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One‑step apexification using platelet rich fibrin matrix and mineral trioxide aggregate apical barrier

*, Anisha Kumar and Yadav, Amit and Shetty , Neeta (2014) One‑step apexification using platelet rich fibrin matrix and mineral trioxide aggregate apical barrier. Indian Journal of Dental Research, 25 (6). pp. 809-812. ISSN 0970-9290

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Abstract

The absence of a natural apical constriction in a nonvital young permanent tooth makes endodontic treatment a challenge. There is a need to induce or create an apical barrier against, which the obturating material can be condensed. Traditionally, calcium hydroxide is the material of choice to induce apexification. Due to certain drawbacks such as prolonged treatment duration and unpredictable apical barrier formation, it is being replaced by materials, which have a more predictable outcome like mineral trioxide aggregate (MTA). One‑step apexification with MTA reduces the treatment time when compared with traditional calcium hydroxide apexification, which requires an average time of 12–19 months. In one‑step apexification using MTA, the technical problem encountered is controlling the overfill or underfill of MTA. The use of a matrix material helps to overcome this shortcoming. Platelet rich fibrin (PRF) is an immune platelet concentrate, which can be used as a matrix, it also promotes wound healing and repair. This case report presents a case of one step apexification using MTA as an apical barrier and autologous PRF as an internal matrix.

Item Type: Article
Uncontrolled Keywords: Internal matrix, mineral trioxide aggregate, one‑step apexification, open apex, platelet rich fibrin
Subjects: Dentistry > MCODS Mangalore > Conservative Dentistry
Depositing User: KMCMLR User
Date Deposited: 04 Mar 2015 07:54
Last Modified: 04 Mar 2015 07:54
URI: http://eprints.manipal.edu/id/eprint/142088

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