Influence of postoperative low-level laser therapy on the osseointegration of self-tapping implants in the posterior maxilla: a 6-week split-mouth clinical study
Mandić B, Lazić Z, Marković A, Mandić B, Mandić M, Djinić A, Miličić B
Vojnosanitetski pregled · 30 citas
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Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2014-12-01 · Vojnosanit Pregl · vol. 72 · número 3 · págs. 233–240
- Editorial
- Military Health Department, Ministry of Defance, Serbia
- Citado
- 45 citas · más que el 77% de estudios similares · 1.1× el promedio de su campo
- Referencias
- 27 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY-SA
- Áreas de investigación
- Dental Implant Techniques and Outcomes · Laser Applications in Dentistry and Medicine · Bone Tissue Engineering Materials
- Palabras clave
- low-level laser therapy, osseointegration, posterior maxilla, osteopenia, implant stability, alkaline phosphatase, GaAlAs laser
- MeSH
- maxilla, humans, dental implants, postoperative care, dental implantation, endosseous, dental prosthesis design, aged, middle aged, female, male, low-level light therapy
7 autores
- Borka Mandic🇷🇸University of Belgrade
- Zoran Lazić🇷🇸Military Medical Academy; University of Defence
- M. Aleksa🇷🇸University of Belgrade
- Bojan Mandić🇷🇸University of Belgrade
- Miska Mandic🇷🇸University of Belgrade
- Ana Djinic Krasavcevic🇷🇸University of Belgrade
- Biljana Miličić🇷🇸University of Belgrade
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background/aim
Low-level laser therapy (LLLT) has been proven to stimulate bone repair, affecting cellular proliferation, differentiation and adhesion, and has shown a potential to reduce the healing time following implant placement. The aim of this clinical study was to investigate the influence of postoperative LLLT osseointegration and early success of self-tapping implants placed into low-density bone.
Methods
Following the split-mouth design, self-tapping implants n = 44) were inserted in the posterior maxilla of 12 patients. One jaw side randomly received LLLT (test group), while the other side was placebo (control group). For LLLT, a 637 nm gallium-aluminum-arsenide (GaAlAs) laser (Medicolaser 637, Technoline, Belgrade, Serbia) with an output power of 40 mW and continuous wave was used. Low-level laser treatment was performed immediately after the surgery and then repeated every day in the following 7 days. The total irradiation dose per treatment was 6.26 J/cm2 per implant. The study outcomes were: implant stability, alkaline-phosphatase (ALP) activity and early implant success rate. The follow-up took 6 weeks.
Results
Irradiated implants achieved a higher stability compared with controls during the entire follow-up and the difference reached significance in the 5th postoperative week (paired t-test, p = 0.030). The difference in ALP activity between the groups was insignificant in any observation point (paired t-test, p > 0.05). The early implant success rate was 100%, regardless of LLLT usage.
Conclusion
LLLT applied daily during the first postoperative week expressed no significant influence on the osseointegration of self-tapping implants placed into low density bone of the posterior maxilla. Placement of self-tapping macro-designed implants into low density bone could be a predictable therapeutic procedure with a high early success rate regardless of LLLT usage.
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