NUMERO: #20250277

Título: CONSERVATIVE MANAGEMENT OF OSTEORADIONECROSIS: A CASE REPORT

Nome do Apresentador: Liliana Wolf BRAUN

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Estomatologia

Resumo: A 60-year-old male with a history of tongue squamous cell carcinoma (2019), treated with surgery, chemotherapy and radiotherapy, presented with persistent right mandibular pain. He had undergone prior dental extractions, was a former smoker, and had no comorbidities. Clinical and radiographic evaluations revealed bilateral bone exposure, root remnants, and mandibular fractures. He was on ciprofloxacin and fluconazole for extraoral suppuration. Conservative treatment included antibiotics, bone sequestra removal, debridement, extractions, high-power defocused diode laser was used for decontamination (GEMINI EVO, 810 + 980 nm, 1W), photobiomodulation (GEMINI EVO 1W/30J extraoral; DMC Therapy 0.1W/4J intraoral) and antimicrobial photodynamic therapy (methylene blue 0.01% MMOptics Laser DUO 0.1W/5J). After three months of weekly follow-ups, fistula closure, partial mucosal and bone repair were observed. Microbiological analysis showed a reduction in Streptococcus oralis (4.49 to 3.5) and Staphylococcus aureus (4.41 to 0.00) after laser decontamination. This multidisciplinary approach was effective in promoting clinical and symptomatic improvement.

Autor 1:  Liliana Wolf BRAUN

E-mail 1:  [email protected]

Autor 2:   Daiana da Silva FERREIRA

E-mail 2:  [email protected]

Autor 3 :  Alana PICETTI

E-mail 3:  [email protected]

Autor 4:  Thalya Gabriela Moraes CARVALHO

E-mail 4:  [email protected]

Autor 5:  Lina Naomi HASHIZUME

E-mail 5:  [email protected]

Autor 6:  Marco Antônio Trevizani MARTINS

E-mail 6:  [email protected]

Autor 7:  Manoela Domingues MARTINS

E-mail 7:  [email protected]