Intentional Reimplantation Combining the Benefits of Leukocyte- and Platelet-rich Fibrin and Biodentine™ for the Treatment of a Large Periapical Cyst: A Case Report

Int J Clin Pediatr Dent. 2024 Nov;17(11):1277-1280. doi: 10.5005/jp-journals-10005-2987. Epub 2024 Dec 19.

Abstract

Background: This case report examines the efficacy of intentional reimplantation (IR) in endodontics and explores the increased interest driven by recent advancements in regenerative techniques.

Case presentation: A 14-year-old male patient reported pain in the lower left back tooth (tooth #36). The radiographic assessment revealed a 4 mm × 4 mm periapical cyst. The patient chose an innovative approach, undergoing root canal therapy, atraumatic extraction, and immediate replantation using leukocyte and platelet-rich fibrin (L-PRF). A year later, radiographs confirmed cyst resolution with no new dental concerns.

Conclusion: IR with L-PRF and Biodentine™ was successful in the treatment of periapical cysts, offering a less invasive but effective alternative for complex endodontic cases.

How to cite this article: Saha S, Selvaraj M, Shetty YR, et al. Intentional Reimplantation Combining the Benefits of Leukocyte- and Platelet-rich Fibrin and Biodentine™ for the Treatment of a Large Periapical Cyst: A Case Report. Int J Clin Pediatr Dent 2024;17(11):1277-1280.

Keywords: Case report; Dental caries; Endodontic surgery; Intentional reimplantation; Leukocyte- and platelet-rich fibrin; Periapical cyst.

Publication types

  • Case Reports