scholarly journals Medication-Related Osteonecrosis of Jaws: A Low-Level Laser Therapy and Antimicrobial Photodynamic Therapy Case Approach

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Mariana Comparotto Minamisako ◽  
Guilherme Henrique Ribeiro ◽  
Mariáh Luz Lisboa ◽  
Mabel Mariela Rodríguez Cordeiro ◽  
Liliane Janete Grando

Medication-related osteonecrosis of the jaws (MRONJ) can be considered an inability of the alveolar bone to respond to an injury, which frequently leads to severe local and systemic complications. Once the problem is installed, dentist must use all therapeutic approaches recommended. This manuscript reports a successful management of MRONJ handled with antibiotics, conservative debridement, low-level laser therapy (LLLT), and photodynamic therapy (PDT) up to 12 months. As healing of MRONJ may be very slow, combined therapeutic approaches are required. Besides the recommended conventional treatment protocol, LLLT and PDT are important tools to contribute to healing and improvement of patient’s quality of life.

Author(s):  
Diana Ened Rodríguez Zaragoza

Aim: The extrusion of sodium hypochlorite through the apical foramen is an accident that can occur during the endodontic treatment although is relatively uncommon, Due to the severe tissue damage that is caused by the solution, the management becomes important to prevent serious sequalae. Low-level laser therapy might be useful to treat damaged soft tissues because of its bio modulatory effects, which may reduce edema and prevent infection. Methods: In this clinical case, the accidental leakage of 5% sodium hypochlorite during the preparation of the root canal of an upper left canine is reported. The accident caused immediate and intense pain and severe edema and ecchymosis. The conventional treatment protocol was applied along with low-level laser therapy. Results: Clinical examination revealed the healing of soft tissue in thirteen days, besides a significant pain reduction in three days after laser therapy was applied. Conclusion: The combination of low-level laser therapy with a conventional treatment protocol could be a useful tool to manage such an accident.


2021 ◽  
Vol 30 (4) ◽  
pp. 304-310
Author(s):  
Luciano Pereira Rosa ◽  
Francine Cristina da Silva ◽  
Suzete Carvalho Landulfo Luz ◽  
Regiane Lima Vieira ◽  
Beatriz Rocha Tanajura ◽  
...  

Objective: A pressure ulcer (PU) is an area of tissue trauma caused by continuous and prolonged pressure, often associated with hospitalised patients immobilised due to neurological problems, negatively affecting their quality of life, and burdening the public budget. The aim of this study was to report the follow-up, for 45 weeks, of three patients with neurological lesions due to trauma who subsequently developed PUs, and who were treated with a combination of photodynamic therapy (PDT), low level laser therapy (LLLT) and cellulose membrane (CM). Method: PDT was mediated by the photosensitiser curcumin on a 1.5% emulsion base. Blue LED light at 450 nm was delivered continuously for 12 minutes at an irradiance of 30mW/cm2 and total energy delivered to the tissue was 22J/cm2. LLLT was performed with 660 nm laser, punctuated and continuous, twice a week with parameters: spot size 0.04cm2, power of 40mW, 10 seconds per point, fluence of 10J/cm2 and irradiance of 1000mW/cm2. Results: All PUs had a significant reduction (range: 95.2–100%) of their area after 45 weeks of follow-up and two PUs had complete healing at 20 weeks and 30 weeks. All of the PUs showed a reduction in contamination with the PDT treatments in different proportions. Conclusion: From the results obtained, we conclude that the combination of PDT, LLLT and CM is a promising treatment for PU healing.


2020 ◽  
Vol 78 (12) ◽  
pp. 2155.e1-2155.e10
Author(s):  
Renato Silva Fraga ◽  
Lívia Azeredo Alves Antunes ◽  
Walter Luis Soares Fialho ◽  
Maria Isabel Valente ◽  
Cinthya Cristina Gomes ◽  
...  

2018 ◽  
Vol 76 (2) ◽  
pp. 287.e1-287.e10 ◽  
Author(s):  
Anıl Özyurt ◽  
Çiğdem Elmas ◽  
Cemile Merve Seymen ◽  
Veysel Tuncay Peker ◽  
Bülent Altunkaynak ◽  
...  

2020 ◽  
Vol 54 (2) ◽  
pp. 127-134
Author(s):  
Suelen Cristina da Costa Pereira ◽  
Fabiola E. Alvarez Avila ◽  
Arnaldo Pinzan ◽  
Ludmila M. Lima ◽  
Juliana Moura Storniolo-Souza ◽  
...  

Introduction: Finding a method to decrease orthodontic treatment time has been a concern for several authors. This study evaluated, clinically and radiographically, the influence of low-level laser therapy on the rate of orthodontic movement and dental tissue integrity. Methods: The sample included 11 individuals with class I malocclusion, requiring extraction of 4 first premolars. Gallium aluminum arsenide diode laser with a wavelength of 780 nm was used once a month during retraction mechanics, to irradiate the maxillary and mandibular canines on one side and compare them with the nonirradiated contralateral side, after spring activation, until canine retraction was completed. This was followed by movement measurement. Periapical radiographs were used to check for possible modifications in the supporting tissues and root surface of the displaced canines. Results: No differences in the rate of tooth movement were found between the irradiated and nonirradiated side on both dental arches. There was no resorption of the root and/or alveolar bone crest, maintaining the integrity of these tissues. Conclusions: Low-level laser therapy did not promote an increment on the rate of tooth movement and did not cause greater root and alveolar bone crest resorption than on the nonirradiated side with the used protocol.


2019 ◽  
Vol 34 (7) ◽  
pp. 1483-1491 ◽  
Author(s):  
Suzan Bayer Alinca ◽  
Ebru Saglam ◽  
Nur Ozten Kandas ◽  
Oguzhan Okcu ◽  
Nergiz Yilmaz ◽  
...  

Author(s):  
Luiz Guilherme Martins Maia ◽  
Angela Valéria Farias Alves ◽  
Talita Santos Bastos ◽  
Lucas Sandes Moromizato ◽  
Isabel Bezerra Lima-Verde ◽  
...  

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