Surgical Management of a Large Endodontic Periapical Lesion With Bone Putty and Platelet-Rich Fibrin: A Case Report With a Two-Year Volumetric Follow-Up.

Autor:	Sharma R; Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, IND., Tandan M; Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, IND., Soi S; Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, IND., Gupta A; Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, IND.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Sep 13; Vol. 16 (9), pp. e69355. Date of Electronic Publication: 2024 Sep 13 (Print Publication: 2024).
DOI:	10.7759/cureus.69355
Abstrakt:	The present case report evaluates the surgical management of a large periapical lesion with palatal perforation using platelet-rich fibrin (PRF) and bone putty material, with a two-year follow-up. A 15-year-old male presented with persistent swelling and pain in the right maxillary anterior region, having a history of trauma and recurrent swelling. Cone beam computed tomography (CBCT) imaging revealed a large periapical lesion extending from teeth #11 to #15 with a palatal breach. Initial non-surgical root canal treatment (RCT) failed due to persistent exudation from teeth #11, #12, and #13. This led to the decision for periradicular surgery involving cystic lesion enucleation, apicoectomy, retrofill with mineral trioxide aggregate (MTA), and placement of bone putty and PRF. Follow-up assessments, including volumetric analysis with ITK-SNAP software (www.itksnap.org), showed a 97% reduction in lesion volume, from 4055 to 132 cubic millimeters. The palatal perforation was successfully repaired, with no clinical symptoms reported. Substantial reduction in lesion size and successful repair of the perforation highlight the potential of this approach in complex surgical endodontic cases. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Sharma et al.)
Databáze:	MEDLINE
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