Osteoradionecrosis of the jaws: case series treated with adjuvant low-level laser therapy and antimicrobial photodynamic therapy
J. appl. oral sci
;
26: e20170172, 2018. tab, graf
Artigo
em Inglês
| LILACS, BBO
| ID: biblio-893733
ABSTRACT
Abstract Background:
Osteoradionecrosis of the jaw (ORNJ) is the most severe and complex sequel of head and neck radiotherapy (RT) because of the bone involved, it may cause pain, paresthesia, foul odor, fistulae with suppuration, need for extra oral communication and pathological fracture. We treated twenty lesions of ORNJ using low-level laser therapy (LLLT) and antimicrobial photodynamic therapy (aPDT). The objective of this study was to stimulate the affected area to homeostasis and to promote the healing of the oral mucosa.Methods:
We performed aPDT on the exposed bone, while LLLT was performed around the bone exposure (red spectrum) and on the affected jaw (infrared spectrum). Monitoring and clinical intervention occurred weekly or biweekly for 2 years.Results:
100% of the sample presented clinical improvement, and 80% presented complete covering of the bone exposure by intact oral mucosa.Conclusion:
LLLT and aPDT showed positive results as an adjuvant therapy to treat ORNJ.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Osteorradionecrose
/
Fotoquimioterapia
/
Doenças Maxilomandibulares
/
Terapia com Luz de Baixa Intensidade
/
Quimiorradioterapia Adjuvante
/
Anti-Infecciosos
Tipo de estudo:
Estudos de avaliação
/
Estudo observacional
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
J. appl. oral sci
Assunto da revista:
Odontologia
Ano de publicação:
2018
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Federal de Santa Catarina/BR
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