Low-level laser therapy supported teeth extractions of two patients receiving IV zolendronate
BRONJ (bisphosphonate-related osteonecrosis of jaws) is a frequently encountered disease, particularly in the maxillofacial region, and a consequence of bisphosphonate use. Treatment of BRONJ remains controversial, as efficiency of medical and surgical approaches as well as a combination of these me...
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Veröffentlicht in: | Lasers in medical science 2011-09, Vol.26 (5), p.569-575 |
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description | BRONJ (bisphosphonate-related osteonecrosis of jaws) is a frequently encountered disease, particularly in the maxillofacial region, and a consequence of bisphosphonate use. Treatment of BRONJ remains controversial, as efficiency of medical and surgical approaches as well as a combination of these methods with supportive treatments have not been clearly demonstrated in the literature. In recent years, laser usage alone or in combination with the main therapy methods, has become popular for the treatment of bisphosphonate-related osteo-necrosis of jaws. In this article, we present the successful management of two dental patients who had high potentials for BRONJ development as a result of chemo and radiotherapy combined with IV zoledronic acid application. Multiple consecutive teeth extractions followed with primary wound closure and LLLT applications were performed under high doses of antibiotics prophylaxis. Satisfactory wound healing in both the surrounding soft and hard tissues was achieved. LLLT application combined with atraumatic surgical interventions under antibiotics prophylaxis is a preferable approach in patients with a risk of BRONJ development. Adjunctive effect of LLLT in addition to careful infection control on preventing BRONJ was reported and concluded. |
doi_str_mv | 10.1007/s10103-010-0816-7 |
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Treatment of BRONJ remains controversial, as efficiency of medical and surgical approaches as well as a combination of these methods with supportive treatments have not been clearly demonstrated in the literature. In recent years, laser usage alone or in combination with the main therapy methods, has become popular for the treatment of bisphosphonate-related osteo-necrosis of jaws. In this article, we present the successful management of two dental patients who had high potentials for BRONJ development as a result of chemo and radiotherapy combined with IV zoledronic acid application. Multiple consecutive teeth extractions followed with primary wound closure and LLLT applications were performed under high doses of antibiotics prophylaxis. Satisfactory wound healing in both the surrounding soft and hard tissues was achieved. LLLT application combined with atraumatic surgical interventions under antibiotics prophylaxis is a preferable approach in patients with a risk of BRONJ development. Adjunctive effect of LLLT in addition to careful infection control on preventing BRONJ was reported and concluded.</description><identifier>ISSN: 0268-8921</identifier><identifier>EISSN: 1435-604X</identifier><identifier>DOI: 10.1007/s10103-010-0816-7</identifier><identifier>PMID: 20669038</identifier><identifier>CODEN: LMSCEZ</identifier><language>eng</language><publisher>London: Springer-Verlag</publisher><subject>Antibiotics ; Biomedical materials ; Bisphosphonate-Associated Osteonecrosis of the Jaw - etiology ; Bisphosphonate-Associated Osteonecrosis of the Jaw - prevention & control ; Bone Density Conservation Agents - administration & dosage ; Bone Density Conservation Agents - adverse effects ; Bones ; Breast Neoplasms - therapy ; Dentistry ; Diphosphonates - administration & dosage ; Diphosphonates - adverse effects ; Drug therapy ; Female ; Humans ; Infusions, Intravenous ; Lasers ; Low-Level Light Therapy ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Mouth ; Multiple Myeloma - therapy ; Optical Devices ; Optics ; Original Article ; Patients ; Photonics ; Prophylaxis ; Quantum Optics ; Receiving ; Risk Factors ; Side effects ; Teeth ; Therapy ; Tooth Extraction - methods ; Wound healing</subject><ispartof>Lasers in medical science, 2011-09, Vol.26 (5), p.569-575</ispartof><rights>Springer-Verlag London Ltd 2010</rights><rights>Springer-Verlag London Ltd 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-2d39ca5d7f770088bb1c3c1793dd9c1ec1a0662ef5092a3ebccc17d6cf7055b33</citedby><cites>FETCH-LOGICAL-c435t-2d39ca5d7f770088bb1c3c1793dd9c1ec1a0662ef5092a3ebccc17d6cf7055b33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10103-010-0816-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10103-010-0816-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20669038$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kan, Bahadır</creatorcontrib><creatorcontrib>Altay, Mehmet Ali</creatorcontrib><creatorcontrib>Taşar, Ferda</creatorcontrib><creatorcontrib>Akova, Murat</creatorcontrib><title>Low-level laser therapy supported teeth extractions of two patients receiving IV zolendronate</title><title>Lasers in medical science</title><addtitle>Lasers Med Sci</addtitle><addtitle>Lasers Med Sci</addtitle><description>BRONJ (bisphosphonate-related osteonecrosis of jaws) is a frequently encountered disease, particularly in the maxillofacial region, and a consequence of bisphosphonate use. Treatment of BRONJ remains controversial, as efficiency of medical and surgical approaches as well as a combination of these methods with supportive treatments have not been clearly demonstrated in the literature. In recent years, laser usage alone or in combination with the main therapy methods, has become popular for the treatment of bisphosphonate-related osteo-necrosis of jaws. In this article, we present the successful management of two dental patients who had high potentials for BRONJ development as a result of chemo and radiotherapy combined with IV zoledronic acid application. Multiple consecutive teeth extractions followed with primary wound closure and LLLT applications were performed under high doses of antibiotics prophylaxis. Satisfactory wound healing in both the surrounding soft and hard tissues was achieved. LLLT application combined with atraumatic surgical interventions under antibiotics prophylaxis is a preferable approach in patients with a risk of BRONJ development. Adjunctive effect of LLLT in addition to careful infection control on preventing BRONJ was reported and concluded.</description><subject>Antibiotics</subject><subject>Biomedical materials</subject><subject>Bisphosphonate-Associated Osteonecrosis of the Jaw - etiology</subject><subject>Bisphosphonate-Associated Osteonecrosis of the Jaw - prevention & control</subject><subject>Bone Density Conservation Agents - administration & dosage</subject><subject>Bone Density Conservation Agents - adverse effects</subject><subject>Bones</subject><subject>Breast Neoplasms - therapy</subject><subject>Dentistry</subject><subject>Diphosphonates - administration & dosage</subject><subject>Diphosphonates - adverse effects</subject><subject>Drug therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Infusions, Intravenous</subject><subject>Lasers</subject><subject>Low-Level Light Therapy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Mouth</subject><subject>Multiple Myeloma - therapy</subject><subject>Optical Devices</subject><subject>Optics</subject><subject>Original Article</subject><subject>Patients</subject><subject>Photonics</subject><subject>Prophylaxis</subject><subject>Quantum Optics</subject><subject>Receiving</subject><subject>Risk Factors</subject><subject>Side effects</subject><subject>Teeth</subject><subject>Therapy</subject><subject>Tooth Extraction - methods</subject><subject>Wound healing</subject><issn>0268-8921</issn><issn>1435-604X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU9v1DAQxS0EokvhA3BBFhe4GGbijf8cUVWg0kpcAHFBluNM2lTZONhOS_n0uNoCEhJcZg7zmzdv9Bh7ivAKAfTrjIAgRS0CDCqh77ENbmUrFGy_3GcbaJQRxjZ4xB7lfAmAWqF8yI4aUMqCNBv2dRevxURXNPHJZ0q8XFDyyw3P67LEVKjnhahccPpekg9ljHPmceDlOvLFl5HmknmiQOPVOJ_zs8_8R5xo7lOcfaHH7MHgp0xP7vox-_T29OPJe7H78O7s5M1OhOq2iKaXNvi214PWAMZ0HQYZUFvZ9zYgBfTVcENDC7bxkroQ6rRXYdDQtp2Ux-zFQXdJ8dtKubj9mANNk58prtlZ0LZt1RYr-fK_JCqNjdIWVUWf_4VexjXN9Q9nDEoFsDUVwgMUUsw50eCWNO59unEI7jYkdwjJ1eJuQ3K67jy7E167PfW_N36lUoHmAOQ6ms8p_bn8b9Wf1n-dIQ</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Kan, Bahadır</creator><creator>Altay, Mehmet Ali</creator><creator>Taşar, Ferda</creator><creator>Akova, Murat</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7SP</scope><scope>7U5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H8D</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>L7M</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20110901</creationdate><title>Low-level laser therapy supported teeth extractions of two patients receiving IV zolendronate</title><author>Kan, Bahadır ; Altay, Mehmet Ali ; Taşar, Ferda ; Akova, Murat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-2d39ca5d7f770088bb1c3c1793dd9c1ec1a0662ef5092a3ebccc17d6cf7055b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Antibiotics</topic><topic>Biomedical materials</topic><topic>Bisphosphonate-Associated Osteonecrosis of the Jaw - etiology</topic><topic>Bisphosphonate-Associated Osteonecrosis of the Jaw - prevention & control</topic><topic>Bone Density Conservation Agents - administration & dosage</topic><topic>Bone Density Conservation Agents - adverse effects</topic><topic>Bones</topic><topic>Breast Neoplasms - therapy</topic><topic>Dentistry</topic><topic>Diphosphonates - administration & dosage</topic><topic>Diphosphonates - adverse effects</topic><topic>Drug therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Infusions, Intravenous</topic><topic>Lasers</topic><topic>Low-Level Light Therapy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Mouth</topic><topic>Multiple Myeloma - therapy</topic><topic>Optical Devices</topic><topic>Optics</topic><topic>Original Article</topic><topic>Patients</topic><topic>Photonics</topic><topic>Prophylaxis</topic><topic>Quantum Optics</topic><topic>Receiving</topic><topic>Risk Factors</topic><topic>Side effects</topic><topic>Teeth</topic><topic>Therapy</topic><topic>Tooth Extraction - methods</topic><topic>Wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kan, Bahadır</creatorcontrib><creatorcontrib>Altay, Mehmet Ali</creatorcontrib><creatorcontrib>Taşar, Ferda</creatorcontrib><creatorcontrib>Akova, Murat</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Electronics & Communications Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Aerospace Database</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Lasers in medical science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kan, Bahadır</au><au>Altay, Mehmet Ali</au><au>Taşar, Ferda</au><au>Akova, Murat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low-level laser therapy supported teeth extractions of two patients receiving IV zolendronate</atitle><jtitle>Lasers in medical science</jtitle><stitle>Lasers Med Sci</stitle><addtitle>Lasers Med Sci</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>26</volume><issue>5</issue><spage>569</spage><epage>575</epage><pages>569-575</pages><issn>0268-8921</issn><eissn>1435-604X</eissn><coden>LMSCEZ</coden><abstract>BRONJ (bisphosphonate-related osteonecrosis of jaws) is a frequently encountered disease, particularly in the maxillofacial region, and a consequence of bisphosphonate use. Treatment of BRONJ remains controversial, as efficiency of medical and surgical approaches as well as a combination of these methods with supportive treatments have not been clearly demonstrated in the literature. In recent years, laser usage alone or in combination with the main therapy methods, has become popular for the treatment of bisphosphonate-related osteo-necrosis of jaws. In this article, we present the successful management of two dental patients who had high potentials for BRONJ development as a result of chemo and radiotherapy combined with IV zoledronic acid application. Multiple consecutive teeth extractions followed with primary wound closure and LLLT applications were performed under high doses of antibiotics prophylaxis. Satisfactory wound healing in both the surrounding soft and hard tissues was achieved. LLLT application combined with atraumatic surgical interventions under antibiotics prophylaxis is a preferable approach in patients with a risk of BRONJ development. Adjunctive effect of LLLT in addition to careful infection control on preventing BRONJ was reported and concluded.</abstract><cop>London</cop><pub>Springer-Verlag</pub><pmid>20669038</pmid><doi>10.1007/s10103-010-0816-7</doi><tpages>7</tpages></addata></record> |
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subjects | Antibiotics Biomedical materials Bisphosphonate-Associated Osteonecrosis of the Jaw - etiology Bisphosphonate-Associated Osteonecrosis of the Jaw - prevention & control Bone Density Conservation Agents - administration & dosage Bone Density Conservation Agents - adverse effects Bones Breast Neoplasms - therapy Dentistry Diphosphonates - administration & dosage Diphosphonates - adverse effects Drug therapy Female Humans Infusions, Intravenous Lasers Low-Level Light Therapy Male Medicine Medicine & Public Health Middle Aged Mouth Multiple Myeloma - therapy Optical Devices Optics Original Article Patients Photonics Prophylaxis Quantum Optics Receiving Risk Factors Side effects Teeth Therapy Tooth Extraction - methods Wound healing |
title | Low-level laser therapy supported teeth extractions of two patients receiving IV zolendronate |
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