Antimicrobial photobiomodulatory and photodynamic therapy (aPDT) in the conservative treatment of late incomplete fracture of the mandible angle after third molar extraction

Authors

DOI:

https://doi.org/10.33448/rsd-v10i16.23380

Keywords:

Photochemotherapy; Dental extraction; Conservative treatment.

Abstract

Mandibular fractures after third molar extraction are low incidence events, but they can occur due to a smaller amount of bone tissue in the mandibular angle region due to the presence of the tooth. And this may also be accompanied by secondary complications and which must be treated correctly. Thus, the aim of this article is to carry out a clinical case report of a patient who developed an incomplete mandibular angle fracture after third molar extraction and with inferior alveolar nerve paresthesia and infection, which were treated with the application of photodynamic therapy antimicrobial (aPDT). A 33-year-old patient came to the hospital complaining of severe trismus after extraction of tooth 38. On physical examination, it was possible to observe edema in the left mandibular angle region and active purulent drainage in the 38-year-old region. On computed tomography it was possible to observe an incomplete fracture in the left mandibular angle region, affecting both buccal and lingual cortical bone. Drug therapy for the treatment of infection was associated with aPDT therapy until remission of signs of infection and photobiomodulator therapy for the treatment of inferior alveolar nerve paresthesia, with periodic panoramic radiographs being performed. After 4 months, it was possible to observe a complete remission of the infection and paresthesia, in addition to consolidation of the bone corticals that had been fractured. Thus, it is possible to conclude that aPDT therapy can be used as an alternative for the conservative treatment of incomplete mandible fractures after third molar extraction, as well as secondary complications.

References

Brucoli, M., Romeo, I., Pezzana, A., Boffano, P., & Benech, A. (2020). The relationship between the status and position of third molars and the presence of mandibular angle and condylar fractures. Oral and maxillofacial surgery, 24(1), 31-36.

Buco-Maxilo-Facial, R. C. T. (2001). TRATAMENTO DAS FRATURAS MANDIBULARES: RELATO DE CASO CLÍNICO TREATMENT OF MANDIBULAR FRACTURES: A CASE REPORT.

Chrcanovic, B. R., & Custódio, A. L. N. (2010). Considerations of mandibular angle fractures during and after surgery for removal of third molars: a review of the literature. Oral and maxillofacial surgery, 14(2), 71-80.

de Oliveira, R. F., da Silva, A. C., Simoes, A., Youssef, M. N., & de Freitas, P. M. (2015). Laser therapy in the treatment of paresthesia: a retrospective study of 125 clinical cases. Photomedicine and laser surgery, 33(8), 415-423.

de Oliveira, R. F., de Andrade Salgado, D. M. R., Trevelin, L. T., Lopes, R. M., da Cunha, S. R. B., Aranha, A. C. C., . . . de Freitas, P. M. (2015). Benefits of laser phototherapy on nerve repair. Lasers in medical science, 30(4), 1395-1406.

Ervolino, E., Statkievicz, C., Toro, L. F., de Mello-Neto, J. M., Cavazana, T. P., Issa, J. P. M., . . . Okamoto, R. (2019). Antimicrobial photodynamic therapy improves the alveolar repair process and prevents the occurrence of osteonecrosis of the jaws after tooth extraction in senile rats treated with zoledronate. Bone, 120, 101-113.

Fernandes, I., Souza, G., de Rezende, V. S., Al-Sharani, H., Douglas-de-Oliveira, D., Galvão, E., & Falci, S. (2020). Effect of third molars in the line of mandibular angle fractures on postoperative complications: systematic review and meta-analysis. International journal of oral and maxillofacial surgery, 49(4), 471-482.

Flandes, M. P., Dias, L. B. G. M., & Junior, W. P. (2019). Fratura de mandíbula–relato de caso. Revista de Odontologia da Universidade Cidade de São Paulo, 31(2), 205-212.

Giovacchini, F., Paradiso, D., Bensi, C., Belli, S., Lomurno, G., & Tullio, A. (2018). Association between third molar and mandibular angle fracture: A systematic review and meta-analysis. Journal of Cranio-Maxillofacial Surgery, 46(4), 558-565.

Júnior, J. M., Giovanini, J. G., Borges, H. O. I., Higasi, M. S., & Stabile, G. A. V. (2010). Fraturas Mandibulares: Estudo Prospectivo de 52 Casos. Journal of Health Sciences, 12(1).

Lee, Y., Kim, J., Lee, M., Shin, D., & Choi, H. (2019). Relationship between mandible fractures and third molars. Archives of craniofacial surgery, 20(6), 376.

Mehra, A., Anehosur, V., & Kumar, N. (2019). Impacted mandibular third molars and their influence on mandibular angle and condyle fractures. Craniomaxillofacial trauma & reconstruction, 12(04), 291-300.

Nogami, S., Yamauchi, K., Bottini, G. B., Kouketsu, A., Otake, Y., Sai, Y., . . . Takahashi, T. (2018). Do mandibular third molars play a role in fractures of the mandibular angle and condyle? Journal of Craniofacial Surgery, 29(7), e713-e717.

Soós, B., Janovics, K., Tóth, Á., & Szalma, J. (2020). The role of occlusal support and lower third molars in mandibular angle and condylar fractures. Orvosi Hetilap, 161(28), 1166-1174.

UNIFACVEST, C. U., DE CURSO–TCC, T. D. C., & ANTUNES, I. P. R. FRATURAS DE MANDIBULA: REVISÃO DE LITERATURA.

Wei, G., Yang, G., Wang, Y., Jiang, H., Fu, Y., Yue, G., & Ju, R. (2020). Phototherapy-based combination strategies for bacterial infection treatment. Theranostics, 10(26), 12241.

Published

09/12/2021

How to Cite

SILVA, M. C.; RIOS, B. R.; FERREIRA , G. R. .; BARBOSA, S.; SANTOS, A. M. S. .; LIMA NETO , T. J. de .; SILVA, W. P. P. da .; SANTOS, J. M. F. e .; ARAUJO, W. A. F. .; MOMESSO, G. A. C. .; FAVERANI, . L. P. . Antimicrobial photobiomodulatory and photodynamic therapy (aPDT) in the conservative treatment of late incomplete fracture of the mandible angle after third molar extraction . Research, Society and Development, [S. l.], v. 10, n. 16, p. e123101623380, 2021. DOI: 10.33448/rsd-v10i16.23380. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/23380. Acesso em: 12 nov. 2024.

Issue

Section

Health Sciences