Management of a Previously Treated, Calcified, and Dilacerated Maxillary Lateral Incisor: A Combined Nonsurgical/Surgical Approach Assisted by Cone-beam Computed Tomography

Dudeja, Pooja; Dudeja, Krishan Kumar; Garg, Arvind; Srivastava, Dhirendra; Grover, S. K.

doi:10.1016/j.joen.2016.03.020

Cited by 6 publications

(8 citation statements)

References 22 publications

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“…Only few case reports have been presented of permanent, mature teeth with periapical lesions treated with RCT combined with surgical procedures, including curettage of the defect and sometimes apical resection [27][28][29][30][31][32][33][34][35][36][37][38]. The defects were filled with either platelet concentrate alone or platelet concentrate mixed with bone substitutes [27][28][29][30][31][32][33][34][35][36][37][38]. Despite the fact that all of the published cases were successful, they do not support the exact role of PRF in the process of healing.…”

Section: Discussionmentioning

confidence: 97%

“…So far, there have not been any manuscripts published analyzing the clinical effects of conventional RCT with supplementary PRF application in the treatment of periapical lesions in mature teeth. Only few case reports have been presented of permanent, mature teeth with periapical lesions treated with RCT combined with surgical procedures, including curettage of the defect and sometimes apical resection [27][28][29][30][31][32][33][34][35][36][37][38]. The defects were filled with either platelet concentrate alone or platelet concentrate mixed with bone substitutes [27][28][29][30][31][32][33][34][35][36][37][38].…”

Section: Discussionmentioning

confidence: 99%

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Plasma Rich in Growth Factors in the Treatment of Endodontic Periapical Lesions in Adult Patients: Case Reports

Machut

Zółtowska

Pawłowska

et al. 2021

IJMS

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Platelet-rich fibrin (PRF) is an autologous blood concentrate obtained without anticoagulants by centrifugation of patients’ peripheral venous blood. PRF is considered to enhance the formation of new bone. The aim of this manuscript was to present two case reports of permanent teeth with closed apexes with periapical lesions, treated endodontically with the use of PRF. The root canals were mechanically cleaned and shaped with NiTi files and irrigated with 5.25% sodium hypochlorite (NaOCl), 40% citric acid (CA), and triple distillated water. Before the canal systems were obturated, A-PRF was used as a scaffold and was placed below the cementodentinal junction with hand pluggers. Cone beam computerized tomography (CBCT) was used to assess the resolutions of periapical radiolucencies. After 6 months, the measurements of both periapical lesions were significantly reduced. Although the performed root canal treatments (RCTs) can definitely be recognized as successful, it must be emphasized that mechanical shaping and cleaning of the root canals with special disinfecting solutions significantly affect the clinical efficacy of RCT. It seems impossible to state that PRF played a leading role in the healing process of the presented periapical lesions. Further studies must be performed to assess whether RCT of mature teeth with an additional PRF application is superior to RCT performed alone.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Plasma Rich in Growth Factors in the Treatment of Endodontic Periapical Lesions in Adult Patients: Case Reports

Machut

Zółtowska

Pawłowska

et al. 2021

IJMS

View full text Add to dashboard Cite

show abstract

“…All of the published case reports [130][131][132][133][134][135][136][137][138][139][140][141] revealed satisfactory bone healing after placing PRF or PRF mixed with bone substitutes inside the bone defects. However, they do not explain and answer the fundamental question if additional use of PRF in endodontic surgery is more beneficial for the patient than the conventional surgical procedures performed without any additional supplementation.…”

Section: Prf In the Endodontic Treatment Of Permanent Teeth With Closed Apexesmentioning

confidence: 95%

“…Table 3 presents the use of PRF in the endodontic treatment of permanent teeth with closed apexes on the basis of the literature [128][129][130][131][132][133][134][135][136][137][138][139][140][141]. AC-anticoagulant, BG-bioactive glass, β-TCP-β-tricalcium phosphate, CGF-concentrated growth factor, EDTA-Ethylene diamine tetraacetic acid, FDBA-freeze-dried bone allograft, HA-hydroxyapatite, MTA-Mineral Trioxide Aggregate, n/a-not applicable, PPP-platet poor plasma, RCT-root canal treatment, TCP-tricalcium phosphate.…”

Section: Prf In the Endodontic Treatment Of Permanent Teeth With Closed Apexesmentioning

confidence: 99%

Plasma Rich in Growth Factors in the Treatment of Endodontic Periapical Lesions in Adult Patients: A Narrative Review

et al. 2021

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Platelet concentrates have been widely used in regenerative medicine, including endodontics. The aim of this manuscript was to assess critically the efficacy of PRF in the treatment of endodontic periapical lesions in adult patients on the basis of the literature. The PICO approach was used to properly develop literature search strategies. The PubMed database was analyzed with the keywords: “((PRP) OR (PRF) OR (PRGF) OR (CGF)) AND (endodontic) AND ((treatment) OR (therapy))”. After screening of 155 results, 14 articles were included in this review. Different types of platelet concentrates are able to stimulate the processes of proliferation and differentiation of mesenchymal stem cells. Platelet rich fibrin (PRF) releases growth factors for at least 7 days at the application site. Growth factors and released cytokines stimulate the activity of osteoblasts. Moreover, the release of growth factors accelerates tissue regeneration by increasing the migration of fibroblasts. It was not possible to assess the efficacy of PRF supplementation in the treatment of endodontic periapical lesions in permanent, mature teeth with closed apexes, due to the lack of well-designed scientific research. Further studies are needed to analyze the effect of PRF on the healing processes in the periapical region.

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“…Prevalensi akar bengkok premolar kedua rahang atas adalah 4,1%. 1,2 Akar bengkok merupakan anomali perkembangan yang menghasilkan angulasi tajam antara akar dan mahkota gigi. 2,3 Faktor etiologi yang menjadi penyebab akar bengkok yaitu trauma mekanis gigi sulung, ketidakseimbangan perkembangan yang tidak diketahui, infeksi saluran akar, perkembangan ektopik benih gigi, dan kurangnya ruangan.…”

Section: Pendahuluanunclassified

Perawatan gigi premolar kedua rahang atas dengan saluran akar bengkok menggunakan jarum NiTi rotary

Rachmawati

Muryani

2020

J Ked Gi Unpad

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ABSTRAKPendahuluan: Preparasi saluran akar dapat menjadi tantangan apabila dihadapkan pada morfologi sistem saluran akar yang kompleks. Gigi dengan saluran akar bengkok dapat menimbulkan kesulitan bagi dokter gigi dalam melakukan perawatan saluran akar. Perawatan saluran akar bengkok membutuhkan penggunaan alat, bahan dan teknik yang efektif untuk membersihkan saluran akar dengan baik. Tujuan laporan kasus ini adalah menjelaskan perawatan gigi premolar kedua rahang atas dengan saluran akar bengkok menggunakan jarum NiTi rotary. Laporan kasus: Pasien perempuan usia 16 tahun dengan rujukan dari bagian orthodontik untuk dirawat gigi kiri atas belakang yang berlubang besar dan terdapat benjolan pada gusi. Hasil pemeriksaan klinis terdapat karies besar pada gigi 25, tes perkusi positif, tes palpasi positif, dan vitalitas negatif. Hasil Pemeriksaan radiologi terdapat gambaran radiolusen difus pada ujung apikal dan menunjukkan konfigurasi saluran akar bengkok sebesar 54°. Diagnosa gigi 25 adalah nekrosis pulpa disertai abses apikalis kronis. Isolasi daerah kerja, kemudian preparasi akses kavitas. Negosiasi saluran akar menggunakan K-files #10 dan mengukur panjang kerja dengan apex locator. Saluran akar diirigasi dengan menggunakan NaOCl 2,5% lalu diikuti oleh EDTA 17%. Preparasi dilakukan dengan menggunakan instrument rotari hingga #25.06. Medikamen saluran akar menggunakan kalsium hidroksida. Kunjungan berikutnya dilakukan pengisian saluran akar diikuti preparasi pasak fiber dan restorasi direk komposit. Simpulan: Perawatan gigi premolar kedua rahang atas dengan saluran akar bengkok menggunakan jarum NiTi rotary, dengan bahan irigasi Sodium hipoklorit dan EDTA diaktifasi agitasi sonik, serta medikamen kalsium hidroksida menunjukkan keberhasilan perawatan pada kunjungan kedua.

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Management of a Previously Treated, Calcified, and Dilacerated Maxillary Lateral Incisor: A Combined Nonsurgical/Surgical Approach Assisted by Cone-beam Computed Tomography

Cited by 6 publications

References 22 publications

Plasma Rich in Growth Factors in the Treatment of Endodontic Periapical Lesions in Adult Patients: Case Reports

Plasma Rich in Growth Factors in the Treatment of Endodontic Periapical Lesions in Adult Patients: Case Reports

Plasma Rich in Growth Factors in the Treatment of Endodontic Periapical Lesions in Adult Patients: A Narrative Review

Perawatan gigi premolar kedua rahang atas dengan saluran akar bengkok menggunakan jarum NiTi rotary

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