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Platelet Rich Fibrin in the revitalization of tooth with necrotic pulp and open apex

Regeneration of pulp-dentin complex in an infected necrotic tooth with an open apex is possible if the canal is effectively disinfected. The purpose of this case report is to add a regenerative endodontic case to the existing literature about using Platelet Rich Fibrin (PRF). A nine year old boy who...

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Autores principales: Shivashankar, Vasundara Yayathi, Johns, Dexton Antony, Vidyanath, S, Kumar, M Ramesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3482758/
https://www.ncbi.nlm.nih.gov/pubmed/23112492
http://dx.doi.org/10.4103/0972-0707.101926
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author Shivashankar, Vasundara Yayathi
Johns, Dexton Antony
Vidyanath, S
Kumar, M Ramesh
author_facet Shivashankar, Vasundara Yayathi
Johns, Dexton Antony
Vidyanath, S
Kumar, M Ramesh
author_sort Shivashankar, Vasundara Yayathi
collection PubMed
description Regeneration of pulp-dentin complex in an infected necrotic tooth with an open apex is possible if the canal is effectively disinfected. The purpose of this case report is to add a regenerative endodontic case to the existing literature about using Platelet Rich Fibrin (PRF). A nine year old boy who accidently broke his immature maxillary central incisor tooth, developed pulpal necrosis with apical periodontitis. After the access cavity preparation, the canal was effectively irrigated with 20 ml of 5.25% sodium hypochlorite solution and 10ml of 0.2% chlorhexidine solution and dried with paper points. Triple antibiotic paste was placed inside the canal and left for 21 days. 12 ml of whole blood was drawn from the patient's right antecubital vein and centrifuged for 10 minutes to obtain the Choukroun's PRF. After the removal of the triple antibiotic paste, the PRF was placed into the canal till the level of cementoenamel junction and 3mm of grey MTA was placed directly over the PRF clot. The setting of MTA was confirmed 3 days later and the tooth was double sealed with GIC and Composite restoration. After 1 year the clinical examination revealed negative responses to percussion and palpation tests. The tooth responded positively to cold and electric pulp tests. Radiographic examination revealed continued thickening of the dentinal walls, root lengthening, regression of the periapical lesion and apical closure. On the basis of the results obtained in our case report we conclude that revitalization of necrotic infected immature tooth is possible under conditions of total canal disinfection and PRF is an ideal biomaterial for pulp-dentin complex regeneration.
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spelling pubmed-34827582012-10-30 Platelet Rich Fibrin in the revitalization of tooth with necrotic pulp and open apex Shivashankar, Vasundara Yayathi Johns, Dexton Antony Vidyanath, S Kumar, M Ramesh J Conserv Dent Case Report Regeneration of pulp-dentin complex in an infected necrotic tooth with an open apex is possible if the canal is effectively disinfected. The purpose of this case report is to add a regenerative endodontic case to the existing literature about using Platelet Rich Fibrin (PRF). A nine year old boy who accidently broke his immature maxillary central incisor tooth, developed pulpal necrosis with apical periodontitis. After the access cavity preparation, the canal was effectively irrigated with 20 ml of 5.25% sodium hypochlorite solution and 10ml of 0.2% chlorhexidine solution and dried with paper points. Triple antibiotic paste was placed inside the canal and left for 21 days. 12 ml of whole blood was drawn from the patient's right antecubital vein and centrifuged for 10 minutes to obtain the Choukroun's PRF. After the removal of the triple antibiotic paste, the PRF was placed into the canal till the level of cementoenamel junction and 3mm of grey MTA was placed directly over the PRF clot. The setting of MTA was confirmed 3 days later and the tooth was double sealed with GIC and Composite restoration. After 1 year the clinical examination revealed negative responses to percussion and palpation tests. The tooth responded positively to cold and electric pulp tests. Radiographic examination revealed continued thickening of the dentinal walls, root lengthening, regression of the periapical lesion and apical closure. On the basis of the results obtained in our case report we conclude that revitalization of necrotic infected immature tooth is possible under conditions of total canal disinfection and PRF is an ideal biomaterial for pulp-dentin complex regeneration. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3482758/ /pubmed/23112492 http://dx.doi.org/10.4103/0972-0707.101926 Text en Copyright: © Journal of Conservative Dentistry http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Shivashankar, Vasundara Yayathi
Johns, Dexton Antony
Vidyanath, S
Kumar, M Ramesh
Platelet Rich Fibrin in the revitalization of tooth with necrotic pulp and open apex
title Platelet Rich Fibrin in the revitalization of tooth with necrotic pulp and open apex
title_full Platelet Rich Fibrin in the revitalization of tooth with necrotic pulp and open apex
title_fullStr Platelet Rich Fibrin in the revitalization of tooth with necrotic pulp and open apex
title_full_unstemmed Platelet Rich Fibrin in the revitalization of tooth with necrotic pulp and open apex
title_short Platelet Rich Fibrin in the revitalization of tooth with necrotic pulp and open apex
title_sort platelet rich fibrin in the revitalization of tooth with necrotic pulp and open apex
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3482758/
https://www.ncbi.nlm.nih.gov/pubmed/23112492
http://dx.doi.org/10.4103/0972-0707.101926
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