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Baba Farid University Dental Journal
Year : 2017, Volume : 7, Issue : 1
First page : ( 61) Last page : ( 66)
Print ISSN : 0976-8181. Online ISSN : 2230-7273.

PRF in Vital Pulp Therapy: Case Report

Bakshi Chetna1,*, Bogra Poonam2, Singh S. Vijay3, Gupta Saurabh4, Makhija Charu5

1PG Student, Department of Conservative Dentistry and Endodontics, D. A. V. © Dental College, Yamuna Nagar, Haryana

2Senior Prof. Department of Conservative Dentistry and Endodontics, D. A. V. © Dental College, Yamuna Nagar, Haryana

3Prof.& HOD, Department of Conservative Dentistry and Endodontics, D. A. V. © Dental College, Yamuna Nagar, Haryana

4Professor, Department of Conservative Dentistry and Endodontics, D. A. V. © Dental College, Yamuna Nagar, Haryana

5Private Practitioner, New Delhi

*Corresponding Author: Dr. Chetna Bakshi, PG Student, Department of Conservative Dentistry and Endodontics, D. A. V. © Dental College, Yamuna Nagar, Haryana, drchetnabakshi@yahoo.com

Online published on 16 July, 2018.

Abstract

Introduction

Direct pulp capping is a procedure that involves placement of a biocompatible material over an exposed pulp to induce the formation of dentinal bridge to preserve the healthy and functional pulp which is sealed against bacterial penetration. Platlet rich fibrin (PRF) described by Choukroun et al is a second generation platelet concentrate that contains platelets, growth factors and cytokines that enhance the healing potential of both soft and hard tissues. Thus PRF may be considered as an effective pulp capping agent.

Aims & objectives

To evaluate the clinical and radiographic success of a vital pulp therapy with PRF in a mature permanent molar tooth.

Materials & Method

In the current study direct pulp capping (DPC) was performed with platelet rich fibrin (PRF). After clinical and radiographic examination one case with irreversible pulpitis and other case with chronic pulpitis in young patients were selected. Following caries excavation and haemorrhage control the exposure was covered with PRF followed by placing MTA on top of it. The remaining tooth was sealed with a layer of light cure GIC followed by composite resin restoration.

Results

At 1-day follow-up, patient's spontaneous symptoms had resolved. 6-months follow-up demonstrated pulp vitality, clinical function, as well as the absence of pain/tenderness to percussion/palpation/cold sensitivity tests; periapical radiograph showed normal periodontium.

Conclusion

The favourable results indicate that PRF shows promising result in case of pulpal inflammation with irreversible signs and may be a good treatment option in comparison to endodontic treatment.

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Keywords

PRF, MTA, calcium hydroxide, pulp capping, pulpitis, growth factors.

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