Use of a generic violet light in the surgical management of medication-related osteonecrosis of the jaws: a technical note.
Oral Maxillofac Surg
; 22(4): 477-481, 2018 Dec.
Article
em En
| MEDLINE
| ID: mdl-30173371
PURPOSE: Fluorescence-guided surgery has been recommended for the diagnosis of bone margins in cases of mandibular osteonecrosis. In this article, we report a case in which a generic violet light was used in order to activate bone fluorescence after the administration of tetracycline derivatives, as an alternative to a specific, more expensive equipment that is commercially available for this purpose. The patient had been using alendronate for osteoporosis, resulting in medication-related osteonecrosis of the jaws. METHODS: The treatment protocol includes preoperative administration of doxycycline and the application of a generic violet light during surgery in order to observe the fluorescence of bone in response to excitation through the light emitted by this device. RESULTS: With an effective visualization of the limit between healthy and devitalized bone tissue, it was possible to perform the necrotic tissue removal. The lesion regressed from stage 2 to stage 0, with no clinical or radiographic evidence of necrotic bone. CONCLUSIONS: These results suggest the feasibility of using a generic violet light source as a low-cost alternative for fluorescence-guided surgery.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Osteonecrose da Arcada Osseodentária Associada a Difosfonatos
/
Imagem Óptica
Tipo de estudo:
Guideline
Limite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Oral Maxillofac Surg
Assunto da revista:
ODONTOLOGIA
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Alemanha