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

摘要

Diagnosis and treatment planning of untreated traumatised anterior teeth specially in children with psychiatric disorders or specialhealth care needs is a challenge to paediatric dentist, that too in non-pharmacological means is a difficult task. Most of thetime when these patients report with such complaint, it is already too late. This could be due to unintentional reasons like lackof parent awareness or patient’s response at the time of insult. All these factors bypass the time of conservative and minimalinvasive treatment approaches. Ultimately, delayed treatment of trauma to anterior region exposes pulp and infection progressto periradicular region with cystic changes. Here, in this case report, the non-pharmacological management of periradicularcyst enucleation, followed by apicoectomy and Platelet Rich Fibrin (PRF) grafting was done in a 15-year-old female patient withobsessive compulsive disorder i.e., Trichotillomania (TTM) under local anaesthesia. Symptoms and intraoral swelling was resolvedpostoperatively in follow-up visits.