SURGICAL MANAGEMENT OF NONHEALING PERIAPICAL LESION USING NOVEL PLATELET RICH FIBRIN AND BONE GRAFT
Manali Solanki*, Kailash Attur, Nikunj Patel and Dhruvi Doshi
ABSTRACT
The surgical management of nonhealing periapical lesions poses a significant challenge in endodontics. This report presents a case where conventional endodontic treatment failed to resolve a periapical lesion, necessitating surgical intervention. The treatment involved root canal therapy followed by periradicular surgery and the use of platelet-rich fibrin (PRF) and bone grafting for tissue regeneration. PRF, a second-generation platelet concentrate, offers advantages in promoting wound healing and tissue regeneration. The integration of PRF and bone grafting demonstrated promising results in facilitating tissue regeneration and bone healing. This combined approach presents a viable therapeutic option for challenging periapical lesions, potentially enhancing clinical outcomes. Further research is needed to validate the long-term efficacy and broader applicability of this treatment approach.
Keywords: Periapical lesion, Endodontic surgery, Platelet rich fibrin, Bone grafts.
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