Regenerative endodontic procedure using leukocyteand platelet-rich fibrin associated with apical surgery: case report

Georgia Luiza MACHADO, Hugo BASTOS, Amanda Caroliny ALMEIDA. Walter Suruagy PADILHA, Ana Grasiela da Silva LIMOEIRO

Introduction: Parendodontic surgery is an alternative to conventional endodontic treatment, especially in cases involving periradicular lesions associated with osteolytic processes, in which conventional endodontic therapy or retreatment was not successful. New therapeutic methods for the treatment of these cases have ground in clinical dentistry . For example, leukocyteand platelet-rich fibrin which has a higher concentration and more prolonged release of growth factors, modulates the repair process. This process is based on the optimization of tissue regeneration through the insertion of fibrin membrane. Objective: The objective of this study is to report a case in which leukocyte- and platelet-rich fibrin associated with parendodontic surgery was used for bone repair. Results: Clinical and tomographic follow-up was performed after 72 days, which revealed absence of any symptoms, complete repair of the lesion, buccal cortical bone regeneration, and absence of detectable lesion on tomography. Conclusion: There was complete tissue regeneration at the lesion site.

Keywords: Microsurgery. Endodontics. Platelet-rich Fibrin.

How to cite: Machado GL, Bastos H, Almeida AC, Padilha WS, Limoeiro AGS. Regenerative endodontic procedure using leukocyte- and platelet-rich fibrin associated with apical surgery: case report. Dental Press Endod. 2020 May - Aug;10(2):67-72.

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