Periradicular Cystic Enucleation and
PRF Grafting Following Apicoectomy in
Trichotillomania Patient- A Case Report
Published: October 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/43455.14067
Vimanyu Kataria, Surender Sodhi, Shikha Dogra, Vignesh Guptha Raju
1. Senior Lecturer, Department of Oral and Maxillofacial Surgery, Sudha Rustogi College of Dental Sciences and Research, Faridabad, Haryana, India.
2. Principal, Professor and Head, Department of Oral and Maxillofacial Surgery, Dasmesh Institute of Research and Dental Sciences, Faridkot, Punjab, India.
3. Senior Lecturer, Department of Pedodontics and Preventive Dentistry, SGT Dental College and Hospital, Gurgaon, Haryana, India.
4. Reader, Department of Pedodontics and Preventive Dentistry, Karpaga Vinayaga Institute of Dental Sciences, Kanchipuram, Tamil Nadu, India.
Correspondence
Dr. Shikha Dogra,
Department of Pedodontics and Preventive Dentistry, SGT Dental College and Hospital, Gurgaon-122413, Haryana, India.
E-mail: shikha.dogra87@gmail.com
Diagnosis and treatment planning of untreated traumatised anterior teeth specially in children with psychiatric disorders or special health care needs is a challenge to paediatric dentist, that too in non-pharmacological means is a difficult task. Most of the time when these patients report with such complaint, it is already too late. This could be due to unintentional reasons like lack of parent awareness or patient’s response at the time of insult. All these factors bypass the time of conservative and minimal invasive treatment approaches. Ultimately, delayed treatment of trauma to anterior region exposes pulp and infection progress to periradicular region with cystic changes. Here, in this case report, the non-pharmacological management of periradicular cyst enucleation, followed by apicoectomy and Platelet Rich Fibrin (PRF) grafting was done in a 15-year-old female patient with obsessive compulsive disorder i.e., Trichotillomania (TTM) under local anaesthesia. Symptoms and intraoral swelling was resolved postoperatively in follow-up visits.
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