Non-surgical endodontic management of endo-perio lesion and furcation perforation using L-PRF as an internal matrix and biodentine: A case report

Case Report

Abstract

BACKGROUND: Furcal perforations are common contributors to endodontic treatment failures. The present case describes a 6-month follow-up of an iatrogenic furcal perforation repair using a novel treatment combination of an autologous L-PRF membrane as an internal matrix along with biodentine.

CASE REPORT: A 30-year-old male patient was referred from a private dental clinic for continuation of endodontic treatment in a mandibular molar, due to a procedural error. Clinical and radiographic examination revealed an iatrogenic furcal perforation with periapical radiolucency and grade one mobility. Non-surgical endodontic management was carried out under a dental operating microscope. The perforation site was electrocauterized via diode laser and was repaired using L-PRF as an internal matrix along with biodentine. A 6 month follow up was carried out to assess healing.

RESULT: At 6-month follow-up, the patient was clinically asymptomatic with no tooth mobility. Radiographs showed evidence of osseous repair of the furcal area with resolution of periapical radiolucency. The use of L-PRF along with biodentine resulted in a favorable and uneventful wound healing. Despite a perceived poor prognosis, the present case report showed a good clinical result.

CONCLUSION: L-PRF and biodentine can be successfully used in the non-surgical management of large perforation defects.