Treatment of endo-periodontal lesion using leukocyte- platelet- rich fibrin. A case report

Primer Autor
Betancourt, Pablo
Co-autores
Elgueta, Ricardo#Fuentes, Ramon
Título
Treatment of endo-periodontal lesion using leukocyte- platelet- rich fibrin. A case report
Editorial
CORPORACION EDITORA MEDICA VALLE
Revista
COLOMBIA MEDICA
Lenguaje
en
Resumen
Case Description: The main objective of this paper was to report the clinical effectiveness of leukocyte-platelet-rich fibrin (L-PRF) in the treatment of a combined endo-periodontal lesion of an upper first premolar. Clinical Findings: The tooth had a profound abfraction on the vestibular aspect and presented no mobility but revealed a deep pocket measuring of 11 mm on the mesial vestibular aspect and 14 mm on the mesial palatine aspect. The three dimensional image analysis showed total bone loss in the mesial aspect and an extensively bone loss of the vestibular aspect of the vestibular root. Treatment and Outcome: Endodontic treatment was performed and periodontal access surgery (surgical periodontal therapy) was done with the application of autologous L-PRF. Three month and 6 months after surgery, the cone beam computed tomography (CBCT) exams showed no bone regeneration in any aspect of the tooth. However, periodontal examination showed a significative improvement in the deepness of surcus. The mesial vestibular aspect had a deep pocket of 3 mm and 5 mm on the mesial palatine aspect showing a reduction in deepness of 8 mm and 9 mm, respectively. Clinical Relevance: The actual treatment for teeth with bad prognosis is the extraction and replacement with implants. Even though implants are capable of restore function and aesthetic, the abuse of this approach have led to the loss of teeth that could be successfully treated with a less invasive technique. The prognosis of teeth with endoperiodontal lesion is poor but could be enhanced with regenerative therapies. Until now there are no clinical trials and just four case report about the treatment of these teeth with platelet rich fibrin.
Tipo de Recurso
Artículo original
doi
10.25100/cm.v48i4.2140
Formato Recurso
pdf
Palabras Claves
Blood platelets# leukocytes# fibrin# surgical procedures# endodontics
Ubicación del archivo
http://dx.doi.org/10.25100/cm.v48i4.2140
Categoría OCDE
Medicine, General & Internal
Materias
Plaquetas sanguíneas# leucocitos# fibrina# procedimientos quirúrgicos# endodoncia
Disciplinas de la OCDE
Odontología, Cirugía y Medicina Oral
Medicina General e Interna
Biotecnología Relacionada con la Salud
Id de Web of Science
WOS:000423405000008
Título de la cita (Recomendado-único)
Treatment of endo-periodontal lesion using leukocyte- platelet- rich fibrin. A case report
Identificador relacionado
29662262
Identificador del recurso (Mandatado-único)
Artículo original
Versión del recurso (Recomendado-único)
version publicada
Editorial
CORPORACION EDITORA MEDICA VALLE
Revista/Libro
COLOMBIA MEDICA
Categoría WOS
Medicina general e interna
ISSN
1657-9534
Idioma
en
Formato
pdf
Tipo de ruta
diamante#verde
Access Rights
acceso abierto
Derechos de acceso
acceso abierto
License
CC BY-NC 4.0
Página de inicio (Recomendado-único)
1533
Página final (Recomendado-único)
1540
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