The Use of Antimicrobial Photodynamic Therapy to Maintain a Hopeless Tooth With a PeriodonticEndodontic Lesion: A Case Report

Overview

Journal J Lasers Med Sci

Date 2020 Aug 18

PMID 32802298

Citations 1

Authors

Nahid Derikvand

Masoud Hatami

Nasim Chiniforush

Seyedeh Sara Ghasemi

Affiliations

Soon will be listed here.

Abstract

In spite of some advances in periodontal generative methods, it is impossible to stop progressive Loss of supporting alveolar bone in some end-stage periodontitis. The aim of this study is to report a kind of treatment modality which was seemed to be successes full in maintaining teeth. In this case-report, a hopeless tooth was saved by combined non-surgical periodontalendodontal treatment and antimicrobial photodynamic therapy (aPDT). A 58-year-old male presented with a chief complaint of pain and mobility of tooth number 38. Clinical examinations revealed a periodontic-endodontic lesion with clinical attachment loss exceeding 10 mm and grade III mobility. To preserve the tooth, we operated nonsurgical periodontal treatment including scaling and root planning (SRP) plus root canal therapy (RCT) combined with intra-root canal non-aPDT laser decontamination. Then we applied laser pocket therapy with and without aPDT. Following 6 months of the aPDT treatment, the mobility and pocket depth of the tooth improved from grade III to I and from 10 to 3 millimeters respectively. aPDT is a novel adjunctive therapy that can be used for various conditions with microbial etiology. This case report demonstrated that aPDT might be effective in the treatment of periodontic-endodontic lesions in a hopeless tooth.

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References

Kirkevang L, Horsted-Bindslev P, Orstavik D, Wenzel A . A comparison of the quality of root canal treatment in two Danish subpopulations examined 1974-75 and 1997-98. Int Endod J. 2002; 34(8):607-12. DOI: 10.1046/j.1365-2591.2001.00436.x. View

Akram Z, Hyder T, Al-Hamoudi N, BinShabaib M, Alharthi S, Hanif A . Efficacy of photodynamic therapy versus antibiotics as an adjunct to scaling and root planing in the treatment of periodontitis: A systematic review and meta-analysis. Photodiagnosis Photodyn Ther. 2017; 19:86-92. DOI: 10.1016/j.pdpdt.2017.05.007. View

Sgolastra F, Petrucci A, Severino M, Graziani F, Gatto R, Monaco A . Adjunctive photodynamic therapy to non-surgical treatment of chronic periodontitis: a systematic review and meta-analysis. J Clin Periodontol. 2013; 40(5):514-26. DOI: 10.1111/jcpe.12094. View

Asnaashari M, Godiny M, Azari-Marhabi S, Tabatabaei F, Barati M . Comparison of the Antibacterial Effect of 810 nm Diode Laser and Photodynamic Therapy in Reducing the Microbial Flora of Root Canal in Endodontic Retreatment in Patients With Periradicular Lesions. J Lasers Med Sci. 2016; 7(2):99-104. PMC: 4909011. DOI: 10.15171/jlms.2016.17. View

Keestra J, Grosjean I, Coucke W, Quirynen M, Teughels W . Non-surgical periodontal therapy with systemic antibiotics in patients with untreated chronic periodontitis: a systematic review and meta-analysis. J Periodontal Res. 2014; 50(3):294-314. DOI: 10.1111/jre.12221. View

Azaripour A, Dittrich S, van Noorden C, Willershausen B . Efficacy of photodynamic therapy as adjunct treatment of chronic periodontitis: a systematic review and meta-analysis. Lasers Med Sci. 2017; 33(2):407-423. DOI: 10.1007/s10103-017-2383-7. View

ORourke V . Azithromycin as an adjunct to non-surgical periodontal therapy: a systematic review. Aust Dent J. 2016; 62(1):14-22. DOI: 10.1111/adj.12448. View

Smiley C, Tracy S, Abt E, Michalowicz B, John M, Gunsolley J . Systematic review and meta-analysis on the nonsurgical treatment of chronic periodontitis by means of scaling and root planing with or without adjuncts. J Am Dent Assoc. 2015; 146(7):508-24.e5. DOI: 10.1016/j.adaj.2015.01.028. View

Raghavendra M, Koregol A, Bhola S . Photodynamic therapy: a targeted therapy in periodontics. Aust Dent J. 2009; 54 Suppl 1:S102-9. DOI: 10.1111/j.1834-7819.2009.01148.x. View

10.

Asnaashari M, Mojahedi S, Asadi Z, Azari-Marhabi S, Maleki A . A comparison of the antibacterial activity of the two methods of photodynamic therapy (using diode laser 810 nm and LED lamp 630 nm) against Enterococcus faecalis in extracted human anterior teeth. Photodiagnosis Photodyn Ther. 2015; 13:233-237. DOI: 10.1016/j.pdpdt.2015.07.171. View

11.

Luchesi V, Pimentel S, Kolbe M, Ribeiro F, Casarin R, Nociti Jr F . Photodynamic therapy in the treatment of class II furcation: a randomized controlled clinical trial. J Clin Periodontol. 2013; 40(8):781-8. DOI: 10.1111/jcpe.12121. View

12.

Sigusch B, Engelbrecht M, Volpel A, Holletschke A, Pfister W, Schutze J . Full-mouth antimicrobial photodynamic therapy in Fusobacterium nucleatum-infected periodontitis patients. J Periodontol. 2010; 81(7):975-81. DOI: 10.1902/jop.2010.090246. View

13.

Atieh M . Photodynamic therapy as an adjunctive treatment for chronic periodontitis: a meta-analysis. Lasers Med Sci. 2009; 25(4):605-13. DOI: 10.1007/s10103-009-0744-6. View

14.

Hancock 3rd H, Sigurdsson A, Trope M, Moiseiwitsch J . Bacteria isolated after unsuccessful endodontic treatment in a North American population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001; 91(5):579-86. DOI: 10.1067/moe.2001.113587. View

15.

Derikvand N, Ghasemi S, Moharami M, Shafiei E, Chiniforush N . Management of Oral Lichen Planus by 980 nm Diode Laser. J Lasers Med Sci. 2017; 8(3):150-154. PMC: 5662505. DOI: 10.15171/jlms.2017.27. View

16.

Rovai E, Souto M, Ganhito J, Holzhausen M, Chambrone L, Pannuti C . Efficacy of Local Antimicrobials in the Non-Surgical Treatment of Patients With Periodontitis and Diabetes: A Systematic Review. J Periodontol. 2016; 87(12):1406-1417. DOI: 10.1902/jop.2016.160214. View

17.

Siddiqui S, Awan K, Javed F . Bactericidal efficacy of photodynamic therapy against Enterococcus faecalis in infected root canals: a systematic literature review. Photodiagnosis Photodyn Ther. 2013; 10(4):632-43. DOI: 10.1016/j.pdpdt.2013.07.006. View

18.

Xue D, Tang L, Bai Y, Ding Q, Wang P, Zhao Y . Clinical efficacy of photodynamic therapy adjunctive to scaling and root planing in the treatment of chronic periodontitis: A systematic review and meta-analysis. Photodiagnosis Photodyn Ther. 2017; 18:119-127. DOI: 10.1016/j.pdpdt.2017.01.183. View

19.

Cobb C, Low S, Coluzzi D . Lasers and the treatment of chronic periodontitis. Dent Clin North Am. 2010; 54(1):35-53. DOI: 10.1016/j.cden.2009.08.007. View

20.

Bystrom A, Sundqvist G . Bacteriologic evaluation of the effect of 0.5 percent sodium hypochlorite in endodontic therapy. Oral Surg Oral Med Oral Pathol. 1983; 55(3):307-12. DOI: 10.1016/0030-4220(83)90333-x. View