Use este identificador para citar ou linkar para este item: https://repositorio.unichristus.edu.br/jspui/handle/123456789/2018
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Campo DCValorIdioma
dc.contributor.advisorViana, Thales Salles Angelim-
dc.contributor.authorSilva, Paloma Ferreira da-
dc.date.accessioned2025-12-18T11:48:01Z-
dc.date.available2025-12-18T11:48:01Z-
dc.date.issued2025-12-07-
dc.identifier.urihttps://repositorio.unichristus.edu.br/jspui/handle/123456789/2018-
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The use of pentoxifylline, tocopherol and clodronate in the management of osteoradionecrosis of the jaws. Radiotherapy and Oncology, v. 156, p. 209-216, 2021. https://doi.org/10.1016/j.radonc.2020.12.027 33 PENG, Jiakuan et al. Low-level laser therapy in the prevention and treatment of oral mucositis: a systematic review and meta-analysis. Oral surgery, oral medicine, oral pathology and oral radiology, v. 130, n. 4, p. 387-397. e9, 2020. https://doi.org/10.1016/j.oooo.2020.05.014 POLAT, Bülent et al. Comparison of three different dosages of low-level laser therapy on expression of cell proliferation and inflammatory markers following ovariohysterectomy in rats. Cutaneous and oCular toxiCology, v. 42, n. 4, p. 273-282, 2023. https://doi.org/10.1080/15569527.2023.2252075 PRINDEZE, Nicholas J.; MOFFATT, Lauren T.; SHUPP, Jeffrey W. Mechanisms of action for light therapy: a review of molecular interactions. Experimental biology and medicine, v. 237, n. 11, p. 1241-1248, 2012. https://doi.org/10.1258/ebm.2012.012180 RIBEIRO, Guilherme Henrique et al. Osteoradionecrosis of the jaws: case series treated with adjuvant low-level laser therapy and antimicrobial photodynamic therapy. Journal of applied oral science, v. 26, p. e20170172, 2018. https://doi.org/10.1590/1678-7757-2017-0172 RIBEIRO, Larissa Nogueira Soares et al. Low-level laser therapy (LLLT) improves alveolar bone healing in rats. Lasers in medical science, v. 37, n. 2, p. 961-969, 2022. https://doi.org/10.1007/s10103-021-03340-y STØRE, G.; BOYSEN, M. Mandibular osteoradionecrosis: clinical behaviour and diagnostic aspects. Clinical Otolaryngology & Allied Sciences, v. 25, n. 5, p. 378-384, 2000. https://doi.org/10.1046/j.1365-2273.2000.00367.x TARTAROTI, Natalia Caroline et al. Antimicrobial photodynamic and photobiomodulation adjuvant therapies for prevention and treatment of medication-related osteonecrosis of the jaws: Case series and long-term follow-up. Photodiagnosis and photodynamic therapy, v. 29, p. 101651, 2020. https://doi.org/10.1016/j.pdpdt.2020.101651 VAHTSEVANOS, Konstantinos et al. Longitudinal cohort study of risk factors in cancer patients of bisphosphonate-related osteonecrosis of the jaw. Journal of Clinical Oncology, v. 27, n. 32, p. 5356-5362, 2009. https://doi.org/10.1200/JCO.2009.21.9584 VILELA-CARVALHO, Lidia Nunes et al. Osteonecrose dos maxilares relacionada ao uso de medicações: Diagnóstico, tratamento e prevenção. CES Odontología, v. 31, n. 2, p. 48-63, 2018. VIOLA, George M. et al. Infectious Complications of Osteoradionecrosis After Head and Neck Cancer Therapy. Infections of the Ears, Nose, Throat, and Sinuses, p. 453-467, 2024. https://doi.org/10.1007/978-3-031-68449-4_32 34 WHYTE, Andy; MATIAS, Marie Anne Teresa J. Imaging of orofacial pain. Journal of Oral Pathology & Medicine, v. 49, n. 6, p. 490-498, 2020. https://doi.org/10.1111/jop.13063 WOLBARSHT, Myron L. Low‐level laser therapy (LLLT) and safety considerations. Journal of Laser Applications, v. 6, n. 3, p. 170-172, 1994. https://doi.org/10.2351/1.4745354pt_BR
dc.description.abstractA necrose óssea dos maxilares relacionada à radioterapia de cabeça e pescoço (RTCP) constitui uma complicação que pode comprometer significativamente a função mastigatória, a estética e a qualidade de vida do paciente. Caracteriza-se por exposição óssea persistente em áreas previamente irradiadas, geralmente associada a dor, infecção e dificuldade de cicatrização. Dentre as opções de tratamento o laser de baixa potência destaca-se por seus efeitos biomoduladores, analgésicos e anti inflamatórios, podendo ser utilizado de forma isolada ou associado à terapia fotodinâmica (TFD). Este trabalho tem como objetivo relatar o papel do laser de baixa potência em área de necrose mandibular corrigida cirurgicamente. Paciente sexo feminino, 72 anos, procurou o serviço odontológico para acompanhamento de osteonecrose mandibular decorrente de RTCP corrigida cirurgicamente. No exame intraoral observou-se uma arcada inferior desdentada total e na região anterior a correção do debridamento cirúrgico. No plano de cuidado optou-se por um acompanhamento inicial de 10 sessões de terapia fotodinâmica (aPDT) seguida de fotobiomodulação, com 2 sessões semanais. Paciente evoluiu com fechamento completo da região, sem sinais de infecção, e posteriormente reabilitada com prótese total. Logo, observa-se o potencial da laserterapia como uma alternativa segura, eficaz e minimamente invasiva no manejo conservador da osteorradionecrose. Ressalta-se, ainda, a importância de protocolos individualizados e de acompanhamento odontológico contínuo em pacientes submetidos à radioterapia de cabeça e pescoço.pt_BR
dc.language.isopt_BRpt_BR
dc.subjectosteorradionecrosept_BR
dc.subjectterapia a laserpt_BR
dc.subjectradioterapiapt_BR
dc.subjectreabilitação oralpt_BR
dc.titleLASER DE BAIXA POTÊNCIA NO TRATAMENTO DE OSTEONECROSE DOS MAXILARES INDUZIDA POR RADIOTERAPIA: RELATO DE CASOpt_BR
dc.typeTCCpt_BR
dc.title.inglesLow-level laser therapy in the treatment of radiotherapy-induced osteonecrosis of the jaw: a case report.pt_BR
dc.description.resumo_abstractOsteonecrosis of the jaws associated with head and neck radiotherapy (HNRT) is a complication that can significantly compromise masticatory function, aesthetics, and the patient’s quality of life. It is characterized by persistent bone exposure in previously irradiated areas, usually associated with pain, infection, and delayed healing. Among the available treatment options, low-level laser therapy (LLLT) stands out for its biomodulatory, analgesic, and anti-inflammatory effects, and can be applied either alone or in combination with photodynamic therapy (PDT). This study aims to report the role of low-level laser therapy in a surgically corrected mandibular necrosis area. A 71 year-old female patient sought dental care for follow-up of mandibular osteonecrosis resulting from HNRT, which had been previously treated through surgical debridement. Intraoral examination revealed a completely edentulous lower arch and, in the anterior region, evidence of surgical correction. The treatment plan included an initial follow-up of 10 sessions of antimicrobial photodynamic therapy (aPDT), followed by photobiomodulation, performed twice a week. The patient showed complete closure of the affected region, with no signs of infection, and was subsequently rehabilitated with a complete denture. Therefore, this case highlights the potential of laser therapy as a safe, effective, and minimally invasive alternative for the conservative management of osteoradionecrosis. Moreover, it reinforces the importance of individualized treatment protocols and continuous dental follow-up in patients undergoing head and neck radiotherapy.pt_BR
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