Ultrasonic osteotomy and regeneration with A-PRF+ for periapical surgery of a mandibular molar with root cyst perforating the lingual osseous cortex: a case report
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Vicent Sanz-Zornoza [1] ; Juan-Carlos Bernabeu-Mira [1] ; David Soto-Peñaloza [1] ; David Peñarrocha-Oltra [1] ; Miguel Peñarrocha-Diago [1]
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[1] Universitat de València
Universitat de València
Valencia, España
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- Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 15, Nº. 9 (September), 2023, págs. 791-795
- Idioma: inglés
- Enlaces
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Resumen
Periapical surgery is a complex dental procedure that remains a considerable challenge in clinical practice. The use of APRF+ membranes and piezoelectric osteotomy help to improve outcomes and increase the efficiency and speed of recovery.
This case report describes a 20 years-old man with a periapical lesion which perforated the lingual cortex in a lower mandibular molar. A periapical surgery was performed with endoscope magnification and ultrasonic osteotomy. Apicectomy and retrograde cavities were performed using a piezoelectric scalpel and sealed using a bioceramic sealer. The osteolytic defect was filled with A-PRF+ membranes and the bone cortex was repositioned trough a micro-screw.
The histological analysis concluded an inflammatory odontogenic cyst. The postoperative period was uneventful with pain and mild oedema until the fourth day. Short-term follow-up showed the beginnings of bone regeneration and correct healing of the surgery without periodontal defects. Two-year follow-up showed favorable results and regeneration of the bone defect.
Periapical surgery with magnification, ultrasonic osteotomy repositioning and application of A-PRF+ membranes as an adjuvant proved to be an effective approach for the regeneration of the osteolytic process, allowing the preservation of the tooth. Promising short and long-term results were shown for this case report.
