School of Dentistry and Oral Health, Griffith University, Corner Olsen Ave and Parklands Dr, Gold Coast, QLD, Australia.
School of Dentistry, University of Adelaide, Adelaide, SA, Australia.
Lasers Med Sci. 2020 Dec;35(9):1889-1897. doi: 10.1007/s10103-020-03071-6. Epub 2020 Jun 22.
This systematic review assessed if photobiomodulation of human dental pulp tissue improved cell viability, proliferation, and/or differentiation compared with a placebo. This systematic review was conducted in line with PRISMA. PICO question was established; inclusion and exclusion criteria were established before a search had begun. A literature search was conducted through PubMed, Scopus, and Cochrane. Studies were included if published within the last 20 years in English language, or where translation was available; laser parameters were mentioned; human dental pulp tissue was studied in vitro. Studies were excluded if non-human dental pulp tissue was studied and where the study was an in vivo study. Out of the total 121 studies found, 109 were excluded. Of the twelve included studies, three full-text articles were not available despite attempts made to contact the respective authors, leaving nine studies. Four of the included studies reported the use of stem cells derived from human deciduous teeth (SHEDs), and five used those from human permanent teeth (DPSCs). Most included studies utilized InGaAlP laser with wavelengths 660 nm, and one study with 610 nm. Other types of lasers included LED InGaN, and GaAlAs. Out of all included studies, two had a moderate risk of bias, and the rest had a low risk of bias. All studies confirmed positive effects on proliferation. One study also found improved osteogenic differentiation of the stem cells derived from stem cells of deciduous teeth. After assessing SHEDs and DPSCs separately, it is found that photobiomodulation improved cell proliferation in both subgroups. Due to heterogeneity in design protocols and laser parameters, it was not possible to compare the studies together. However, this study indicated that cell viability and proliferation did improve with photobiomodulation.
这篇系统评价评估了相比安慰剂,光生物调节人牙髓组织是否能提高细胞活力、增殖和/或分化。本系统评价是按照 PRISMA 进行的。在开始搜索之前,建立了 PICO 问题;建立了纳入和排除标准。通过 PubMed、Scopus 和 Cochrane 进行了文献搜索。如果在过去 20 年内以英文发表,或者有翻译版本;提及了激光参数;在体外研究人牙髓组织,则纳入研究。如果研究的是非人牙髓组织,或者是体内研究,则排除研究。在总共发现的 121 项研究中,有 109 项被排除。在所纳入的 12 项研究中,尽管试图联系各自的作者,但有 3 篇全文文章无法获得,只剩下 9 项研究。其中 4 项纳入研究报告了使用源自人乳牙的干细胞(SHEDs),5 项使用源自人恒牙的干细胞(DPSCs)。大多数纳入的研究使用波长为 660nm 的 InGaAlP 激光,有 1 项研究使用 610nm 激光。其他类型的激光包括 LED InGaN 和 GaAlAs。在所纳入的所有研究中,有 2 项研究存在中度偏倚风险,其余研究存在低度偏倚风险。所有研究均证实了对增殖的积极影响。有一项研究还发现,光生物调节能提高源自乳牙干细胞的干细胞的成骨分化。分别评估 SHEDs 和 DPSCs 后,发现光生物调节能提高这两个亚组的细胞增殖。由于设计方案和激光参数存在异质性,因此无法将这些研究进行比较。然而,这项研究表明,细胞活力和增殖确实可以通过光生物调节得到改善。
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