Case Report
Volume 2022, Article ID 22154007, 7 pages
Non-surgical endodontic management of endo-perio lesion and furcation perforation using L-PRF as an internal matrix and biodentine: A case report
Harshita Lath1, Gaurav Patri2
Post Graduate Trainee1, Department of Conservative Dentistry and Endodontics, Kalinga Institute of Dental Sciences, Bhubaneswar, India Professor and Head 2, Department of Conservative Dentistry and Endodontics, Kalinga Institute of Dental Sciences, Bhubaneswar, India
Address for Correspondence:
Harshita Lath,
Post Graduate Trainee, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India–751024
E-mail: harshita.lath@yahoo.co.in
Abstract
BACKGROUND:
Furcal perforations are common contributors to endodontic treatment failures. The present case describes a 6-month follow-up of an iatrogenic furcal perforation repair using a novel treatment combination of an autologous L-PRF membrane as an internal matrix along with biodentine.
CASE REPORT:
A 30-year-old male patient was referred from a private dental clinic for continuation of endodontic treatment in a mandibular molar, due to a procedural error. Clinical and radiographic examination revealed an iatrogenic furcal perforation with periapical radiolucency and grade one mobility. Non-surgical endodontic management was carried out under a dental operating microscope. The perforation site was electrocauterized via diode laser and was repaired using L-PRF as an internal matrix along with biodentine. A 6 month follow up was carried out to assess healing.
RESULT:
At 6-month follow-up, the patient was clinically asymptomatic with no tooth mobility. Radiographs showed evidence of osseous repair of the furcal area with resolution of periapical radiolucency. The use of L-PRF along with biodentine resulted in a favorable and uneventful wound healing. Despite a perceived poor prognosis, the present case report showed a good clinical result.
CONCLUSION:
L-PRF and biodentine can be successfully used in the non-surgical management of large perforation defects.
Keywords: Biodentine, Furcal perforation, Internal matrix, L-PRF.
CONFLICT OF INTERESTS:
NIL
SOURCE OF FUNDING:
NIL
How to cite this article :
Harshita Lath, & Gaurav Patri. (2022). Non-surgical endodontic management of endo-perio lesion and furcation perforation using L-PRF as an internal matrix and biodentine: A case report: Case Report. International Journal of Periodontal Rehabilitation, 7. https://doi.org/10.56501/intjperiorehab.2022.557
