Dhote Vijaya S, Thosar Nilima R, Baliga Sudhindra M, Dharnadhikari Priyanti, Bhatiya Poonam, Fulzele Punit
Department of Pedodontics and Preventive Dentistry, Government Dental College and Hospital, Mumbai, India.
Department of Pedodontics and Preventive Dentistry, Sharad Pawar Dental College and Hospital, Wardha, Maharashtra, India.
Contemp Clin Dent. 2017 Oct-Dec;8(4):647-649. doi: 10.4103/ccd.ccd_370_17.
Radicular cysts arising from deciduous teeth are rare and usually cause a large bony defect. Autologous platelet-rich fibrin (PRF) is an easily available healing biomaterial in oral surgical defect with the new perspective of accelerated healing of a large bony defect. The present case is of unusually large radicular associated with neglected carious mandibular deciduous second molar in 10-year-old girl and its surgical management with PRF augmentation as a healing biomaterial in the bony defect. One-year follow-up showed uneventful healing and eruption of succedaneous tooth. Healing was relatively faster and facilitated by PRF placement. Furthermore, the importance of anticipatory guidance about the treatment of diseased primary teeth and their preservation gets highlighted.
源自乳牙的根端囊肿较为罕见,通常会导致较大的骨缺损。自体富血小板纤维蛋白(PRF)是一种易于获取的愈合生物材料,为口腔手术缺损的愈合带来了新视角,有望加速大型骨缺损的愈合。本病例是一名10岁女孩,患有异常大的根端囊肿,与被忽视的下颌乳牙第二磨牙龋齿相关,采用PRF增强术作为骨缺损处的愈合生物材料进行手术治疗。一年的随访显示愈合顺利,恒牙成功萌出。PRF的应用使愈合相对更快且更为顺利。此外,强调了对患病乳牙治疗及保存进行预期指导的重要性。