Management of internal inflammatory root resorption using injectable platelet-rich fibrin revascularization technique: a clinical study with cone-beam computed tomography evaluation

被引:6
|
作者
Nageh, Mohamed [1 ]
Ibrahim, Lamiaa A. [1 ]
AbuNaeem, Fatma M. [2 ]
Salam, Engy [3 ]
机构
[1] Fayoum Univ, Fac Dent, Dept Endodont, Batal Al Salam St, Al Bahary, Fayoum, Egypt
[2] Cairo Univ, Fac Dent, Dept Endodont, 11 Sarya Manyal St, Cairo, Egypt
[3] Fayoum Univ, Fac Dent, Dept Oral & Maxillofacial Radiol, Batal Al Salam St, Al Bahary, Fayoum, Egypt
关键词
Root resorption; Pulp revascularization; Regenerative endodontics; Injectable platelet-rich fibrin; Cone-beam computed tomography; Trauma; REGENERATIVE ENDODONTIC TREATMENT; PERMANENT TEETH; APICAL PERIODONTITIS; GEOMETRIC ACCURACY; CALCIUM HYDROXIDE; GROWTH-FACTORS; NECROTIC PULP; STEM-CELLS; PLASMA; TOOTH;
D O I
10.1007/s00784-021-04123-z
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objectives The current study evaluated clinically and radiographically the management of internal inflammatory root resorption (IIRR) in permanent anterior teeth with or without periapical lesions using injectable platelet-rich fibrin (i-PRF) regenerative approach. Methods Ten systemically healthy patients, with thirteen anterior mature teeth diagnosed with IIRR were selected for the study. At the first visit, the tooth was anesthetized, access cavity opened, root canals were mechanically prepared then medicated with calcium hydroxide and temporarily sealed. After 2-4 weeks, regenerative endodontic procedures were performed by preparing and applying i-PRF inside the canal, then a freshly prepared PRF membrane was placed over it. White mineral trioxide aggregate was placed over the PRF matrix, and the tooth was restored with a glass ionomer cement base and resin composite restoration. The patients were recalled for clinical and radiographic evaluation and follow-up every 3 months for 12 months. Cone-beam computed tomography (CBCT) imaging was performed preoperatively and after 12 months. Results Clinical evaluation results showed resolution of signs and symptoms through the follow-up period in all of the cases. Both CBCT imaging readings of IIRR lesions and periapical lesions revealed a volumetric significant difference (p = 0.00) between the preoperative and the 12-month follow-up period. Conclusions Usage of i-PRF could arrest and allow for healing of IIRR in permanent mature teeth and allow for periapical healing with successful clinical results.
引用
收藏
页码:1505 / 1516
页数:12
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