healing of periapical lesions. The high efficacy of PRF in REP and treatment of inflammation was also confirmed in other reports [72,91,93,94].…”

Section: Components Of the Pulp Regeneration Processsupporting

confidence: 83%

Regenerative Endodontics as the Future Treatment of Immature Permanent Teeth

2021

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The regenerative endodontic procedure (REP) is an alternative solution for endodontic treatment of permanent teeth with incomplete root apex development. It results in angiogenesis, reinnervation, and further root formation. Indications for REP include immature permanent teeth with necrotic pulp and inflammatory lesions of the periapical tissues. The main contraindications comprise significant destruction of the tooth tissues and a lack of patient cooperation. We distinguish the following stages of this procedure: disinfection of the canal, delivery of the REP components, closure of the cavity, and follow-up appointments. For effective canal disinfection, the use of both rinsing agents and intracanal medicaments is suggested. Sodium hypochlorite and triple antibiotic paste are used most commonly. Light-activated disinfection is proposed as an alternative method. The prerequisite for the regeneration process of the pulp is the supply of its essential components: stem cells, growth factors, and scaffolds to the canal lumen. Blood clotting, platelet-rich plasma, and platelet-rich fibrin are used for this purpose. For a proper course of REP, it is also necessary to close the tooth canal tightly. For this purpose, mineral trioxide aggregate (MTA), tricalcium silicate (Biodentine), or types of glass ionomer cement are employed. The patient should attend regularly scheduled follow-up appointments and each time undergo a thorough interview, physical and radiological examination. The most important indicator of a successful REP is the continued growth of the root in length and thickness and the closure of the root apex visible on X-rays. Many different proposals for a management protocol have been published; the following paper proposes the authors’ original scheme. Regenerative endodontics is the future of the endodontic treatment of immature permanent teeth; however, it still requires a lot of research to refine and standardize the treatment protocol. The application of tissue engineering methods seems to be promising, also for mature teeth treatment.

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Section: Components Of the Pulp Regeneration Processsupporting

confidence: 83%

Regenerative Endodontics as the Future Treatment of Immature Permanent Teeth

2021

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“…Kathuria et al [ 11 ] reported the use of PRF and MTA in healing of periapical lesion in permanent mandibular second molar. The PRF matrix prevented the extrusion of MTA in periradicular tissues.…”

Section: Discussionmentioning

confidence: 99%

Clinical success of platelet-rich fibrin and mineral trioxide aggregate (MTA) or MTA-like agents in healing of periapical lesion in nonsurgically treated pulpless immature permanent teeth: A systematic review

Joshi

Palekar

Pendyala

et al. 2020

J Int Soc Prevent Communit Dent

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A BSTRACT Background: The chances of extrusion of mineral trioxide aggregate (MTA) are quite high if apical barrier is not present in immature pulpless permanent teeth. Platelet-rich fibrin (PRF) enriched with platelets and growth factors serves to accelerate the wound healing of periapical lesion in immature pulpless permanent teeth and also serves as internal matrix to condense MTA. Aim: The aim of the present study was to comprehensively review the clinical success of MTA+PRF in healing of periapical lesions in immature pulpless permanent teeth. Materials and Methods: An electronic search for systematic review was conducted in Pubmed/Medline ( www.ncbi.nlm.nih.gov ), Cochrane ( www.cochrane.org ), Scopus ( www.scopus.com ) databases upto 15th January 2020 related to the healing of periapical lesions in permanent teeth with immature apices when combination of MTA+PRF was used. A sample of 10 relevant studies and case reports were identified in our search out of 65. The sampling method was simple random technique. The studies and case reports with Randomised Controlled Trials(RCTs), Invitro studies, Case reports and animal studies in healing of periapical lesion were included in our comprehensive systematic review. Results: The search showed that the combination of MTA+PRF showed faster and definite periapical lesion healing in immature permanent teeth. The follow-up period was also recorded in all the relevant studies and case reports. Conclusion: Acclerated bone filling was seen in healing of periapical leions when MTA+PRF was used.

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“…The intrinsic incorporation of cytokines within the fibrin mesh allows for their progressive release over time (7–10 days) as the network of fibrin disintegrates. [24] Corso MD et al . reported that fibrin network allows for cellular migration, particularly for endothelial cells necessary for neoangiogenesis and vascularization.…”

Section: Discussionmentioning

confidence: 99%

Clinical and histological comparison of platelet-rich fibrin versus non-eugenol periodontal dressing in the treatment of gingival hyperpigmentation

Dahiya

Blaggana

Panwar

et al. 2019

J Indian Soc Periodontol

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Background: The platelet-rich fibrin (PRF) has proven an immense role in angiogenesis and epithelization in a wound healing process. The present study aims to ascertain PRF's beneficial role in wound healing after depigmentation surgery. Materials and Methods: A total of 12 systemically healthy controls included were divided into two groups after scalpel depigmentation procedure. PRF was prepared according to Choukroun's standard protocol. Using split-mouth design after depigmentation, one group received PRF membrane, and in second group non-eugenol periodontal dressing was placed. The participants were evaluated for visual analog scale (VAS), healing index (HI) on 3 rd and 5 th day. Epithelization test using toluidine blue and histological examination employing punch biopsy was done on the 5 th day. Results: On statistical scale, VAS, HI, epithelization test, and histological findings were statistically significant in the two study groups. PRF group proved better epithelization test and inflammatory cell infiltration was less in PRF group which confirmed superior wound healing in the group. Conclusion: PRF membrane postdepigmentation provided satisfactory patient comfort and enhanced the wound healing cascade.

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Endodontic management of single rooted immature mandibular second molar with single canal using MTA and platelet-rich fibrin membrane barrier: A case report

Cited by 11 publications

References 13 publications

Regenerative Endodontics as the Future Treatment of Immature Permanent Teeth

Regenerative Endodontics as the Future Treatment of Immature Permanent Teeth

Clinical success of platelet-rich fibrin and mineral trioxide aggregate (MTA) or MTA-like agents in healing of periapical lesion in nonsurgically treated pulpless immature permanent teeth: A systematic review

Clinical and histological comparison of platelet-rich fibrin versus non-eugenol periodontal dressing in the treatment of gingival hyperpigmentation

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