التفاصيل البيبلوغرافية
| العنوان: |
Piezoelectric Surgery, Er:YAG Laser Surgery and Nd:YAG Laser Photobiomodulation: A Combined Approach to Treat Medication-Related Osteonecrosis of the Jaws (MRONJ). |
| المؤلفون: |
Vescovi, Paolo, De Francesco, Pierpaolo, Giovannacci, Ilaria, Leão, Jair Carneiro, Barone, Antonio |
| المصدر: |
Dentistry Journal; Aug2024, Vol. 12 Issue 8, p261, 14p |
| مصطلحات موضوعية: |
ND-YAG lasers, LASER surgery, PIEZOELECTRIC devices, LASER therapy, LASER ablation, PIEZOSURGERY |
| مستخلص: |
Medication-related osteonecrosis of the jaw (MRONJ) is a drug complication that can occur in patients taking antiresorptive or antiangiogenic drugs. Although it is a well-documented disease, there is no widely accepted treatment. However, several therapeutic approaches have been proposed. The surgical approach in many advanced cases appears inevitable; however, the results are not yet defined and predictable. This study aimed to propose a combined surgical approach with a piezoelectric device and laser (Er:YAG for bone ablation and Nd:YAG laser for photobiomodulation) in a young patient with breast cancer and bone metastasis under denosumab treatment, affected by spontaneous stage 3 MRONJ with maxillary sinus involvement. The patient under study reported no post-operative discomfort, with painkiller intake limited to the day after surgery. Total mucosal healing was observed without recurrences for more than 4 years after surgery. According to the results of our preliminary study, a combined surgical approach using a piezoelectric device and laser therapy is effective in managing patients affected by MRONJ, leveraging the clinical and biological advantages of these different techniques. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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