An Auto-Fluorescence guided surgical approach performed with Er:YAG laser and Nd:YAG Low Level Laser Therapy for Medication-Related Osteonecrosis of the Jaw

Journal of Dentistry Indonesia

卷:22

Paolo Vescovi¹  Marco Meleti²  Ilaria Giovannacci²  Mauro Bonanini² 

[1] Department of Biomedical, Biotechnological and Translational Sciences–Center of Oral Pathology and Laser Surgery, University of Parma, Via Gramsci, Parma 14-43100, Italy;

[2] Department of Biomedical, Biotechnological and Translational Sciences–Center of Oral Pathology and Laser Surgery, University of Parma, Via Gramsci, Parma 14-43100;

关键词: Velscope;    MRONJ;    Er:YAG laser;    Nd:YAG laser;    Auto-Fluorescence;   

DOI  :  10.14693/jdi.v22i2.486

来源: DOAJ

【 摘 要 】

Medication-Related Osteonecrosis of the Jaw (MRONJ) therapy remains an unresolved problem. The proposed conservative and surgical treatment regimens are associated to contradictory success rates. Surgical approach with Er:YAG laser is associated to significant better results compared to medical treatment and traditional surgical approaches. Objective: To describe a new surgical approach that couples the advantages of the Er:YAG laser and the usefulness of the AF in highlighting surgical margins. One of the difficulties encountered during surgical removal of a MRONJ is the precise individuation of necrotic bone margins. Case Report: A case of Stage III mandibular osteonecrosis treated with a new surgical approach is presented. The aim is to describe an auto-fluorescence (AF) guided surgical approach performed with Er:YAG laser and Nd:YAG Low Level Laser Therapy (LLLT). After one month of follow-up, the complete mucosal healing was evident and symptoms was unobserved. Such a technique allowed a highly accurate and minimally invasive approach through the selective ablation of the non-/hypofluorescent areas. Conclusion: Taking into account the advantages of laser therapy and the possible effectiveness of the AF in highlighting surgical margins, this approach would probably achieve excellent outcomes.

DOI: 10.14693/jdi.v22i2.486

【 授权许可】

Unknown