Periradicular Cystic Enucleation and PRF Grafting Following Apicoectomy in Trichotillomania Patient- A Case Report

• Main Authors: Vimanyu kataria, Surender Sodhi, Shikha Dogra, Vignesh Guptha Raju
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2020-10-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: accelerated healing; obsessive compulsive disorder; surgical endodontics
• Online Access: https://jcdr.net/articles/PDF/14067/43455_CE[Ra1]_F(SL)_PF1(Chr_KM)_PFA(KM)_PN(SL).pdf

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.