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Concentrated platelet‐rich plasma used in root canal revascularization: 2 case reports
Author(s) -
Bezgin T.,
Yılmaz A. D.,
Çelik B. N.,
Sönmez H.
Publication year - 2014
Publication title -
international endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.988
H-Index - 119
eISSN - 1365-2591
pISSN - 0143-2885
DOI - 10.1111/iej.12144
Subject(s) - root canal , mineral trioxide aggregate , medicine , dentistry , revascularization , platelet rich plasma , surgery , platelet , myocardial infarction
Aim To present two case reports describing the treatment of immature teeth with necrotic pulps using concentrated platelet‐rich plasma ( cPRP ) with 12‐month clinical and radiographic follow‐up. Summary Root canal revascularization was performed on immature permanent teeth clinically and radiographically diagnosed as requiring root canal treatment. Following disinfection of the canal space with triple antibiotic paste (1 : 1 : 1: ciprofloxacin, metronidazole and cefaclor), a tissue scaffold was created with cPRP prepared using 2‐step centrifugation. The final restoration was completed with white mineral trioxide aggregate and composite resin. The patients were recalled for clinical and radiographic evaluations every 3 months. At the 12‐month follow‐up apical closure by narrowing of the apical foramen and convergence of the apical walls in the treated teeth was observed. Key learning points Concentrated platelet‐rich plasma ( cPRP ) was successful as a scaffold in revascularization treatment. 2‐step centrifugation was a simple and useful technique to prepare PRP.