Gengivectomia com laser de diodo para tratamento de hiperplasia gengival em criança com paralisia cerebral: relato de caso
DOI:
https://doi.org/10.33448/rsd-v10i16.22597Palavras-chave:
Laser de diodo; Hiperplasia gengival; Gengivectomia.Resumo
A hiperplasia gengival está associada a diversos fatores, como a inflamação, acúmulo de biofilme e uso de medicamentos como anticonvulsivantes. O objetivo é relatar um caso clínico de um paciente com paralisia cerebral quadriplégica espástica de 4 anos de idade com hiperplasia gengival na região palatina dos dentes superiores devido ao uso de altas doses de medicamentos anticonvulsivantes. O paciente compareceu ao Centro de Assistência Odontológica à Pessoa com Deficiência, com hiperplasia gengival fibrótica na região posterior superior, recobrindo as coroas dentarias nas faces palatinas e oclusais. Previamente foram realizadas instruções de higiene bucal, utilizando solução de digluconato de clorexidina (0,12%) sobre os dentes com auxílio de cotonete duas vezes ao dia durante sete dias para reduzir os níveis de placa bacteriana e controlar a inflamação dos tecidos periodontais. Foi a realizada cirurgia com o uso do laser de diodo de Galio Alumínio Arsênio (GaAlAs; 808±10 nm) com 2,5 W de potência de saída no modo contínuo. Após o término dos procedimentos cirúrgicos foi realizada terapia de Fotobiomodulação com laser de diodo de baixa potência de Indio Gálio Alumínio Fósforo (InGaAlP; 660 ±10 nm, 100 mW, 3 J) em três pontos (região anterior, média e posterior da ferida). O paciente retornou com 7 e 30 dias após a cirurgia apresentando reparo acelerado da ferida. Conclui-se que o laser de diodo de alta potência associado à Terapia de Fotobiomodulação foram efetivos para realização de procedimento conservador e seguro em paciente com desordem neurológica severa.
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Copyright (c) 2021 Letícia Helena Theodoro; João Victor Soares Rodrigues; Beatriz Alves Furtado; Marina Módolo Cláudio; Liliane Passanezi Almeida Louzada; Valdir Gouveia Garcia
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