Clinical utility of hyperbaric oxygen therapy in dentistry

Abstract

This fuller impact of the use of hyperbaric oxygen therapy within dentistry is taking greater notice with newer research findings. There are new advancements in research regarding postradiotherapy cases, osteonecrosis of the jaw, osteomyelitis, periodontal disease, and dental implants. Hyperbaric oxygen therapy can even be used in conjunction with other procedures such as bone grafting. Although the research and clinical utility has come a long way, there are several complications to be mindful of during the application of hyperbaric oxygen therapy.

Mandibular osteomyelitis after hyaluronic acid injection

“…Also, bone destruction, sequestrum formation, and tissue calcification on CBCT scan were the characteristic manifestations of chronic osteomyelitis, thereby confirming the diagnosis 8,13 . Thorough removal of the infected bone was the critical treatment 14 . Since microbiology specimens harvested within the surgery were often contaminated by oral flora, bacteriological tests played a limited role in diagnosing this disease 15 .…”

“…14 Since microbiology specimens harvested within the surgery were often contaminated by oral flora, bacteriological tests played a limited role in diagnosing this disease. 15 Therefore, antibiotics were empirically used in most cases. 15 Another point worth discussing in this case was that the patient had a history of ePTFE implant.…”

“…15 Therefore, antibiotics were empirically used in most cases. 15 Another point worth discussing in this case was that the patient had a history of ePTFE implant. Although the patient made it clear that the filler was injected into the right part of the chin rather than the ePTFE-implanted area, ePTFE implant was still assumed to be involved in the patient's persistent infection, by providing a potential proliferation space for micro-organisms.…”

Hyperbaric Oxygen Therapy and A-PRF Pre-Treated Implants in Severe Periodontitis: A Case Report

“…It has been successfully used in many pathologies characterized by osteonecrosis, such as avascular necrosis of the femoral head (AVNFH) and osteonecrosis of the knee [ 7 , 8 , 9 ]. In particular, referring to the oral and maxillofacial districts, HBOT increased the bone regeneration rate in osteoradionecrosis, mandibular osteomyelitis, and dental implants [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 ].…”

“…HBOT in periodontitis was shown to improve clinical parameters such as probe depth (PD), clinical attachment level (CAL), and bleeding on probing (BOP) compared with standard antibiotic and dental medicine treatments. In particular, positive effects were registered after eight treatment sessions at >1.4 atmospheres absolute (ATA) [ 10 , 19 ], but specific indications on HBOT use in periodontitis are lacking.…”