Prospective cohort study of regenerative potential of non vital immature permanent maxillary central incisors using platelet rich fibrin scaffold

Abstract Regenerative endodontic procedures have gained momentum as a treatment modality of young immature permanent teeth. Literature reports reveal that platelet-rich fibrin (PRF) stimulates growth factors and induces regeneration. This study was undertaken to assess the regenerative potential of...

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Autores principales: Selvakumar Kritika, V. Sujatha, N. Srinivasan, Senthil Kumar Renganathan, Sekar Mahalaxmi
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/3a8fbd5381d348ad80b9fabfe88990ee
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spelling oai:doaj.org-article:3a8fbd5381d348ad80b9fabfe88990ee2021-12-02T18:18:51ZProspective cohort study of regenerative potential of non vital immature permanent maxillary central incisors using platelet rich fibrin scaffold10.1038/s41598-021-93236-22045-2322https://doaj.org/article/3a8fbd5381d348ad80b9fabfe88990ee2021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93236-2https://doaj.org/toc/2045-2322Abstract Regenerative endodontic procedures have gained momentum as a treatment modality of young immature permanent teeth. Literature reports reveal that platelet-rich fibrin (PRF) stimulates growth factors and induces regeneration. This study was undertaken to assess the regenerative potential of non-vital immature permanent maxillary central incisors using PRF with a follow-up for 2 yrs. 19 patients in the age group of 9–25 yrs with immature, non-vital permanent maxillary central incisors (n = 23) with/without signs and/or symptoms of periapical pathosis and open apex were included in this study. In the first appointment, access opening, canal disinfection and triple antibiotic paste placement were done. In the subsequent visit, PRF was prepared and placed inside the canal. Access was sealed with Mineral trioxide aggregate plug and composite. The patient was reviewed up to 24 mths. The mean difference was statistically analyzed using Friedman test followed by Dunn post hoc test and adjusted by Bonferroni correction (p < 0.05). As per AAE guidelines, the primary and secondary goals were achieved. A significant (p < 0.001) gradual increase in the root length, thickness of dentinal walls and decrease in apical diameter were observed. Within the limitations of this study, PRF placement was clinically and radiographically effective in inducing regeneration of non-vital immature permanent teeth.Selvakumar KritikaV. SujathaN. SrinivasanSenthil Kumar RenganathanSekar MahalaxmiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Selvakumar Kritika
V. Sujatha
N. Srinivasan
Senthil Kumar Renganathan
Sekar Mahalaxmi
Prospective cohort study of regenerative potential of non vital immature permanent maxillary central incisors using platelet rich fibrin scaffold
description Abstract Regenerative endodontic procedures have gained momentum as a treatment modality of young immature permanent teeth. Literature reports reveal that platelet-rich fibrin (PRF) stimulates growth factors and induces regeneration. This study was undertaken to assess the regenerative potential of non-vital immature permanent maxillary central incisors using PRF with a follow-up for 2 yrs. 19 patients in the age group of 9–25 yrs with immature, non-vital permanent maxillary central incisors (n = 23) with/without signs and/or symptoms of periapical pathosis and open apex were included in this study. In the first appointment, access opening, canal disinfection and triple antibiotic paste placement were done. In the subsequent visit, PRF was prepared and placed inside the canal. Access was sealed with Mineral trioxide aggregate plug and composite. The patient was reviewed up to 24 mths. The mean difference was statistically analyzed using Friedman test followed by Dunn post hoc test and adjusted by Bonferroni correction (p < 0.05). As per AAE guidelines, the primary and secondary goals were achieved. A significant (p < 0.001) gradual increase in the root length, thickness of dentinal walls and decrease in apical diameter were observed. Within the limitations of this study, PRF placement was clinically and radiographically effective in inducing regeneration of non-vital immature permanent teeth.
format article
author Selvakumar Kritika
V. Sujatha
N. Srinivasan
Senthil Kumar Renganathan
Sekar Mahalaxmi
author_facet Selvakumar Kritika
V. Sujatha
N. Srinivasan
Senthil Kumar Renganathan
Sekar Mahalaxmi
author_sort Selvakumar Kritika
title Prospective cohort study of regenerative potential of non vital immature permanent maxillary central incisors using platelet rich fibrin scaffold
title_short Prospective cohort study of regenerative potential of non vital immature permanent maxillary central incisors using platelet rich fibrin scaffold
title_full Prospective cohort study of regenerative potential of non vital immature permanent maxillary central incisors using platelet rich fibrin scaffold
title_fullStr Prospective cohort study of regenerative potential of non vital immature permanent maxillary central incisors using platelet rich fibrin scaffold
title_full_unstemmed Prospective cohort study of regenerative potential of non vital immature permanent maxillary central incisors using platelet rich fibrin scaffold
title_sort prospective cohort study of regenerative potential of non vital immature permanent maxillary central incisors using platelet rich fibrin scaffold
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/3a8fbd5381d348ad80b9fabfe88990ee
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