Title : Platelet concentrates in the management of combined endo perio lesion
Abstract:
Management of combined endodontic periodontal lesions is one of the most challenging tasks. The prognosis of complex conditions involving both endodontic and periodontic components is guarded, but the success rates can be improved by definite diagnosis and meticulous treatment planning. There is a dearth of literature regarding the use of platelet-rich derivatives in the management of both endo perio lesions. Hereby presenting different clinical scenarios involving both endodontic and periodontic lesions. Along with regenerative therapy, platelet-rich fibrin, platelet-rich plasma and platelet-rich fibrin matrix have been used. All the cases showed significant improvement radiographically and clinically. There was a gain in clinical attachment, reduced probing depth and radiographic bone fill. Autologous platelet-rich derivatives can be used in combination with alloplastic bone substitute for the management of perio- endo lesions. The use of platelet rich derivates enable the clinicians to benefit from the full regenerative capacity of this material. Further randomised controlled trials will better determine whether the addition of platelet-rich derivative alone or in combination will enhance bone formation significantly or not.
