Özyurt Anıl, Elmas Çiğdem, Seymen Cemile Merve, Peker Veysel Tuncay, Altunkaynak Bülent, Güngör Mehmet Nadir
Assistant Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Trakya University, Edirne, Turkey.
Professor, Department of Histology and Embryology, Faculty of Medicine, Gazi University, Ankara, Turkey.
J Oral Maxillofac Surg. 2018 Feb;76(2):287.e1-287.e10. doi: 10.1016/j.joms.2017.10.014. Epub 2017 Oct 16.
This study investigated the effect of a gallium-aluminum-arsenide (GaAlAs) diode laser used in low-level laser therapy (LLLT) with the application of Mecsina Hemostopper on mandibular alveolar bone healing.
Standard semispherical bone defects were created in left mandibular diastema sites of 32 female Long-Evans rats. Experimental animals were allocated to 1 of 4 groups: control group (no treatment), laser group (GaAlAs LLLT), Mecsina group, and laser-Mecsina combination group. Liquid Mecsina 0.01 mL was applied to the bone defects. Laser treatment was performed for 7 days after surgery at an energy dose of 10 J/cm. All animals were sacrificed to observe hard tissue healing histologically, immunohistochemically, and radiologically at 30 days after surgery.
Histologic assessment showed significantly more calcified tissue areas and significantly more osteoblast cells in the laser and laser-Mecsina groups than in the other groups (P < .01). Qualitative morphologic assessment showed that more bone tissue was present in the laser-Mecsina group than in the other groups.
This study showed that LLLT, Mecsina application, and combined treatments were effective in healing alveolar bone among all tested treatment modalities.
本研究调查了在低强度激光治疗(LLLT)中使用砷化镓铝(GaAlAs)二极管激光并应用Mecsina止血剂对下颌牙槽骨愈合的影响。
在32只雌性Long-Evans大鼠的左下颌牙间隙部位制造标准的半球形骨缺损。将实验动物分为4组中的1组:对照组(不治疗)、激光组(GaAlAs LLLT)、Mecsina组和激光-Mecsina联合组。将0.01 mL液体Mecsina应用于骨缺损处。术后以10 J/cm的能量剂量进行7天的激光治疗。所有动物在术后30天被处死,以通过组织学、免疫组织化学和放射学方法观察硬组织愈合情况。
组织学评估显示,激光组和激光-Mecsina组的钙化组织面积和骨细胞数量明显多于其他组(P <.01)。定性形态学评估显示,激光-Mecsina组的骨组织比其他组更多。
本研究表明,在所有测试的治疗方式中,LLLT、应用Mecsina以及联合治疗对牙槽骨愈合均有效。