Use of Platelet-Rich Fibrin Membrane with Tricalcium Silicate in Interdisciplinary Management of Fractured Fused Anterior Teeth with Periapical Pathology

The ultimate goal in modern dentistry is to achieve white and pink esthetics. Optimal periodontal health without encroaching biologic width is the foundation upon which reconstruction of teeth is based. This case report presents the multidisciplinary management of an orthodontic patient who reported with fractured fused endodontically treated upper right anterior teeth with periapical lesion. Crown lengthening procedure with apically displaced flap was done to preserve the band of keratinized tissue and to gain access to the apex of the teeth. Apicoectomy and placement of tricalcium silicate (Biodentine) along with platelet-rich fibrin membrane was done. For better esthetic composite, veneer was given and orthodontic treatment continued. One-year examination showed uneventful healing and reduction of the periapical lesion. PRF membrane and Biodentine yielded good benefits for regeneration. Thus, multidisciplinary approach emphasizes the importance and beauty of collaboration between various specialties to provide the best quality of care to the patient.