E-ISSN 2548-0839
European Endodontic Journal Endodontic Management of a Chronic Periapical Abscess in a Maxillary Central Incisor with an Immature Root Apex Using Platelet-Rich Fibrin: A Case Report []
. 2018; 3(3): 192-196 | DOI: 10.14744/eej.2018.19483

Endodontic Management of a Chronic Periapical Abscess in a Maxillary Central Incisor with an Immature Root Apex Using Platelet-Rich Fibrin: A Case Report

Weerapan Aunmeungtong1, Tadkamol Krongbaramee2, Pathawee Khongkhunthian1
1Center of Excellence for Dental Implantology, Faculty of Dentistry, Chiang Mai University, Thailand
2Department of Restorative and Periodontology, Faculty of Dentistry, Chiang Mai University, Thailand

Platelet-rich fibrin (PRF) has been used for several treatments in dentistry. The present study reports the clinical and radiographic outcomes of a root canal treatment of a necrotic immature maxillary central incisor using PRF. A 15-year-old female patient presented with a diagnosis of maxillary left central incisor pulp necrosis with open apex and periapical radiolucency and extraoral sinus tract. Two months after a two-visit root canal treatment using calcium hydroxide as a root canal dressing, no clinical symptoms were observed, and the previous sinus tract at the patient’s nostril had completely disappeared. In the subsequent visit, the PRF was prepared and delivered into the root canal. The PRF layer was covered with collagen membrane and then sealed with white mineral trioxide aggregate. One year later, the patient remained asymptomatic. Radiological examination using cone beam computed tomography (CBCT) showed that the destructive buccal alveolar bone was completely repaired.

Keywords: Cone beam computed tomography, immature root apex, platelet-rich fibrin

Weerapan Aunmeungtong, Tadkamol Krongbaramee, Pathawee Khongkhunthian. Endodontic Management of a Chronic Periapical Abscess in a Maxillary Central Incisor with an Immature Root Apex Using Platelet-Rich Fibrin: A Case Report. . 2018; 3(3): 192-196

Corresponding Author: Weerapan Aunmeungtong, Thailand

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