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Leukocyte platelet-rich fibrin in endodontic microsurgery: a report of 2 cases

Restorative Dentistry & Endodontics 2022³â 47±Ç 2È£ p.17 ~ 17
Pires Mariana Domingos, Martins Jorge N. R., Baruwa Abayomi Omokeji, Pereira Beatriz, Ginjeira Antonio,
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 ( Pires Mariana Domingos ) - Universidade de Lisboa Faculdade de Medicina Dentaria Department of Endodontics
 ( Martins Jorge N. R. ) - Universidade de Lisboa Faculdade de Medicina Dentaria Department of Endodontics
 ( Baruwa Abayomi Omokeji ) - Universidade de Lisboa Faculdade de Medicina Dentaria Department of Endodontics
 ( Pereira Beatriz ) - Universidade de Lisboa Faculdade de Medicina Dentaria Department of Endodontics
 ( Ginjeira Antonio ) - Universidade de Lisboa Faculdade de Medicina Dentaria Department of Endodontics

Abstract


Endodontic microsurgery is a predictable treatment option when orthograde treatment or retreatment is unsuccessful or unfeasible. However, when there is a gross compromise of periapical bone, achievement of bone regeneration after the surgical procedure may be hampered. In such cases, the application of guided tissue regeneration principles, with adjunctive use of leukocyte platelet-rich fibrin to fill the bone defect as a bone substitute and as a membrane to cover the site, provides a cost-effective solution with the benefits of accelerated physiological healing and reduced post-surgical pain and discomfort. This case report presents 2 cases of endodontic microsurgery of the upper lateral incisors with loss of buccal cortical plate, where platelet-rich fibrin was successfully applied.

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Endodontics; Guided tissue regeneration; Microsurgery; Leukocyte-platelet-rich fibrin

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