Apikal rezeksiyon operasyonlarýnda trombositten zengin fibrin uygulamasý: Olgu serisi

Apikal rezeksiyon sonrasý oluþturulan kemik kavitelerinin iyileþmeleri sýrasýnda her zaman istenilen sonuçlar elde edilememektedir. Bu nedenle apikal rezeksiyon kavitelerinde rejeneratif tedaviler uygulanmaya baþlanmýþtýr. Trombositten zengin fibrin (TZF) bireyin kanýnýn santrifüj edilerek trombosit ve büyüme faktörlerinden zengin bir membran elde etmeyi saðlayan ikinci nesil trombosit ürünüdür. Bu vaka serisinde apikal rezeksiyon iþlemi sonrasý operasyon bölgesine yerleþtirilen TZF’nin klinik ve radyografik olarak sonuçlarý sunulmuþtur.
Endodonti kliniðinden apikal rezeksiyon endikasyonu ile sevk edilen 3 hastaya cerrahi iþlem sýrasýnda periapikaldeki tüm nekrotik ve iltihaplý dokunun küretajý yapýlmýþ ve. defekt bölgesine hastalardan alýnan venöz kanýn santrifüj edilmesiyle hazýrlanan TZF uygulanarak yara yeri süture edilmiþtir.
Hastalarýn periyodik kontrollerindeki klinik ve radyografik sonuçlarýna göre; TZF’nin kemik kavitesi boþluðunun rejenerasyonunda etkili olduðu ve konvansiyonel cerrahi tedaviye alternatif bir rejeneratif tedavi þekli olabileceði kanýsýndayýz.

Platelet rich fibrin application in apical resection operations: Case series

During the healing of bone cavities formed after apical resection, the desired results are not always obtained. For this reason, regenerative treatments have begun to be applied in apical resection cavities. Platelet-rich fibrin (PRF) is a second generation platelet product which is used to obtain a membrane that is rich in platelets and growth factors, and it is derived from the blood of an individual to be centrifuged. In this case series, clinical and radiographic results of placement of PRF into the operation area after apical resection were presented.
All the necrotic and inflamed tissue were curettad in the periapical region during the surgical procedure of three patients referred to the endodontic clinic with indication of apical resection. Wound site was sutured by applying PRF to the defect area which is prepared by centrifugation of the venous blood taken from the patients.
According to the clinical and radiographic results of the patients at periodic controls; it seems that PRF can be very effective in the regeneration of bone gap space and may be an alternative to conventional surgical treatment.