Photobiomodulation for the management of pain and paresthesia following surgical removal of mini orthodontic screw in the maxillary sinus.

Herrera-Plasencia P.M.; Flores M.L.B.; Bayona E.A.C.; De La Puente Dongo J.L. · Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo (2024) · DOI: 10.35434/rcmhnaaa.2024.171.2337

Resumen

Introduction: Mini screws are devices used to optimize anchorage in orthodontics, and are fixed in the bone structure. Case of report: We present the case of a patient who came to the oral and maxillofacial surgery office due to the accidental introduction of a mini orthodontic screw into the maxillary sinus; a tomographic evaluation was requested, determining the thickening of the Schneider membrane and the presence of the foreign body inside it. The Caldwell-Luc surgical technique was performed and the mini screw was located and removed. Subsequent complications were pain on touch and paresthesia; a laser therapy with photobiomodulation was performed, and both pain and paresthesia were resolved. Conclusion: One year after surgery, the patient was asymptomatic and without paresthesia, the control tomography verified absence of Schneider's membrane thickening and permeable anatomical repairs of the left maxillary sinus.

Instituciones: Universidad Nacional de Piura