A surgical repair of external invasive root resorption using mineral trioxide aggregate with platelet-rich plasma: a case report

Abstract

The aim of this case report was to repair of the external invasive root resorption using combine of mineral trioxide aggregate (MTA) and platelet-rich plasma (PRP). The tooth 23 (FDI) was diagnosed as an external invasive root resorption of 51 year-old man. The resorption space was in related with periodontal pocket. Formerly surgical intervation of the resorptive defect was performed by flap operation for isolating the root canal space. Then the root canal was preparated conventionally and obturated with gutta percha in an orthograd way. After the defect area was debrided, MTA was condensed to the perforating surface of the tooth and covered with PRP before the flaps were closed. At 6, 12, 24 and 36 month follow-up visit the tooth was clinically and radiographically asymptomatic. MTA with PRP was successfully repaired large area of the external invasive resorption.

Keywords

• External Invasive Resorption Defect
• Mineral Trioxide Aggregate
• Platelet-Rich Plasma

eksternal invaziv kök rezorpsiyonunun mineral trioksit agregat ve trombositten zengin plazman kullanılarak cerrahi olarak tedavisi: olgu bildirimi

Abstract

Bu olgu bildiriminde, mineral trioksit agregat (MTA) ile trombositten zengin plazmanın(TZP) birlikte kullanılarak eksternal invaziv kök rezorpsiyonun tedavisi amaçlanmıştır. 51 yaşında erkek hastanın 23(FDI) dişine eksternal invaziv kök rezorpsiyon teşhisi kondu. Rezorpsiyon boşluğu periodontal cep ile ilişkilydi. Başlangıçta kök kanalını izole edebilmek için rezorptif defekt alana cerrahi olarak flap operasyonu uygulandı. Daha sonra kök kanalları konvensiyonel olarak genişletildi ve güta perka ile ortograd yolla dolduruldu. Defekt alanı temizlendikten sonra MTA kondense edilerek flap kapatılmadan önce TZP ile kaplandı.6,12, 24 ve 36 aylık takipte dişin klinik ve radyografik olarak asemptomatik olduğu görüldü. MTA ile TZP'nin büyük eksternal invaziv rezorpsiyon alanında başarılı olarak tamir ettiği görüldü.

Keywords

• Eksternal İnvaziv Kök Rezorpsiyonu
• Mineral Trioksit Aggregate
• Trombositten Zengin Plazma

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