Swerts Andressa Araújo, Santos Bianca Fernanda Espósito, Bruzadelli Simone Ribeiro, Brigagão Maísa Ribeiro Pereira Lima, Lima Daniela Coelho de, Fernandes Leandro Araújo
Universidade Federal de Alfenas, Faculdade de Odontologia, Departamento de Clínica e Cirurgia, Alfenas, MG, Brasil.
Universidade Federal de Alfenas, Faculdade de Odontologia, Departamento de Bioquímica, Alfenas, MG, Brasil.
J Appl Oral Sci. 2017 Jul-Aug;25(4):387-395. doi: 10.1590/1678-7757-2016-0467.
The aim of this study was to evaluate low-level laser therapy (LLLT) as an adjuvant treatment for scaling and root planing (SRP) for the treatment of induced periodontitis in simvastatin-modified rats.
A total of 180 rats were evenly divided into two groups: Veh - receiving oral administration of polyethylene glycol (vehicle); S - receiving oral administration of Simvastatin. Periodontal disease was induced in both groups at the first mandibular molar. After seven days, the ligature was removed and the animals were divided into subgroups according to the following local treatments: NT - no treatment; SRP - scaling and root planing and irrigation with saline solution; and LLLT ¬- SRP and laser irradiation (660 nm; 0.03 W; 4 J). Ten animals in each subgroup/local treatment were euthanized at 7, 15 and 30 days. Samples of gingival tissue were processed to analyze the tissue oxidative damage and radiographic analysis. Levels of oxidative stress were analyzed by the expressions of Tripeptideglutathione (TG), Malondialdehyde (MDA) and Carbonylated Proteins (CP).
The animals in S group had higher levels of TG and lower levels of MDA and CP compared with Veh group (p<0.05). Radiographically, in the intragroup analysis Veh and S, LLLT showed lower bone loss (BL) compared with NT and SRP, in all experimental periods (p<0.01). In addition, a lower BL was observed for the animals of Veh group treated with LLLT compared with treatment SRP in the S group, in all experimental periods.
Within the limits of this study, we can conclude that LLLT was effective as adjuvant treatment for SRP protecting against the occurrence of oxidative tissue damages as well as for reducing alveolar bone loss in experimentally induced periodontitis simvastatin-modified rats.
本研究旨在评估低强度激光疗法(LLLT)作为辅助治疗手段,联合龈下刮治术和根面平整术(SRP),用于治疗辛伐他汀干预大鼠的实验性牙周炎。
总共180只大鼠被平均分为两组:Veh组,口服聚乙二醇(赋形剂);S组,口服辛伐他汀。两组大鼠的第一下颌磨牙均诱导形成牙周疾病。7天后,移除结扎丝,并根据以下局部治疗方法将动物分为亚组:NT组,不治疗;SRP组,龈下刮治术和根面平整术并使用盐溶液冲洗;LLLT组,龈下刮治术和根面平整术并进行激光照射(660nm;0.03W;4J)。在第7、15和30天,每个亚组/局部治疗方法处死10只动物。对牙龈组织样本进行处理,以分析组织氧化损伤情况并进行影像学分析。通过三肽谷胱甘肽(TG)、丙二醛(MDA)和羰基化蛋白(CP)的表达来分析氧化应激水平。
与Veh组相比,S组动物的TG水平较高,MDA和CP水平较低(p<0.05)。影像学分析显示,在组内分析Veh组和S组时,在所有实验阶段,LLLT组与NT组和SRP组相比,骨吸收(BL)较低(p<0.01)。此外,在所有实验阶段,与S组的SRP治疗相比,Veh组接受LLLT治疗的动物骨吸收较低。
在本研究范围内,我们可以得出结论,LLLT作为SRP的辅助治疗有效,可防止实验性牙周炎辛伐他汀干预大鼠发生氧化组织损伤,并减少牙槽骨吸收。