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富血小板纤维蛋白在牙髓外科贯通性骨缺损中的应用：三例病例报告及文献综述

Application of advanced platelet-rich fibrin for through-and-through bony defect during endodontic surgery: Three case reports and review of the literature.

作者信息

Algahtani Fahda N, Almohareb Rahaf, Aljamie Manar, Alkhunaini Nouf, ALHarthi Shatha Subhi, Barakat Reem

机构信息

Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia.

Department of Endodontics, Vision Colleges of Dentistry and Nursing, Riyadh 11671, Saudi Arabia.

出版信息

World J Clin Cases. 2023 Jun 16;11(17):4168-4178. doi: 10.12998/wjcc.v11.i17.4168.

DOI:10.12998/wjcc.v11.i17.4168
PMID:37388804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10303602/
Abstract

BACKGROUND

The use of advanced platelet-rich fibrin (A-PRF) membranes for guided bone and tissue regeneration in through-and-through defects after endodontic surgery was explored in three cases.

CASE SUMMARY

Herein, three patients presented to the endodontic clinic suffering from apical periodontitis, associated with large bone resorption and related to previously endodontically treated teeth. Periapical surgery was indicated in these cases and the osteotomy site was covered by A-PRF membrane. Cone-beam computed tomography (CBCT) was used to assess the cases before and after the surgery.

CONCLUSION

Four months post-surgery, the recall CBCT scan showed complete obliteration of the osteotomy with newly formed bone. A-PRF membrane showed promising results and was an advantageous addition to surgical endodontic treatment.

摘要

背景

对3例病例探讨了使用先进的富血小板纤维蛋白（A-PRF）膜进行牙髓手术后贯通性缺损的引导性骨和组织再生。

病例总结

在此，3例患者因根尖周炎就诊于牙髓科诊所，伴有大量骨吸收且与先前接受过牙髓治疗的牙齿有关。这些病例均需进行根尖手术，截骨部位用A-PRF膜覆盖。使用锥形束计算机断层扫描（CBCT）对手术前后的病例进行评估。

结论

术后4个月，复查CBCT扫描显示截骨处被新形成的骨完全填充。A-PRF膜显示出有前景的结果，是牙髓外科治疗的一项有利补充。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7739/10303602/ebe496b088f4/WJCC-11-4168-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7739/10303602/af6166eeede5/WJCC-11-4168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7739/10303602/5ac45d7b9ea1/WJCC-11-4168-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7739/10303602/ebe496b088f4/WJCC-11-4168-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7739/10303602/af6166eeede5/WJCC-11-4168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7739/10303602/5ac45d7b9ea1/WJCC-11-4168-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7739/10303602/ebe496b088f4/WJCC-11-4168-g003.jpg

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