Department of Medical Education and Informatics, School of Medicine, Suleyman Demirel University, Isparta, Turkey.
Batumi IVF Clinic, Batum, Adjara, Georgia, Turkey.
Niger J Clin Pract. 2023 Sep;26(9):1388-1392. doi: 10.4103/njcp.njcp_747_22.
This case report presents a five-year follow-up and the management of a necrotic, immature incisor tooth treated by a novel platelet-rich plasma/platelet extract solution and platelet-rich fibrin (PRP-PES/PRF) and the restoration by using a stress-reduced direct composite restoration (SRDC) technique. The patient with a broken maxillary lateral tooth was referred to our clinic. Extra/intra-oral examinations were within normal limits. The nonvital tooth having an apical lesion and open-apical apex was treated with a regenerative endodontic treatment procedure (REP), and further root development with continued apical closure was shown in the follow-ups up to 60 months. In conclusion, the SRDC and PRP-PES/PRF combination can be an opportunity for the teeth requiring post-restoration. In contrast to the treatment strategy susceptible to weakening or fracturing the patient's tooth root, the REP approach may lead to a better prognosis for the patient's tooth.
本病例报告介绍了一例经过新型富血小板血浆/血小板提取物溶液和富血小板纤维蛋白（PRP-PES/PRF）处理的坏死、未成熟切牙的 5 年随访结果和治疗方法，以及使用减压直接复合修复（SRDC）技术进行的修复情况。一名上颌侧切牙折断的患者被转介至我们诊所。口内外检查均在正常范围内。这颗无活力的牙齿有根尖病变和开放根尖，采用了再生性牙髓治疗（REP）程序进行治疗，在随访至 60 个月时，显示进一步的根尖发育和持续的根尖闭合。总之，SRDC 和 PRP-PES/PRF 的联合应用可为需要修复的牙齿提供机会。与可能削弱或导致患者牙根断裂的治疗策略相比，REP 方法可能为患者的牙齿带来更好的预后。
