Harshal V Basatwar

Abstract

Intentional replantation is a procedure in which an intentional tooth extraction is performed followed by reinsertion of the extracted tooth into its own alveolus. In this article, intentional replantation is described and discussed as a treatment approach for failed root canal treatment with broken instrument periapically in mandibular second molar.   Keywords: Intentional replantation, Mineral trioxide aggregate, Root resorption, Separated instrument, Splinting, Tooth ankylosis

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Abstract

Periapical inflammatory lesion is the local response of bone around the apex of tooth that develops after the necrosis of the pulp tissue or substantial periodontal disease. Periapical surgery aims to remove periapical pathology to achieve wound healing and regeneration of bone and periodontal tissue. The purpose of this case report is to through a light on use of platelet-rich fibrin and bone graft in the treatment of large periapical lesion. Platelet rich fibrin (PRF) is a magnificent tissue engineering product and has gained substantial popularity due to its promising results in wound healing bone induction. Bone graft used in both cases in the present case report was xenograft which is similar to human cancellous bone and is known to have osteoinductive as well as osteoconductive properties. Keywords: Periapical inflammatory lesion, Platelet rich fibrin xenograft, Regeneration, Wound healing, Periapical surgery.

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