Intentional Reimplantation Combining the Benefits of Leukocyte- and Platelet-rich Fibrin and Biodentine™ for the Treatment of a Large Periapical Cyst: A Case Report
Swagata Saha, Mohanaram Selvaraj, Y Rajmohan Shetty, Manju Raman Nair
Keywords :
Case report, Dental caries, Endodontic surgery, Intentional reimplantation, Leukocyte- and platelet-rich fibrin, Periapical cyst
Citation Information :
Saha S, Selvaraj M, Shetty YR, Nair MR. Intentional Reimplantation Combining the Benefits of Leukocyte- and Platelet-rich Fibrin and Biodentine™ for the Treatment of a Large Periapical Cyst: A Case Report. Int J Clin Pediatr Dent 2024; 17 (11):1277-1280.
Background: This case report examines the efficacy of intentional reimplantation (IR) in endodontics and explores the increased interest driven by recent advancements in regenerative techniques.
Case presentation: A 14-year-old male patient reported pain in the lower left back tooth (tooth #36). The radiographic assessment revealed a 4 mm × 4 mm periapical cyst. The patient chose an innovative approach, undergoing root canal therapy, atraumatic extraction, and immediate replantation using leukocyte and platelet-rich fibrin (L-PRF). A year later, radiographs confirmed cyst resolution with no new dental concerns.
Conclusion: IR with L-PRF and Biodentine™ was successful in the treatment of periapical cysts, offering a less invasive but effective alternative for complex endodontic cases.
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