Dental autotransplantation with regenerative therapy using A-PRF (Advanced Platelet Rich Fibrin) and I PRF (Injectable Platelet Rich Fibrin)
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Abstract
Introduction: Dental autotransplantation represents a conservative and functional therapeutic alternative to replace teeth with an unfavorable prognosis, by maintaining the vitality of the periodontium and the capacity for bone regeneration. Objectives: We present the case of a 36-year-old female patient who presented with toothalgia in piece 1.6, diagnosing a deep lesion with periodontal involvement and root fracture of the instruments during endodontic treatment, which modified her prognosis. Methodology: An experimental clinical case study was developed, of a descriptive cross-sectional nature with longitudinal follow-up, in which the clinical and radiographic evolution of a patient undergoing a dental autotransplant with regenerative therapy was evaluated using A-PRF (Advanced Platelet Rich Fibrin) and I-PRF (Injectable Platelet Rich Fibrin). Results: After a comprehensive assessment, it was decided to perform a dental autotransplant using piece 2.8 as a donor tooth, selected for its morphology and adequate root characteristics. By means of a tomographic study with CBCT and 3D digital planning, the need for a slight distal wear of the receiving alveolus was determined for a correct adaptation. During the surgery, atraumatic protocols, controlled extraoral time and regenerative biotechnology with A-PRF AND IPRF were used, applied both to the socket and to the root of the donor tooth, favoring angiogenesis, periodontal regeneration and functional integration of the graft. The procedure was successful, showing correct clinical and radiographic adaptation. Conclusions: The case demonstrates that autotransplantation, supported by regenerative therapies and digital planning, is a biologically viable alternative to conventional tooth replacement treatments. General area of study: Dentistry. Specific area of study: Endodontics. Type of article: Clinical case.
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