Osteoradionecrosis in a Torus Mandibularis Treated by Antimicrobial Photodynamic Therapy: A Case Report.
- Resource Type
- Case Study
- Authors
- Mota, Maria Emília; Martins Marques, Marcia; Moreira, Maria Stella; da Silva Lascane, Nelise Alexandre
- Source
- Photobiomodulation, Photomedicine & Laser Surgery. Apr2024, Vol. 42 Issue 4, p321-323. 3p.
- Subject
- *OSTEORADIONECROSIS
*PHOTODYNAMIC therapy
*TORUS
*ALVEOLAR process
*HEAD & neck cancer
*RADIOTHERAPY complications
- Language
- ISSN
- 1549-5418
Background: Osteoradionecrosis (ORN) of the jaws is a late complication after radiotherapy to head and neck cancer. Objective: To describe a rare case of ORN of the torus mandibularis that was successfully managed exclusively with antimicrobial photodynamic therapy (aPDT). Case report: A 72-year-old man presented an exposed necrotic bone observed in the torus mandibularis, extending to the lingual alveolar ridge with no edema nor suppuration. The treatment provided a noninvasive treatment leading to spontaneous sequestrectomy of the torus in 2 weeks with complete mucosal repair in 5 weeks and absence of lesion signs and/or symptoms even after 6 months of follow-up. Conclusions: The aPDT indicated to be a satisfactory treatment for ORN affecting torus mandibularis, a region with surgical limitations, avoiding surgery. [ABSTRACT FROM AUTHOR]