Evidence map›Paper›PMID 39755852›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Effectiveness of a protocol with antimicrobial photodynamic therapy for treating osteoradionecrosis: a retrospective study.

Júlia Lopes Ferigatto, Fábio Luiz Coracin, Hélio Massaiochi Tanimoto, Vivian Palata Viola, Victor Tieghi-Neto, Diogo Dias Prado, Wellinton Yoshio Hirai, Valiana Alves Teodoro, Fabiana Lima Vazquez, Simone Hassan Khatib Rios

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Júlia Lopes FerigattoResearcher at the Molecular Oncology Research Center, Barretos Cancer Hospital, 1331 Antenor Duarte Vilela Street - Dr. Paulo Prata, Barretos, São Paulo, 14784-400, Brazil.ORCID http://orcid.org/0000-0003-0884-5043
Fábio Luiz CoracinDentistry Department, Barretos Cancer Hospital, Barretos, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-0108-6593
Hélio Massaiochi TanimotoDentistry Department, Barretos Cancer Hospital, Barretos, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-1862-5466
Vivian Palata ViolaDentistry Department, Barretos Cancer Hospital, Barretos, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-1267-1712
Victor Tieghi-NetoDentistry Department, Barretos Cancer Hospital, Barretos, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-0097-0045
Diogo Dias PradoRadiotherapy Department, Barretos Cancer Hospital, Barretos, São Paulo, Brazil.
Wellinton Yoshio HiraiEpidemiology and Biostatistics Unit, Barretos Cancer Hospital, Barretos, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-8217-3383
Valiana Alves TeodoroEpidemiology and Biostatistics Unit, Barretos Cancer Hospital, Barretos, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-3975-0565
Fabiana Lima VazquezResearcher at the Molecular Oncology Research Center, Barretos Cancer Hospital, 1331 Antenor Duarte Vilela Street - Dr. Paulo Prata, Barretos, São Paulo, 14784-400, Brazil. fabilivazquez@gmail.com.ORCID http://orcid.org/0000-0003-4109-9521
Simone Hassan Khatib RiosDentistry Department, Barretos Cancer Hospital, Barretos, São Paulo, Brazil.ORCID http://orcid.org/0009-0003-4491-594X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the treatment of osteoradionecrosis (ORN) using a protocol that incorporates antimicrobial photodynamic therapy with a conventional treatment protocol. METHODOLOGY: This retrospective study analyzed 55 patients diagnosed with ORN at a reference hospital between 2002 and 2021. Patients were treated using two different clinical protocols. Clinical treatment success was defined as the epithelialization of the ORN lesion, along with the absence of pain and local infection.

resultsA total of 53 ORN lesions were included, with a median development time of 30 months. The patient cohort was predominantly male (83.02%), with a median age of 58 years. The main causes of ORN were prosthetic trauma (28.30%) and dental extractions due to infection (32.07%). Good oral hygiene and hygiene of the lesion were identified as protective factors for achieving clinical success, with a significant correlation to lesion epithelialization (p ≤ 0.0001). ORN developed more rapidly in tumors of the oral cavity, with a median time of 8 months, compared to oropharyngeal tumors, which had a median time of 39 months (p = 0.01).

conclusionThe proposed treatment protocol, which includes antimicrobial photodynamic therapy, demonstrated greater effectiveness compared to the conventional protocol, achieving clinical success in 75% of the lesions analyzed in a shorter timeframe (p ≤ 0.0001). Additionally, maintaining proper oral and lesion hygiene is crucial for successful outcomes, and ORN develops more rapidly in patients with oral cavity tumors.

Indexed as

OsteoradionecrosisPhotochemotherapyAdultAgedAnti-Infective AgentsClinical ProtocolsFemaleHumansMaleMiddle AgedOral HygieneRetrospective StudiesTreatment OutcomeAnti-Infective AgentsAntimicrobial photodynamic therapyCancerHead and neck tumorsOsteoradionecrosisRadiotherapyTreatment

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.