Management of Periapical cyst using Beta Tricalcium Phosphate Bone Substitute and Platelet Rich Fibrin Membrane Following Enucleation
augmentation of the bone defect using beta Tricalcium Phosphate following eneucleation of periapical cyst
Abstract
The pulp and periodontium are connected anatomically, functionally, and developmentally. It might be challenging to diagnose and arrange effective treatments when pulpal issues and inflammatory periodontal disease coexist. One of the most frequent oral cavity cysts is the radicular cyst, which is typically brought on by trauma or an infection. There are a number of techniques that are now being used to enhance postoperative recovery and hasten the repair and regeneration of the damaged area. An investigation revealed that a 38-years-old patient had a radicular cyst, which was initially treated by endodontic treatment of the involved teeth, followed by enucleation of the cyst and a further bone graft placement followed by Platelet rich fibrin membrane. The patient's main complaint was pain in lower front jaw region for two to three months. Patient also had few episodes of pus discharge on its own through the same region. After three months, there was an increase in clinical attachment level and a decrease in probing depth. There was a sizable bone fill, according to radiographic findings.
References
2) Simon JH, Glick DH, Frank AL. The relationship of endodontic periodontic lesions. J Periodontol. 1972;43:202-8.
3) Parolia A, Gait TC, Porto IC, Mala K. Endo-perio le-sion: A dilemma from 19th until 21st century. Jour-nal of Interdisciplinary Dentistry. 2013; 3(1):2-11.
4) Shenoy N, Shenoy A. Endo-perio lesions: Diagnosis and clinical considerations. Indian Journal of Dental Research. 2010; 21(4):579.
5) Aksel H, Serper A. A case series associated with different kinds of endo-perio lesions. Journal of clini-cal and experimental dentistry.2014; 6(1):91
6) Harrington GW, Steiner DR, Ammons WF. The perio-dontal–endodontic controversy. Periodontology. 2000, 2002; 30(1):123-30.
7) Schwartz Z, Somers A, Mellonig TJ, Carnes DL Jr, Dean DD, Cochran DL, et al. Ability of commercial demineralized freeze-dried bone allograft to induce new bone formation is dependent on donor age but not gender. J Periodontol. 1998;69:470–8.
8) Gassling VL, Açil Y, Springer IN, Hubert N, Wiltfang J. Platelet-rich plasma and platelet-rich fibrin in human cell culture. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108:48–55.
9) Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR. Platelet-rich plasma: Growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;85:638–46.
10) Sunitha Raja V, Munirathnam Naidu E. Platelet-rich fibrin: Evolution of a second-generation platelet concentrate. Indian J Dent Res. 2008;19:42–6.
11) Nevins M, Giannobile WV, McGuire MK, Kao RT, Mellonig JT, Hinrichs JE, et al. Platelet-derived growth factor stimulates bone fill and rate of attachment level gain: Results of a large multicenter randomized controlled trial. J Periodontal. 2005;76:2205–15.
12) Nair PNR. New perspectives on radicular cysts: do they heal? International Endodontic Journal. 1998;31(3):155–60.
