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ENDO - Endodontic Practice Today

Edited by Bun San Chong and Edgar Schäfer

Official Publication of the Belgian Association for Endodontology and Traumatology (BAET) and the French Society of Endodontics (SFE)

ISSN (print) 1753-2809 • ISSN (online) 1753-2817


Summer 2009
Volume 3 , Issue 2

Pages: 127-135
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Treatment of a furcation defect with a combination of platelet-rich fibrin (PRF) and bone graft - a case report

Kanakamedala, Anilkumar / Ari, Geetha / Sudhakar, Uma / Vijayalakshmi, Rajaram / Ramakrishnan, Tyagarajan / Emmadi, Pamela

The inter-relationship between periodontal and endodontic disease has aroused much speculation, confusion and controversy. Pulpal and periodontal problems are responsible for more than 50% of tooth loss today. The prognosis of a true combined lesion is often poor or even hopeless, especially when there is extensive periodontal destruction. The present report describes the use of platelet-rich fibrin (PRF) gel and membrane in combination with a bone graft for treating a tooth with a combined periodonticendodontic lesion. The tooth was endodontically and periodontally treated. Clinical and radiographic follow-up was performed after 6 and 12 months. After 1 year, the absence of a interradicular lesion, pain and swelling along with tooth stability and adequate radiographic bone fill indicated a successful outcome. The success of treating a combined periodontic-endodontic lesion depends on patient cooperation, restorability and economics, which help in acting on treatment decisions. Keywords: furcation, Periobone-G, periodontal abscess, periodontic-endodontic lesion, plateletrich fibrin (PRF), regeneration

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