Use of Photodynamic Therapy in Treatment of Bisphosphonate-related Osteonecrosis of the Jaws: Literature Review and Case Series
Petra Rugani*, Astrid Truschnegg, Stephan Acham, Barbara Kirnbauer and Norbert Jakse
Department of Oral Surgery and Radiology, Medical University of Graz, Austria
- *Corresponding Author:
- Petra Rugani
Department of Oral Surgery and Radiology
Medical University of Graz, Austria
Tel: +43 316 385 13792
Fax: +43 316 385 14064
E-mail: [email protected]
Received date: August 01, 2013; Accepted date: August 28, 2013; Published date: August 30, 2013
Citation: Rugani P, Truschnegg A, Acham S, Kirnbauer B, Jakse N (2013) Use of Photodynamic Therapy in Treatment of Bisphosphonate-related Osteonecrosis of the Jaws: Literature Review and Case Series. J Anal Bioanal Tech S1:006. doi: 10.4172/2155-9872.S1-006
Copyright: © 2013 Rugani P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: Even though surgical intervention is the preferred option in treatment of Bisphosphonate-related Osteonecrosis of the Jaws (BRONJ) the application of low-level-laser therapy (LLLT) has been described either as part of conservative protocols or as adjuvant measure in surgical regimes. So far there are no reports concerning adjuvant photodynamic laser application in this indication in the literature.
Case series: We present the integration of Photodynamic Therapy (PDT) in a stage related treatment concept and report 10/12 cases in which PDT application was beneficial for achieving mucosal healing of BRONJ lesions.
Discussion and conclusion: In treatment of bisphosphonate-related osteonecrosis conservative therapeutic measures like the application of low-level-laser therapy and photodynamic therapy help to manage symptoms or may even promote mucosal healing. They are particularly helpful if surgical procedures are not indicated. Photodynamic therapy additionally provides antimicrobial effects and can therefore be used if complications in postoperative healing occur.