scholarly journals The Use of Antimicrobial Photodynamic Therapy to Maintain a Hopeless Tooth With a PeriodonticEndodontic Lesion: A Case Report

2020 ◽  
Vol 11 (3) ◽  
pp. 355-360
Author(s):  
Nahid Derikvand ◽  
Masoud Hatami ◽  
Nasim Chiniforush ◽  
Seyedeh Sara Ghasemi
Keyword(s):  
Photodynamic Therapy ◽  
Case Report ◽  
Root Canal ◽  
Alveolar Bone ◽  
Antimicrobial Photodynamic Therapy ◽  
Pocket Depth ◽  
Clinical Attachment Loss ◽  
Tooth Number ◽  
End Stage ◽  
Grade Iii

Background: In spite of some advances in periodontal generative methods, it is impossible to stop progressive Loss of supporting alveolar bone in some end-stage periodontitis. The aim of this study is to report a kind of treatment modality which was seemed to be successes full in maintaining teeth. In this case-report, a hopeless tooth was saved by combined non-surgical periodontalendodontal treatment and antimicrobial photodynamic therapy (aPDT). Case Report: A 58-year-old male presented with a chief complaint of pain and mobility of tooth number 38. Clinical examinations revealed a periodontic-endodontic lesion with clinical attachment loss exceeding 10 mm and grade III mobility. To preserve the tooth, we operated nonsurgical periodontal treatment including scaling and root planning (SRP) plus root canal therapy (RCT) combined with intra-root canal non-aPDT laser decontamination. Then we applied laser pocket therapy with and without aPDT. Following 6 months of the aPDT treatment, the mobility and pocket depth of the tooth improved from grade III to I and from 10 to 3 millimeters respectively. Conclusion: aPDT is a novel adjunctive therapy that can be used for various conditions with microbial etiology. This case report demonstrated that aPDT might be effective in the treatment of periodontic-endodontic lesions in a hopeless tooth.

PHOTODYNAMIC THERAPY AS AN EFFICIENT ADJUNCT TO NON SURGICAL TREATMENT OF PERIODONTITIS: A CASE SERIES

2021 ◽  
pp. 76-77
Author(s):  
Nisha Jain ◽  
Rudrax Jindal
Keyword(s):  
Photodynamic Therapy ◽  
Surgical Treatment ◽  
Chronic Periodontitis ◽  
Case Series ◽  
Antimicrobial Photodynamic Therapy ◽  
Pocket Depth ◽  
Clinical Attachment Loss ◽  
Bleeding On Probing ◽  
Probing Depth ◽  
Non Surgical Treatment

The aim of this case series was to assess the efcacy of antimicrobial photodynamic therapy in the treatment of chronic periodontitis. This case series included two subjects with Presence of pocket depth 6 mm or more with clinical attachment loss(CAL) and bleeding on probing (BOP) in minimum of 1 tooth in atleast two quadrants. After full mouth mechanical debridement (SRP), rst site received no further treatment, whereas, second site was subjected to photodynamic therapy. SRP+PDT group showed signicant improvement in (CAL) and reduction in probing depth as compared to SRP group. Therefore, it can be concluded that Photodynamic therapy has its own advantage as an adjunct to SRP in the non surgical treatment of chronic periodontitis,further research for which may be advocated

scholarly journals Digitalization in Dental problem diagnosis, Prediction and Analysis: A Machine Learning Perspective of Periodontitis

2020 ◽  
Vol 8 (5) ◽  
pp. 67-74
Keyword(s):  
Machine Learning ◽  
Risk Factors ◽  
Decision Making ◽  
Oral Health ◽  
Alveolar Bone ◽  
Vascular Diseases ◽  
Diagnostic Methods ◽  
Pocket Depth ◽  
Clinical Attachment Loss ◽  
Gum Disease

Artificial Intelligence, Machine learning, deep learning and image processing is becoming popular in medical sciences. The present digitalized world is remodelling each facetadditionally impacting dentistry and medical field from patient record maintenance, data analysisto new diagnostic methods, novel interference waysand totally different treatment choices. Oral health contributes to various diseases and conditions like Endocarditis, Cardio vascular diseases, diabetes, osteoporosis, pregnancy and birth and many more. Bad breathe, tooth decay, periodontitis, oral abscess, tooth erosion, dentinal sensitivity and many more can be even trickier to detect in plain dental radiography. The most prevalent disease periodontitis is a gum disease when left untreated, leads to tooth loss and more hazardous complications. Early Prediction and Proper diagnosis in time will protect our health from the mentioned diseases which can be implemented by making use of emerging technologies to assist and support dentists in predictions and decision making. Hence focusing more on oral health, In the current paper, the most contributing risk factors and parameters like Pocket Depth, Black Triangles, Alveolar Bone Loss, Furcation, Periodontal Abscess, Smoking, Gingivitis, Clinical Attachment Loss, Mobility Etc. that progresses the disease were taken in to consideration and a Python code was implemented which can be used as a Decision making aid to check whether person suffers or likely to suffer in future or not suffering from the disease.In this paper, literature reviews on the various automated computerized methods used to detect and diagnose the disease were discussed and an attempt was made to clearly identify and describe both the clinical and radiological parameters that a dentist/Periodontist use as a metric to grade/assess the periodontitis. The present strategy can be enhanced as a tool and can be used as a decision making aid by dentists’ in the prediction of periodontitis and can also be used for demonstrating fresher’s or upcoming dentists the progress of gum disease, grading the severity of the disease and the associated risk factors considering clinical, radiological findings and adverse habits thereby improving overall time period taken for manual predictions.

Methylene blue-mediated antimicrobial photodynamic therapy: A novel strategy for digital dermatitis-associated sole ulcer in a cow – A case report

2018 ◽  
Vol 24 ◽  
pp. 121-122 ◽  
Author(s):  
Fábio Parra Sellera ◽  
Ronaldo Gomes Gargano ◽  
Carolina dos Anjos ◽  
Maurício da Silva Baptista ◽  
Martha Simões Ribeiro ◽  
...  
Keyword(s):  
Methylene Blue ◽  
Photodynamic Therapy ◽  
Case Report ◽  
Antimicrobial Photodynamic Therapy ◽  
Digital Dermatitis ◽  
Novel Strategy

scholarly journals Endodontic treatment of a large periapical cyst with the aid of antimicrobial photodynamic therapy - Case report

2019 ◽  
Vol 22 (4) ◽  
pp. 561-568
Author(s):  
Amjad Abu Hasna ◽  
Carlos Henrique Ferrari ◽  
Cláudio Antonio Talge Carvalho
Keyword(s):  
Photodynamic Therapy ◽  
Case Report ◽  
Calcium Hydroxide ◽  
Diode Laser ◽  
Bone Repair ◽  
Irradiation Time ◽  
Radiographic Examination ◽  
Antimicrobial Photodynamic Therapy ◽  
Traditional Treatment ◽  
Digital Palpation

Introduction: Periapical cysts, especially those of great extension, represent a challenge for endodontics, since they are not repaired with traditional treatment. The aim of this case report was to evaluate the effectivity of antimicrobial photodynamic therapy “aPDT” when associated with calcium hydroxide Ca(OH)2 in treating such cysts. Case report:  A 40-year-old female patient complained of bulging in the upper anterior region of the mouth. The clinical examination showed an extensive swollen periodontal area, painful with digital palpation, with a negative response to thermal tests on teeth 11 and 21. After traditional treatment, the canals of 11 and 21 were filled with photosensitizer methylene blue 0.005% pre irradiation time (PIT) of 5 minutes and irradiation by low power diode laser with visible red wavelength (660 nm) during 2 minutes without intervals, using an optical fiber delivering system with a helical movement from apical to cervical. Then the canal were filled with Ca(OH)2 paste for 45 days being changed each 15 days, and repeating the radiation. Results: After 45 days, the patient already had a bulging remission, with painless resistance to apical pressure in the region and signs of bone repair at the radiographic examination, and total absence of signs or symptoms. Conclusion: the association of aPDT with Ca(OH)2 paste is effective in treating of periapical lesions of great extension and avoid surgical treatment.Keywords: Antimicrobial; Calcium hydroxide; Diode Laser; Periapical cysts; Photodynamic Therapy; Root canal treatment.

scholarly journals Photodynamic Therapy as an adjunct in the Treatment of Medication-Related Osteonecrosis of the Jaw: A Case Report

2021 ◽  
Vol 12 (1) ◽  
pp. e12-e12
Author(s):  
Marcelo Vieira da Costa Almeida ◽  
Antonio C. Moura ◽  
Lúcia Santos ◽  
Luciana Gominho ◽  
Ully Dias Nascimento Távora Cavalcanti ◽  
...  
Keyword(s):  
Photodynamic Therapy ◽  
Case Report ◽  
Osteonecrosis Of The Jaw ◽  
Complete Regression ◽  
Antimicrobial Photodynamic Therapy ◽  
Clinical Protocols ◽  
History Of ◽  
Lesion Regression ◽  
The Right

Introduction: Medication-related osteonecrosis of the jaw (MRONJ) corresponds to an adverse effect of the use of drugs such as bisphosphonates and denosumab. This condition is often associated with pain, infection, purulent secretion, paraesthesia, tooth mobility and halitosis, decreasing the patient’s quality of life. The management of MRONJ tends to be conservative, through the guidance of oral hygiene, antibiotic therapy and mouthwashes. However, the use of antimicrobial photodynamic therapy (aPDT) has shown promise in the treatment of these injuries. The purpose of this article is to report a case of MRONJ treatment associated with aPDT. Case Report: A 75-year-old patient, with a history of breast cancer and use of intravenous Zoledronic Acid, presented with bilateral MRONJ lesions in tuberosity on the right and left sides. Treatment was conservatively instituted with the use of aPDT as an adjuvant. After 12 aPDT sessions, complete regression of the lesion was observed. However, after two weeks, the presence of a new lesion was noted, this time in the anterior region of the maxilla. The same protocol previously established was followed and after two aPDT sessions, the patient returned with complete lesion regression. Conclusion: The use of aPDT may represent an important adjuvant within a set of clinical protocols in the treatment of MRONJ.

Photobiomodulation and antimicrobial photodynamic therapy as adjunct in the treatment and prevention of osteoradionecrosis of the jaws: A case report

2020 ◽  
Vol 31 ◽  
pp. 101959
Author(s):  
Iana Aragão Magalhães ◽  
Clarissa Pessoa Fernandes Forte ◽  
Thales Salles Angelim Viana ◽  
Carolina Rodrigues Teófilo ◽  
Renata de Matos Brito Lima Verde ◽  
...  
Keyword(s):  
Photodynamic Therapy ◽  
Case Report ◽  
Antimicrobial Photodynamic Therapy ◽  
Treatment And Prevention

Antimicrobial photodynamic therapy and guided endodontics: A case report

2020 ◽  
Vol 31 ◽  
pp. 101935
Author(s):  
Warley Luciano Fonseca Tavares ◽  
Marcus Vinícius Lucas Ferreira ◽  
Vinícius de Carvalho Machado ◽  
Tiago Braga ◽  
Rodrigo Rodrigues Amaral ◽  
...  
Keyword(s):  
Photodynamic Therapy ◽  
Case Report ◽  
Antimicrobial Photodynamic Therapy

scholarly journals Regression of large periapical lesion using calcium hydroxide therapy: a six-year follow-up case report

2015 ◽  
Vol 18 (1) ◽  
pp. 17 ◽  
Author(s):  
Cari Maristela Pieper ◽  
Eliseu Aldrighi Münchow ◽  
Evandro Piva
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Maximum Diameter ◽  
Radiographic Analysis ◽  
Periapical Lesion ◽  
Tooth Number ◽  
Radiolucent Lesion

<span>Periradicular lesions occur in non-vital teeth as the result of a chronic aggression by the presence of microorganisms into the root canal, which may appear as a radiolucent lesion in the radiographic exam; treatment varies according to surgical or nonsurgical methods. This case report describes the regression of a periradicular lesion using a nonsurgical endodontic treatment in association with intracanal calcium hydroxide-based medicament. After patient examination and radiographic analysis, a 13 mm (in maximum diameter) radiolucent lesion was observed in tooth number 12. The endodontic treatment was done and Calen-CMCP (S.S. White Artigos Dentários Ltda., Rio de Janeiro, RJ, Brazil) was placed into the root canal, which was changed after every two weeks during two months. It was observed a progressive centrifugal regression of the lesion after every renewing of the medicament. In addition, after six-year follow-up the tooth was still free of re-infection and bone tissue was completely regenerated. In conclusion, calcium hydroxide therapy can conservatively stimulate the regression of large periradicular lesions.</span>

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