Intentional Reimplantation Combining the Benefits of Leukocyte- and Platelet-rich Fibrin and Biodentine™ for the Treatment of a Large Periapical Cyst: A Case Report

结合富含白细胞和血小板的纤维蛋白和Biodentine™的优势进行有意再植入治疗大型根尖囊肿:病例报告

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Abstract

BACKGROUND: This case report examines the efficacy of intentional reimplantation (IR) in endodontics and explores the increased interest driven by recent advancements in regenerative techniques. CASE PRESENTATION: A 14-year-old male patient reported pain in the lower left back tooth (tooth #36). The radiographic assessment revealed a 4 mm × 4 mm periapical cyst. The patient chose an innovative approach, undergoing root canal therapy, atraumatic extraction, and immediate replantation using leukocyte and platelet-rich fibrin (L-PRF). A year later, radiographs confirmed cyst resolution with no new dental concerns. CONCLUSION: IR with L-PRF and Biodentine™ was successful in the treatment of periapical cysts, offering a less invasive but effective alternative for complex endodontic cases. HOW TO CITE THIS ARTICLE: Saha S, Selvaraj M, Shetty YR, et al. Intentional Reimplantation Combining the Benefits of Leukocyte- and Platelet-rich Fibrin and Biodentine™ for the Treatment of a Large Periapical Cyst: A Case Report. Int J Clin Pediatr Dent 2024;17(11):1277-1280.

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