Laser Assisted Treatment of Extra Oral Cutaneous Sinus Tract of Endodontic Origin: A Case Report
Journal of Lasers in Medical Sciences,
Vol. 8 No. 3 (2017),
30 August 2017
,
Page S68-S71
Abstract
Introduction: Sinus tracts (or fistulas) are a common manifestation of pulpal necrosis that requires conventional or rarely surgical- endodontic treatment in order to heal. They are mainly identified intraorally and in rare cases they manifest extraorally which may frequently be misdiagnosed and incorrectly treated. New technologies such as lasers have been developed as adjuncts to standard endodontic antimicrobial procedures in order to increase the success rate of endodontic therapy and complying the desire of saving a natural tooth.
Case presentation: Herein, we present a clinical case of extra oral sinus tract with Periodic pus drainage that was successfully treated by combining conventional endodontic therapy, intra canal PDT and extra oral low level laser therapy.
Results and conclusion: Treatment of the odontogenic lesion among with the extra oral lesion was an ingenious and successful technique which was achieved by laser technology and winded up to patient’s consent and satisfactory results of treatment.
- Sinus tract
- Odontogenic
- Photo dynamic therapy
- Low level laser therapy
How to Cite
References
- Narayanan LL, Vaishnavi C. Endodontic microbiology. J Conserv Dent. 2010; 13(4):233-9. doi: 10.4103/0972-0707.73386.
- Asnaashari M, Mojahedi SM, Asadi Z, Azari-Marhabi S, Maleki A. A Comparison of the antibacterial activity of the two methods of photodynamic therapy (using diode laser 810nm and LED lamp 630nm) against Enterococcus Faecalis in extracted human anterior teeth. Photodiagnosis Photodyn Ther. 2016; 13 : 233–7.
- Samir N, Al-Mahrezi A, Al-Sudairy S. Odontogenic Cutaneous Fistula: Report of two cases. Sultan Qaboos Univ Med J. 2011;11(1):115-8.
- Qazi SS, Manzoor MA, Qureshi R, Arjumand B, Hussain SM, Afridi Z. Nonsurgical endodontic management of cutaneously draining odontogenic sinus. J Ayub Med Coll Abbottabad 2006;18(2):88-9.
- Pasternak-Júnior B, Teixeira CS, Silva-Sousa YT, Sousa-Neto MD. Diagnosis and treatment of odontogenic cutaneous sinus tracts of endodontic origin: three case studies. Int Endod J. 2009;42(3):271-6.
- Asnaashari M, Godiny M, Azari-Marhabi S, Tabatabaei FS, Barati M. Comparison of the Antibacterial Effect of 810 nm Diode Laser and Photodynamic Therapy in Reducing the Microbial Flora of the Canal during Root Retreatment in Patients with Periradicular Lesions . J Lasers Med Sci. 2016;7(2): 99-104.
- Avci P, Gupta A, Sadasivam M, Vecchio D, Pam Z, Pam N, et al. Low-level laser (light) therapy (LLLT) in skin: stimulating, healing, restoring. Semin Cutan Med Surg. 2013;32(1):41-52.
- Hussein AJ, Alfars AA, Falih MAJ, Hassan ANA. Effects of a low level laser on the acceleration of wound healing in rabbits. North Am J Med Sci. 2011;3(4):193-7.
- Moreira MSNA, de FreitasArchilla JR, Lascala CA, Ramalho K M, Gutknecht N, Marques MM. Post-Treatment Apical Periodontitis Successfully Treated with Antimicrobial Photodynamic Therapy Via Sinus Tract and Laser Phototherapy: Report of Two Cases. Photomed Laser Surg. 2015; 33(10): 524-8.
- De Moor R, Roeykens H, Meire M, Depraet F. LASER applications in endodontics. Rev Belge Med Dent. 1984. 2005; 60(2):115-45.
- Komine C, Tsujimoto Y. A small amount of singlet oxygen generated via excited methylene blue by photodynamic therapy induces the sterilization of Enterococcus faecalis. J Endod. 2013; 39:411–4.
- Zand V, Milani AS, Amini M, Barhaghi MH, Lotfi M, Rikhtegaran S, et al. Antimicrobial efficacy of photodynamic therapy and sodium hypochlorite on monoculture biofilms of enterococcus faecalis at different stages of development. Photomed Laser Surg. 2014;32:245–51.
- Hopkins JT, McLoda TA, Seegmiller JG, David Baxter G. Low-Level Laser Therapy Facilitates Superficial Wound Healing in Humans: A Triple-Blind, Sham-Controlled Study. J Athl Train. 2004;39(3):223-9.
- Asnaashari M, Asnaashari N. Clinical application of 810nm diode laser and low level laser therapy for treating an endodontic problem. J Lasers Med Sci. 2011;2(2):82-6.
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