Surgical Approach to Managing an Apical Periodontal Cyst Using Titanium-Activated Platelet-Rich Fibrin (T-PRF) in a Pediatric Patient: A Case Report

This case report discusses the surgical management of an apical periodontal cyst in a 14-year-old male patient presenting with pain in the upper anterior jaw. The patient had a history of trauma to the upper anterior teeth, leading to the development of a radicular cyst involving teeth 11 and 12. Th...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-07, Vol.16 (7), p.e63887
Main Authors: Kanani, Harikishan, Patil, Rutuja, Khubchandani, Monika, Yeluri, Ramakrishna, K, Rajanikanth, Pandey, Ruchika, Suroliya, Prachi, Goyal, Riya, Deshkar, Mrunali
Format: Article
Language:English
Subjects:
Aesthetics
Case reports
Cysts
Dentistry
Endodontics
Jaw
Pediatric Surgery
Pediatrics
Skin & tissue grafts
Teeth
Titanium
Tomography
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Summary:This case report discusses the surgical management of an apical periodontal cyst in a 14-year-old male patient presenting with pain in the upper anterior jaw. The patient had a history of trauma to the upper anterior teeth, leading to the development of a radicular cyst involving teeth 11 and 12. The treatment plan included initial root canal therapy followed by surgical enucleation of the cyst, apicoectomy, and retrograde filling of the affected teeth. Titanium-activated platelet-rich fibrin (T-PRF) membranes were utilized along with an osseo-bone graft to promote healing and bone regeneration. Post-operative aesthetic rehabilitation was achieved, and the patient showed complete healing upon six months of follow-up. The case highlights the efficacy of combining endodontic therapy with surgical intervention using advanced biomaterials to manage radicular cysts in pediatric patients successfully.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.63887