Based on the 16 studies selected, the topical 5-ALA-20% PTS, associated to a LED light applied for 15min with a 7-day interval between sessions emerged as the most frequently used PDT protocol, with satisfactory results. Due to its low rate of side effects, this PDT protocol presents good potential for the treatment of oral PMDs. Further clinical studies are required to ascertain its long-term validity in preventing oral cancer.
IntroduçãoA marsupialização é considerada uma forma de tratamento muito comum para alguns tipos de cistos e tumores odontogênicos. Não é raro que alguns autores confundam os termos marsupialização e descompressão, utilizando-os de maneira errônea. Ambas as técnicas têm por objetivo reduzir a pressão interna da lesão com a retirada de fluído, que leva, consequentemente, à redução progressiva da lesão, para posterior enucleação. O que difere as duas técnicas é que na descompressão é necessária a instalação de um artifício (dispositivo) para manutenção da abertura cirúrgica 1 . A técnica cirúrgica é considerada simples: realiza-se uma incisão geralmente circular e cria-se uma janela ampla, para comunicação da lesão com a cavidade oral, que é su-
The aim of the authors was to report a clinical case about immediate implant placement after the removal of complex odontoma. A 35-year-old female patient presented to private service complaining about absence of lower right first premolar. The computed tomographic showed radiopaque attenuation, surrounded by a narrow radiolucency in the area of dental absence, suggesting a mineralized lesion. The surgical removal of lesion was performed by intraoral access with general anesthesia and the implant of 3.75 × 10 mm (Neodent) was placed with the aid of a surgical guide, following the drill sequence established by the manufacturer. No complications were observed after 1 year with the prosthetic rehabilitation.
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