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Revista Colombia Médica
Universidad del Valle - Facultad de Salud
ISSN: 0120-8322 EISSN: 0120-8322
Vol. 48, No. 4, 2017, pp. 202-205
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Bioline Code: rc17068
Full paper language: English
Document type: Case Report
Document available free of charge
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Revista Colombia Médica, Vol. 48, No. 4, 2017, pp. 202-205
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Treatment of endo-periodontal lesion using leukocyte- platelet- rich fibrin. A case report
Betancourt, Pablo; Elgueta, Ricardo & Fuentes, Ramon
Abstract
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.
Keywords
Blood platelets; leukocytes; fibrin; surgical procedures; endodontics
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© Copyright 2017 - Universidad del Valle Alternative site location: http://colombiamedica.univalle.edu.co
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