# Surgical Approach to Managing an Apical Periodontal Cyst Using Titanium-Activated Platelet-Rich Fibrin (T-PRF) in a Pediatric Patient: A Case Report

## TL;DR

A 14-year-old boy with a jaw cyst was successfully treated using a titanium-activated platelet-rich fibrin membrane and surgery, leading to full healing.

## Contribution

The novel use of titanium-activated platelet-rich fibrin (T-PRF) in surgical treatment of a pediatric apical periodontal cyst is highlighted.

## Key findings

- Combining endodontic therapy with surgical enucleation and T-PRF improved healing in a pediatric patient.
- The use of T-PRF membranes and osseo-bone grafts promoted bone regeneration and complete healing within six months.
- Aesthetic rehabilitation was successfully achieved following the surgical intervention.

## Abstract

This case report discusses the surgical management of an apical periodontal cyst in a 14-year-old male patient presenting with pain in the upper anterior jaw. The patient had a history of trauma to the upper anterior teeth, leading to the development of a radicular cyst involving teeth 11 and 12. The treatment plan included initial root canal therapy followed by surgical enucleation of the cyst, apicoectomy, and retrograde filling of the affected teeth. Titanium-activated platelet-rich fibrin (T-PRF) membranes were utilized along with an osseo-bone graft to promote healing and bone regeneration. Post-operative aesthetic rehabilitation was achieved, and the patient showed complete healing upon six months of follow-up. The case highlights the efficacy of combining endodontic therapy with surgical intervention using advanced biomaterials to manage radicular cysts in pediatric patients successfully.