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Endodontic treatment associated with photodynamic therapy: Case report
Ramon Targino Firmino1, Lorenna Mendes Temóteo Brandt2, Gustavo Leite Ribeiro2
1Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Photodiagnosis and Photodynamic Therapy
|June 15, 2016
Summary
Photodynamic therapy (PDT) combined with conventional endodontic treatment effectively resolved chronic apical periodontitis. This approach offers a viable, cost-effective solution for dental abscesses, improving patient symptoms rapidly.
Area of Science:
- Endodontics
- Photodynamic Therapy
- Microbiology
Background:
- Complete bacterial elimination in root canals is challenging, often leaving residual bacteria in dentin.
- Photodynamic Therapy (PDT) shows promise as an adjunct to endodontic treatment due to its antimicrobial properties and biocompatibility.
Observation:
- A case report detailing endodontic treatment combined with PDT for chronic dentoalveolar abscess.
- The patient presented with a radiolucent lesion near the apexes of teeth 11 and 21.
Findings:
- Two PDT sessions were administered with a 15-day interval before canal obturation.
- Six months post-treatment, complete regression of apical periodontitis was observed, with no recurrence of fistula or symptoms.
Implications:
- Endodontic treatment combined with PDT is a feasible clinical option.
- The procedure is straightforward, cost-effective, and leads to rapid symptom improvement.

