Application of advanced platelet-rich fibrin for through-and-through bony defect during endodontic surgery: Three case reports and review of the literature

Fahda N Algahtani; Rahaf Almohareb; Manar Aljamie; Nouf Alkhunaini; Shatha Subhi ALHarthi; Reem Barakat

doi:10.12998/wjcc.v11.i17.4168

Application of advanced platelet-rich fibrin for through-and-through bony defect during endodontic surgery: Three case reports and review of the literature

World J Clin Cases. 2023 Jun 16;11(17):4168-4178. doi: 10.12998/wjcc.v11.i17.4168.

Authors

Fahda N Algahtani¹, Rahaf Almohareb¹, Manar Aljamie², Nouf Alkhunaini³, Shatha Subhi ALHarthi⁴, Reem Barakat⁵

Affiliations

¹ Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia.
² Department of Endodontics, Vision Colleges of Dentistry and Nursing, Riyadh 11671, Saudi Arabia.
³ Department of Dental, Specialized Medical Center Hospitals, Riyadh 11671, Saudi Arabia.
⁴ Department of Preventive Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia.
⁵ Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia. rmbarakat@pnu.edu.sa.

Abstract

Background: The use of advanced platelet-rich fibrin (A-PRF) membranes for guided bone and tissue regeneration in through-and-through defects after endodontic surgery was explored in three cases.

Case summary: Herein, three patients presented to the endodontic clinic suffering from apical periodontitis, associated with large bone resorption and related to previously endodontically treated teeth. Periapical surgery was indicated in these cases and the osteotomy site was covered by A-PRF membrane. Cone-beam computed tomography (CBCT) was used to assess the cases before and after the surgery.

Conclusion: Four months post-surgery, the recall CBCT scan showed complete obliteration of the osteotomy with newly formed bone. A-PRF membrane showed promising results and was an advantageous addition to surgical endodontic treatment.

Keywords: Alveolar bone loss; Case report; Cone-beam computed tomography; Endodontic; Periapical disease; Platelet-rich fibrin; Surgery; Tunnel defect.

Publication types

Case Reports