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三种不同低强度激光治疗方案对实验性兔模型牙种植术后甲状腺激素分泌的影响

Effect of three different protocols of low-level laser therapy on thyroid hormone production after dental implant placement in an experimental rabbit model.

作者信息

Weber João Batista Blessmann, Mayer Luciano, Cenci Rodrigo Alberto, Baraldi Carlos Eduardo, Ponzoni Deise, Gerhardt de Oliveira Marília

机构信息

1 School of Dentistry, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) , Porto Alegre, RS, Brazil .

出版信息

Photomed Laser Surg. 2014 Nov;32(11):612-7. doi: 10.1089/pho.2014.3756. Epub 2014 Sep 29.

Abstract

OBJECTIVE

The purpose of this study was to assess the systemic effects of low-level laser therapy (LLLT) on thyroid gland function and, consequently, calcium regulation - as measured by serum triiodothyronine (T3), thyroxine (T4), and free calcium levels - when administered after dental implant placement in a rabbit model.

BACKGROUND DATA

Protocols for the use of laser therapy in several clinical procedures are currently under investigation, as not all of the actions and systemic effects of laser irradiation have been clearly established.

MATERIALS AND METHODS

Forty male adult New Zealand rabbits were distributed across five groups of eight animals each: two control groups (C-I and C-II) of unirradiated animals, and three experimental groups (E-5, E-10, and E-20), each exposed to a distinct dose of gallium-aluminum-arsenide (GaAlAs) laser [λ=830 nm, 50 mW, continuous wave (CW)] every 48 h for a total of seven sessions. The total dose per session was 5 J/cm(2) in E-5, 10 J/cm(2) in E-10, and 20 J/cm(2) in E-20. Animals in C-II and all experimental groups underwent surgical extraction of the mandibular left incisor followed by immediate placement of an osseointegrated implant (Nanotite(®), Biomet 3i(™)) into the socket. Animals in group C-I served as an absolute control for T3, T4, and calcium measurements. The level of significance was set at 5% (p≤0.05).

RESULTS

ANOVA with Tukey's post-hoc test revealed significant differences in T3 and calcium levels among experimental groups, as well as significant within-group differences in T3, T4, and calcium levels over time.

CONCLUSIONS

Although not reaching abnormal values, LLLT applied to the mandible influenced thyroid function in this model.

摘要

目的

本研究旨在评估低强度激光疗法(LLLT)对甲状腺功能以及钙调节的全身影响,即通过血清三碘甲状腺原氨酸(T3)、甲状腺素(T4)和游离钙水平来衡量,该疗法应用于兔模型牙种植体植入术后。

背景资料

目前正在研究激光疗法在多种临床操作中的应用方案,因为并非激光照射的所有作用和全身影响都已明确确立。

材料与方法

40只成年雄性新西兰兔被分为五组,每组8只:两个未照射动物的对照组(C-I和C-II),以及三个实验组(E-5、E-10和E-20),每组每48小时接受一次不同剂量的砷化镓铝(GaAlAs)激光[λ=830nm,50mW,连续波(CW)]照射,共照射七次。E-5组每次照射的总剂量为5J/cm²,E-10组为10J/cm²,E-20组为20J/cm²。C-II组和所有实验组的动物均接受下颌左侧切牙的手术拔除,随后立即将骨结合种植体(Nanotite®,Biomet 3i™)植入牙槽窝。C-I组的动物作为T3、T4和钙测量的绝对对照。显著性水平设定为5%(p≤0.05)。

结果

采用Tukey事后检验的方差分析显示,实验组之间T3和钙水平存在显著差异,且随着时间推移,各实验组内T3、T4和钙水平也存在显著差异。

结论

尽管未达到异常值,但在该模型中,应用于下颌骨的LLLT影响了甲状腺功能。

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