Successful Use of Lower-Level Laser Therapy in the Treatment of Medication-Related Osteonecrosis of the Jaw

This study aimed to report a case of medication related osteonecrosis of the jaw (MRONJ) of a 65-year-old female patient referred to the Oral and Maxillofacial Surgery team from Araçatuba Dental School, complaining about mobility of a previously dental implant placed on the posterior maxillary regio...

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Bibliographic Details
Published in:Journal of lasers in medical sciences 2017-09, Vol.8 (4), p.201-203
Main Authors: Momesso, Gustavo Antonio Correa, de Souza Batista, Fábio Roberto, de Sousa, Cecília Alves, de Lima, Valthierre Nunes, Polo, Tárik Ocon Braga, Hassumi, Jaqueline Suemi, Garcia Júnior, Idelmo Rangel, Faverani, Leonardo Perez
Format: Article
Language:English
Subjects:
Antibiotics
Biocompatibility
Case Report
Chlorhexidine
Dental implants
Gangrene
Healing
Necrosis
Osteonecrosis
Osteoporosis
Prostheses
Therapy
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Summary:This study aimed to report a case of medication related osteonecrosis of the jaw (MRONJ) of a 65-year-old female patient referred to the Oral and Maxillofacial Surgery team from Araçatuba Dental School, complaining about mobility of a previously dental implant placed on the posterior maxillary region. Clinical examination revealed an extensive necrosis area around the implant region. The patient reported bisphosphonate therapy with sodium alendronate for prevention of osteoporosis 5 years ago. A diagnosis of MRONJ was reached and the treatment decided was to remove the dental implant damaged and use the lower-level laser therapy (LLLT) associated with antibiotic therapy with clindamycin 300 mg and mouth rinses with chlorhexidine 0.12%. Six months after the treatment with LLLT a complete healing of the affected area was observed and 12 months after treatment the patient was rehabilitated with fixed dental prosthesis and showed excellent tissue healing of the necrosis areas. It was concluded that the use of LLLT showed to be a good option in the treatment of MRONJ.
ISSN:2008-9783
2228-6721
DOI:10.15171/jlms.2017.37