The use of antimicrobial photodynamic therapy in the successful management of an invasive cervical resorption class 4: A case report with five years follow-up

2021 ◽  
Vol 33 ◽  
pp. 102126
Author(s):  
Warley Luciano Fonseca Tavares ◽  
Ricardo Reis Oliveira ◽  
Marcus Vinícius Lucas Ferreira ◽  
Antônio Paulino Ribeiro Sobrinho ◽  
Tiago Braga ◽  
...  
2020 ◽  
Vol 11 (2) ◽  
pp. 228-233
Author(s):  
Rafael Maya ◽  
Lorena Lúcia Costa Ladeira ◽  
Juliana Elaine Pinto Maya ◽  
Letícia Machado Gonçalves Mail ◽  
Sandra Kalil Bussadori ◽  
...  

Introduction: One of the unexpected side effects of the Haas type palatal expander is ulcers progressing to necrotic lesions in the palatal area due to poor hygiene. The use of antibiotic therapy is mandatory. However, long periods of healing/pain and the need for a systemic host response with the aid of metabolization, especially in children, are issues that should be taken into account in the management of this type of injury. Since phototherapy modalities (antimicrobial photodynamic therapy [aPDT] and photobiomodulation therapy [PBMT]) are able to enhance and accelerate the healing process and reduce the bacterial load, this case report aimed to describe the use of the above-mentioned therapies to treat palatal ulcers occurring during orthodontic expansion. Case Report: The patient, a 10-year-old boy, with a chief complaint of bleeding and continuous pain in the region of his expander was verified on a follow-up visit. After a dental examination, the expander was removed and two necrotic lesions which were in contact with the acrylic part of the tooth-tissue expander were found in the palatal region. The proposal was to use one aPDT session with methylene blue followed by 4 sessions of PBMT with a red laser diode. On the 5th day, reorganized tissue was verified, with the absence of bleeding, swelling, and pain. On the 20th day of follow-up, the area showed no signs of inflammation, healthy tissue without any pathological clinical symptoms, and complete wound healing. Conclusion: The concomitant use of PBMT and aPDT therapies may be considered feasible as an adjunct treatment to manage palatal ulcers resulting from the incorrect use of tooth-tissue types of expanders


2021 ◽  
Vol 11 (2) ◽  
pp. 97
Author(s):  
GulnarDara Sethna ◽  
RajeshPrabhakar Gaikwad ◽  
Rajat Nahar ◽  
SatishSudhakar Gadai ◽  
NoopurSubhash Narayane

2020 ◽  
Vol 11 (3) ◽  
pp. 355-360
Author(s):  
Nahid Derikvand ◽  
Masoud Hatami ◽  
Nasim Chiniforush ◽  
Seyedeh Sara Ghasemi

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.


2018 ◽  
Vol 24 ◽  
pp. 121-122 ◽  
Author(s):  
Fábio Parra Sellera ◽  
Ronaldo Gomes Gargano ◽  
Carolina dos Anjos ◽  
Maurício da Silva Baptista ◽  
Martha Simões Ribeiro ◽  
...  

Author(s):  
Abid Lanker ◽  
Wessam Fathey ◽  
Shereen Samar ◽  
Zakirulla M. ◽  
Mohamed Imranulla ◽  
...  

Perforation is a procedural accident that occurs during root canal treatment, creating an artificial communication between the root canal and the supporting periodontal apparatus. Iatrogenic root perforation is a major complication of endodontic and restorative treatments, leading to impairment of tooth prognosis. Successful management of root perforations is dependent on early diagnosis of the defect, location of the perforation, choice of treatment, materials used, host response, and the experience of the practitioner. This case report presents the successful management of an iatrogenic lateral root perforation in a tooth with radiographic evidence of periodontal healing over one year follow-up.


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