Management of pulpal floor perforation and grade II Furcation involvement using mineral trioxide aggregate and platelet rich fibrin: A clinical report

Abstract

To report the management of an iatrogenic perforation of pulpal floor in the furcation of mandibular first molar, using Mineral Trioxide Aggregate (MTA) and platelet rich fibrin (PRF). Unpredictable endodontic root/pulp chamber floor perforations resulting in unacceptable high rate of clinical failure has now been a lesser threat with the advent of new technologies and biocompatible materials that utilize the applications of basic research along with tissue engineering concept in clinical practice. Present case report illustrates the use of MTA and platelet rich fibrin (PRF) for the repair of the perforation defect and regeneration of the lost periodontium in furcation area. Although, histologic events and reaction of MTA with PRF is not studied so far, however, the autologous and biocompatible nature of the components used for present treatment modalities seems to be beneficial for the long term clinical results obtained in our case.

Patient-centered evaluation of microsurgical management of gingival recession using coronally advanced flap with platelet-rich fibrin or amnion membrane: A comparative analysis

“…Autologous PRF for the study was obtained from patient blood prior to surgery as suggested by Choukroun et al .,[ 4 ] by means of a table top centrifuge (REMI, Laboratories, India). [ 18 ] PRF acquired in the middle clot was cautiously collected by removing red blood cell clot using sterilized scissor [ Figure 2 ]. The PRF thus obtained was squeezed with sterilized and moist gauge piece to form PRF membrane.…”

The effects of sodium hypochlorite and ethylenediaminetetraacetic acid on the microhardness of Mineral Trioxide Aggregate and TotalFill Bioceramic Putty

“…The literature suggests that waiting for a minimum of 4 h under a moist cotton pellet (with the other surface exposed to moisture from dentinal tubules) will allow MTA to set adequately to achieve optimum flexural strength via two‐sided hydration . However, the recall period following perforation repair material placement has not been standardised by clinicians and has been reported to range from a few days to a week .…”

Clinical Efficacy of Growth Factors to Enhance Tissue Repair in Oral and Maxillofacial Reconstruction: A Systematic Review

“…Endodontic treatment has been combined with the use of PRP, PRF and PRGF in 7 case reports and three controlled studies . All studies reported favorable and positive results with respect to periapical regeneration, pulp tissue regeneration, apical closure or regain of vitality.…”