Combination Therapy of Antibiotics and Platelet-rich Fibrin for Apical Closure: Case Series

Combination Therapy of Antibiotics and Platelet-rich Fibrin for Apical Closure: Case Series

The aim of endodontic treatment in immature teeth is to disinfect and regenerate tissues in the apical region for the closure of the root. Stem cells from apical papilla (SCAP) by differentiating into odontogenic and osteogenic tissues create apical closure. Triple antibiotic pastes (TAP) disinfect...

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Veröffentlicht in:International journal of clinical pediatric dentistry 2023-05, Vol.16 (3), p.541-546
Hauptverfasser: Biradar, Nandini, Ragulakollu, Rajesh, Tej, Gururam, Bogishetty, Chittaranjan, Gandham, Srehitha, Vardhan, Pavan
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Case Report
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container_end_page 546
container_issue 3
container_start_page 541
container_title International journal of clinical pediatric dentistry
container_volume 16
creator Biradar, Nandini
Ragulakollu, Rajesh
Tej, Gururam
Bogishetty, Chittaranjan
Gandham, Srehitha
Vardhan, Pavan
description The aim of endodontic treatment in immature teeth is to disinfect and regenerate tissues in the apical region for the closure of the root. Stem cells from apical papilla (SCAP) by differentiating into odontogenic and osteogenic tissues create apical closure. Triple antibiotic pastes (TAP) disinfect the root canal without adversely affecting the SCAP. Differentiation of SCAP is promoted by platelet-rich fibrin (PRF). Hence, combining TAP and PRF could have a synergistic effect. An 11-year-old girl, a 9-year-old boy, and a 13-year-old boy, symptomatic patients with open apex, are treated with TAP, PRF, and mineral trioxide aggregate (MTA) as an apical barrier sequentially. There was the formation of a calcific barrier at the end of 12, 6, and 3 months, respectively. Correct diagnosis and protocol of sequential disinfection, regeneration, and finally filling the canal with an apical barrier could yield better results. Biradar N, Ragulakollu R, Tej G, Combination Therapy of Antibiotics and Platelet-rich Fibrin for Apical Closure: Case Series. Int J Clin Pediatr Dent 2023;16(3):541-546.
doi_str_mv 10.5005/jp-journals-10005-2613
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title Combination Therapy of Antibiotics and Platelet-rich Fibrin for Apical Closure: Case Series
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