| Autor: |
Chan AS; Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia., Chan AJ; Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia., Chan A; Brain and Mind Centre, Neuroinflammation Group, The University of Sydney, Sydney, Australia., Armati P; Brain and Mind Centre, Neuroinflammation Group, The University of Sydney, Sydney, Australia. |
| Jazyk: |
angličtina |
| Zdroj: |
Photobiomodulation, photomedicine, and laser surgery [Photobiomodul Photomed Laser Surg] 2024 Jun; Vol. 42 (7), pp. 488-492. Date of Electronic Publication: 2024 May 03. |
| DOI: |
10.1089/photob.2023.0197 |
| Abstrakt: |
Background: Intentional replantation (IR) is an emerging and cost-effective last-resort treatment for persistent apical periodontitis. Adjunctive phototherapy for IR aims to improve the management of challenging cases by enhancing disinfection, stimulating healing and promoting regeneration. Objective: We report a novel phototherapy-assisted IR protocol conducted on a compromised lateral incisor with an extensive periapical infection (Ø > 10 mm) in a 68-year-old diabetic male. Methods: The IR protocol involved pre- and postoperative photobiomodulation (660 nm, 0.2 J/cm 2 , 60 sec/site), antimicrobial photodynamic therapy of the root surface (660 nm, 0.6 J/cm 2 , 30 sec, methylene blue photosensitizer), and Er:YAG root and socket debridement (2940 nm, 21 J/cm 2 , 30 sec). The total time from extraction to replantation was 14 min 35 sec. Results: The tooth at 3.5-year follow-up remained clinically functional with radiographic resolution of the infection indicating a successful reimplantation. Conclusions: This case report demonstrated that an adjunctive phototherapy IR protocol can effectively treat a compromised tooth with extensive periapical infection. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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