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Oral and Maxillofacial Surgery

Published in:

01-12-2018 | Case Report

Use of a generic violet light in the surgical management of medication-related osteonecrosis of the jaws: a technical note

Authors: Caroline Ballardin, Cecilia Luiz Pereira-Stabile, Glaykon Alex Vitti Stabile

Published in: Oral and Maxillofacial Surgery | Issue 4/2018

Abstract

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.

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Title: Use of a generic violet light in the surgical management of medication-related osteonecrosis of the jaws: a technical note
Authors: Caroline Ballardin
Cecilia Luiz Pereira-Stabile
Glaykon Alex Vitti Stabile
Publication date: 01-12-2018
Publisher: Springer Berlin Heidelberg
Published in: Oral and Maxillofacial Surgery / Issue 4/2018
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-018-0718-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Use of a generic violet light in the surgical management of medication-related osteonecrosis of the jaws: a technical note

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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