Cirurgia parendodôntica em dentes com retentor intrarradicular e periodontite apical sintomática com o uso de prf: relato de caso clínico

Abstract

INTRODUCTION: Endodontic therapy is an approach that aims to eliminate endodontic infection and prevent its installation. Its importance lies in preserving the tooth structure, avoiding extractions of teeth compromised by periapical lesions, infections and other conditions. The surgical technique of periradicular microsurgery consists of a set of sequential maneuvers. Platelet-rich fibrin concentrate (PRF) is combined with grafts, resulting in faster consolidation and mineralization of the graft in a reduced period of time. OBJECTIVE: to report a clinical case of a patient undergoing endodontic surgery on teeth with an intraradicular retainer and symptomatic apical periodontitis with the use of platelet-rich fibrin concentrate (PRF). METHODOLOGY: This is a literature review and case report on endodontic surgery in teeth with an intraradicular retainer and symptomatic apical periodontitis with the use of platelet-rich fibrin concentrate (PRF). RESULTS: The results of the study showed that endodontic surgery in teeth with an intraradicular retainer and symptomatic apical periodontitis with the use of platelet-rich fibrin concentrate (PRF) is effective, due to its high potential for osteoconduction and osteoinduction. The patient had excellent healing and an uneventful postoperative period. Therefore, it proved to be a procedure in addition to being invasive, with satisfactory results. FINAL CONSIDERATIONS: Through this study and the results of the clinical case presented, patients undergoing endodontic surgery on teeth with an intraradicular retainer and symptomatic apical periodontitis were demonstrated using platelet-rich fibrin concentrate (PRF). Platelet-rich fibrin (PRF) has been shown to be widely used in stimulating and accelerating soft tissue and bone healing due to local and continuous delivery of growth factors and proteins, mimicking the needs of physiological wound healing and healing processes. tissue repairers as in the case described in which PRF was used, in endodontic surgery on teeth with intraradicular retainer and symptomatic apical periodontitis and through the performance of Bone Graft, satisfactory and uneventful results were obtained.