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Scholars Journal of Applied Medical Sciences | Volume-4 | Issue-03
Platelet-Rich Fibrin to Induce Apical Closure in an Immature Multi-Rooted Permanent Tooth with Necrotic Pulp: A Case Report
Prof (Dr.) Amitha M. Hedge, Dr. Sreema S. Shetty, Dr. Minu Mathew
Published: March 26, 2016 |
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127
DOI: 10.36347/sjams.2016.v04i03.004
Pages: 645-648
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Abstract
Regenerative endodontic procedures are the emerging techniques for the restoration of functional pulp and
dentine. The case report presented here describes the management of a symptomatic mandibular first molar with an
immature apex and necrotic pulpin a 9 year old child. The tooth was tender on percussion and palpation and elicited a
negative response to sensibility testing. A regenerative endodontic procedure was performed using triple antibiotic paste
as intracanal medicament and platelet-rich fibrin (PRF) as scaffold. Recall visits after 4, 6 and 8 months showed
complete resolution of periapical lesion with increased canal wall thickness. The regenerative procedure used induced
root development by increasing root wall thickness and closure of apex with regaining of pulpvitality.