Journal of South Asian Association of Pediatric Dentistry

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  7 (2024)
Volume  6 (2023)
Volume  5 (2022)
Volume  4 (2021)
Volume  3 (2020)
Volume  2 (2019)
Volume  1 (2018)
Related articles

VOLUME 6 , ISSUE 3 ( September-December, 2023 ) > List of Articles

CASE REPORT

Choukroun's Autologous Platelet Concentrate Used in Immature Necrotic Tooth during Revascularization: A Clinical and Radiological Report of a Case

Umapathy Thimmegowda, Nagarathna Chikkanarasaiah, Pragna S Vijaya, Pallavi N Kuri, Muhammed Tameem

Keywords : Case report, Open apex, Platelet-rich fibrin, Revascularization, Traumatized necrotic teeth

Citation Information : Thimmegowda U, Chikkanarasaiah N, Vijaya PS, Kuri PN, Tameem M. Choukroun's Autologous Platelet Concentrate Used in Immature Necrotic Tooth during Revascularization: A Clinical and Radiological Report of a Case. J South Asian Assoc Pediatr Dent 2023; 6 (3):134-138.

DOI: 10.5005/jp-journals-10077-3285

License: CC BY-NC 4.0

Published Online: 30-12-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: To discuss the management of an immature necrotic permanent tooth and the clinical and radiological outcome by utilizing platelet-rich fibrin (PRF). Introduction: Traumatic injury to the teeth in children can lead to damage to the pulpal tissue and infection, and particularly in the underdeveloped teeth with immature and open apices, it restricts treatment possibilities. The process of revascularization has enabled increased root survival, symptom relief, and radiographic evidence of root thickening and lengthening with continuous root development. PRF as a scaffold material can be used in a necrotized, infected, immature tooth for regeneration of the pulp and tooth rejuvenation. Case description: This case report displays a protocol of revascularization in which PRF was utilized as an autologous scaffold in an immature necrotized tooth that had undergone trauma with incomplete development of the root. Through examination, clinical, and radiographical investigations, lengthening of the root and thickened dentinal walls of the traumatized tooth were noted.

HTML PDF Share
  1. Fouad AF. Endodontic microbiology: John Wiley & Sons; 2017.
  2. Xiong J, Gronthos S, Bartold PM. Role of the epithelial cell rests of M alassez in the development, maintenance and regeneration of periodontal ligament tissues. Periodontology 2000 2013;63(1): 217–233. DOI: 10.1111/prd.12023
  3. Li J, Parada C, Chai Y. Cellular and molecular mechanisms of tooth root development. Development 2017;144(3):374–384. DOI: 10.1242/dev.137216
  4. Levin L, Day PF, Hicks L, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: general introduction. Dent Traumatol 2020;36(4):309–313. DOI: 10.1111/edt.12574
  5. Keswani D, Pandey RK. Revascularization of an immature tooth with a necrotic pulp using platelet-rich fibrin: a case report. Int Endod J 2013;46(11):1096–104. DOI: 10.1111/iej.12107
  6. Singh RK, Shakya VK, Khanna R, et al. Interventions for managing immature permanent teeth with necrotic pulps. Cochrane Database System Rev 2017;(6):CD012709. DOI: 10.1002/14651858.CD012709
  7. Cehreli ZC, Isbitiren B, Sara S, et al. Regenerative endodontic treatment (revascularization) of immature necrotic molars medicated with calcium hydroxide: a case series. J Endod 2011;37(9):1327–1330. DOI: 10.1016/j.joen.2011.05.033
  8. Flanagan TA. What can cause the pulps of immature, permanent teeth with open apices to become necrotic and what treatment options are available for these teeth. Aust Endod J 2014;40(3):95–100. DOI: 10.1111/aej.12087
  9. Ray Jr HL, Marcelino J, Braga R, et al. Long-term follow up of revascularization using platelet-rich fibrin. Dent Traumatol 2016;32(1):80–84. DOI: 10.1111/edt.12189
  10. Neelamurthy PS, Kumar RA, Balakrishnan V, et al. Revascularization in immature and mature teeth with necrotic pulp: a clinical study. J Contemp Dent Pract 2018;19(11):1393–1399. DOI: 10.5005/jp-journals-10024-2438
  11. Sulakshana, Poornima P, Srinath SK, et al. Revascularization of immature permanent teeth via blood clot or PRF Platelet rich fibrin: a review. RGUHS J Dent Sci 2022;14(3):2–12. DOI: 10.26715/rjds.14_3_2
  12. Vemuri S, Kotha RS, Raghunath RG, et al. Root canal revascularization via blood clotting in regenerative endodontics: essentials and expectations. J Dr NTR Univer Health Sci 2013;2(4):235–238. DOI: 10.4103/2277-8632.122156
  13. Abd El-Hady AY, Badr AE. The efficacy of advanced platelet-rich fibrin in revascularization of immature necrotic teeth. J Contemp Dent Pract 2022;23(7):725–732. DOI: 10.5005/jp-journals-10024-3367
  14. Torabinezad M, Turman M. Revitalization of tooth with necrotic pulp and open apex by using platelet rich plasma: a case report. J Endod 2011;37(2):265–268. DOI: 10.1016/j.joen.2010.11.004
  15. Mishra N, Narang I, Mittal N. Platelet-rich fibrin mediated revitalization of immature necrotic tooth. Contemp Clin Dent 2013;4(3):412–415. DOI: 10.4103/0976-237X.118379
  16. Tomer AK, Mangat P, Behera A, et al. Revascularisation of an immature permanent tooth using platelet rich fibrin and biodentin as a matrix a case report. Int J Med Biomed Stud 2019;3(7):273–277. DOI: 10.32553/ijmbs.v3i7.431
  17. Ramachandran N, Singh S, Podar R, et al. A comparison of two pulp revascularization techniques using platelet-rich plasma and whole blood clot. J Conserv Dent 2020;23(6):637–643. DOI: 10.4103/JCD.JCD_221_20
  18. Singhal P, Kadian B, Midha P, et al. Regenerative endodontic therapy using platelet-rich fibrin in children. Saudi J Oral Sci 2020;7(3):210–215. DOI: 10.4103/sjos.SJOralSci_76_19
  19. Eshwar SS, Victor DJ, Sangeetha S, et al. Platelet rich plasma in periodontal therapy. J Pharmaceut Sci Res 2017;9(6):965–971.
  20. Mohanty R, Satpathy A, Panda M. Platelet rich plasma (PRP). The game changer in periodontal therapy. 2021;42–49.
  21. Pavlovic V, Ciric M, Jovanovic V, et al. Platelet-rich fibrin: basics of biological actions and protocol modifications. Open Med 2021;16(1):446–454. DOI: 10.1515/med-2021-0259
  22. Alharith DN, Altuwaijri S, Alshaman LM, et al. Updates in regenerative endodontics for young general practitioners: a literature. 2022;6(1):193–200. DOI: 10.24911/IJMDC.51-1634562991
  23. Manhas M, Mittal S, Sharma AK, et al. Biological approach in repair of partially inflamed dental pulp using second-generation platelet-rich fibrin and mineral trioxide aggregate as a pulp medicament in primary molars. J Indian Soc Pedodont Prevent Dent 2019;37(4): 399–404. DOI: 10.4103/JISPPD.JISPPD_133_19
  24. Egle K, Salma I, Dubnika A. From blood to regenerative tissue: how autologous platelet-rich fibrin can be combined with other materials to ensure controlled drug and growth factor release. Int J Molecul Sci 2021;22(21):11553. DOI: 10.3390/ijms222111553
  25. Orduña JF, Caviedes-Bucheli J, Céspedes MC, et al. Use of platelet-rich plasma in endodontic procedures in adults: regeneration or repair? A report of 3 cases with 5 years of follow-up. J Endod 2017;43(8): 1294–1301. DOI: 10.1016/j.joen.2017.04.010
  26. Mohammadi Z, Jafarzadeh H, Shalavi S, et al. A review on triple antibiotic paste as a suitable material used in regenerative endodontics. Iranian Endod J 2018;13(1):1–6. DOI: 10.22037/iej.v13i1.17941
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.