Department of Endodontics, Hadassah Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel
Case Report
Treating Vertical Root Fracture using Plasma-Rich Fibrin: A Case Report
Author(s): Yoshpe Margarita*, Shahar Ohad and Kaufman Y. Arieh
Regenerative Endodontic Procedures (REP) are used to treat apical periodontitis in immature necrotic teeth and promote root maturation. Recently, REP has been speculated to arrest inflammatory external root resorption. Herein, we report the complicated treatment of apical root fracture using Plasma-Rich Fibrin (PRF) in a 12-year-old boy with a history of trauma to the right maxillary central incisor. The tooth was diagnosed to have necrotic pulp accompanied by symptomatic apical periodontitis and was treated with REP using PRF as a scaffold and restored. The tooth was asymptomatic at the 9-month follow-up; however, a sinus tract was detected on the buccal side. Retreatment was performed, and the tooth was filled with an apical plug of mineral trioxide aggregate and gutta-percha. Following the root canal, an apicoectomy was performed. During the surgery, a Vertical Root Fracture (VRF) .. View More»
