BIODENTINE AS A BIOCOMPATIBLE RETROGRADE FILLING MATERIAL WITH PLATELET-RICH FIBRIN (PRF) AS AN AUTOLOGOUS BIOMATERIAL IN THE MANAGEMENT OF PERIAPICAL LESION

Dr. Deepak Prasad, Dr. Sheshadri Puttaswamy, Dr. Anvitha D, Dr. Heena Naz Kaouser, Dr. Aashique Muhammed P S

Abstract


The successful treatment of periapical inflammatory lesion depends on the reduction and elimination of the offending organism. Periapical surgery, one of the treatment alternatives, includes the curettage of all periapical soft tissues and sometimes application of different biomaterials to enhance the new bone formation in the defect site like using platelet-rich fibrin (PRF) which acts as a source of growth factors at the healing site. PRF features all the necessary parameters permitting optimal healing. A cystic lesion, which is unable to heal non-surgically, heals well with surgical intervention and use of mineral trioxide aggregate (MTA) as retrograde filling has been reported in literature. Another material with largely improved handling properties; Biodentine™ (Septodont, St. MaurdesFossés, France) was introduced in 2011. It is a calcium silicate based material and manufacturers claim that it can be used for crown and root dentin repair treatment, repair of perforations or resorptions, apexification, and root end fillings. This article presents a case of surgical management of a large cystic lesion using Biodentine™ as retrograde filling material.


Keywords


Autologous growth factors, biomaterial, platelet concentrate, platelet-rich fibrin, Biodentine retrograde filling material

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References


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