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VOLUME 4 , ISSUE 1 ( January-June, 2014 ) > List of Articles


Endodontic Management of Tooth with Open Apex using MTA as Apical Barrier and Platelet Rich Fibrin Membrane as Internal Matrix: A Case Report

Anamika T, Sathyanarayanan R

Keywords : Apexijication, mineral trioxide aggregate, platelet rich fibrin, autologousjibrin matrix

Citation Information : T A, R S. Endodontic Management of Tooth with Open Apex using MTA as Apical Barrier and Platelet Rich Fibrin Membrane as Internal Matrix: A Case Report. 2014; 4 (1):46-52.

DOI: 10.5005/jsd-4-1-46

License: CC BY-NC 4.0

Published Online: 03-08-2020

Copyright Statement:  Copyright © 2014; The Author(s).


Endodontic therapy of tooth with necrotic pulp with wide open apex has always posed challenge to endodontists. Endodontic treatment for such teeth is conventional Apexification with or without apical barrier. Traditionally calcium hydroxide has been used for apexification but prolonged treatment time is one of its major disadvantages which was overcome by the use of MTA. However, one of the technical problems faced with this restorative material is to prevent over fill and under fill. Using of a matrix avoids the extrusion of material into the periapical tissues. This article demonstrates the concept of using platelet rich fibrin membrane as an apical matrix barrier for stabilization of MT A in root end Apexification procedure. Platelet Rich Fibrin is an autologous fibrin matrix containing a large quantity of platelet and leukocyte cytokines, which enhance healing by release of growth factor. This case report represents the successful management of caseof immature maxillary anterior teeth with MT A plug and PRF as internal matrix.

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