Management of apicomarginal defect in esthetic region associated with a tooth with anomalies

Meharwade, Vinayak Venkoosa; Shah, Dipali; Mali, Pradyna Prabhakar

doi:10.5395/rde.2015.40.4.314

Cited by 2 publications

(1 citation statement)

References 30 publications

(41 reference statements)

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“…The occurrence of periapical disease, accompanied by periodontal breakdown, constitutes a complex problem in periradicular surgery - being typically associated with a less favorable prognosis, since disruption of the cortical plate can have a deleterious effect upon regeneration of the lost tissues ( 8 , 9 ). Destruction of marginal bone found in apicomarginal defects reduces the success rate of treatment to 27% and 37% ( 10 ).…”

Section: Discussionmentioning

confidence: 99%

Treatment of apicomarginal defect with periapical surgery: A case report

et al. 2020

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An apicomarginal defect can be explained as a total loss of buccal alveolus extending from the original crestal bone to the apex of the tooth. This study presents a case of an apicomarginal defect in a first left molar subjected to periapical surgery with vestibular cortex block replacement and A-PRF + membrane coating approximately one year ago. One-year clinical follow-up was performed, with no evidence of recurrence. This case report discusses periapical surgical treatment and the importance of an interdisciplinary approach to the management of teeth with apicomarginal defects. Key words: Periapical surgery, apicomarginal defect, A-PRF+, bone graft.

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Section: Discussionmentioning

confidence: 99%

Treatment of apicomarginal defect with periapical surgery: A case report

et al. 2020

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Surgical treatment of apico-marginal defect associated with maxillary incisor teeth with a large periapical lesion using sticky bone & platelet rich fibrin membrane – A case report

Das,

Mondal,

Das

et al. 2024

APRD

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Apico-marginal defects are localized bony defects encompassing the total root length. The presence of apico-marginal defects has accounted for the failure of endodontic treatment in many cases. The best treatment option for such defect is to perform endodontic surgery using Guided Tissue Regeneration (GTR) membranes. Recently, platelet-rich fibrin (PRF), has been suggested as a better alternative to the conventional practice of using guided tissue regeneration (GTR) barrier membranes for the treatment of these defects. This case report presents clinical management of apico-marginal defect allied with extensive peri-radicular destruction in a maxillary central incisor subjected to periapical surgery using sticky bone and PRF as a barrier membrane. The patient was followed up for 1 year. Clinically, there was a reduction in probing pocket depth, and an increase in attached gingiva, and radiographically a resolution of periapical radiolucency and a significant amount of bone fill was evident.

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Management of apicomarginal defect in esthetic region associated with a tooth with anomalies

Cited by 2 publications

References 30 publications

Treatment of apicomarginal defect with periapical surgery: A case report

Treatment of apicomarginal defect with periapical surgery: A case report

Surgical treatment of apico-marginal defect associated with maxillary incisor teeth with a large periapical lesion using sticky bone & platelet rich fibrin membrane – A case report

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