Department of Surgery, Anesthesiology and Radiology, Faculty of Veterinary Medicine, Cairo University, Giza, Egypt.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Fayoum University, Fayoum, Egypt.
Photochem Photobiol. 2021 May;97(3):627-633. doi: 10.1111/php.13356. Epub 2020 Nov 29.
The objective was to evaluate the effect of photobiomodulation (PBM) using 980 nm diode laser therapy (0.60 W, 0.77 W cm , 36 J, 46 J cm , 60 s) irradiated in continuous wave mode by flat-top hand-piece on socket healing in the maxilla and mandible. A split-mouth experimental design was performed on 6 dogs. The 3 premolar tooth was extracted from the maxilla and mandibles for both sides. The right-sided sockets were irradiated (PBM group), and the left-sided sockets were kept as control. Irradiation was done after extraction and at 48-h interval for 14 days. Both the buccal and lingual sides were irradiated to reach a total irradiation time of 120 s. Bone density was evaluated at 3, 4 and 5 weeks using cone beam computed tomography. We showed that maxillary sockets in the PBM group had higher bone density compared to control one at 3, 4, 5 weeks (P = 0.029, <0.001, <0.001), respectively. Mandibular sockets revealed no significant difference between PBM and control at 3 weeks (P = 0.347), while at 4 and 5 weeks PBM group showed higher bone density (P = 0.004, <0.001). In both groups, there was a significant increase (P < 0.001) in bone density by time which was higher in the PBM group. We concluded that PBM using a flat-top hand-piece of 980-nm improved the bone density of extraction sockets.
目的是评估使用 980nm 二极管激光治疗(0.60W,0.77W/cm²,36J,46J/cm²,60s)在连续波模式下通过平顶手持件照射对上颌骨和下颌骨牙槽愈合的影响。在 6 只狗中进行了分口实验设计。从上下颌中提取 3 颗前磨牙用于双侧。右侧牙槽窝接受照射(PBM 组),左侧牙槽窝作为对照。在拔牙后和 48 小时间隔进行照射,共 14 天。颊侧和舌侧均进行照射,总照射时间为 120s。使用锥形束计算机断层扫描在 3、4 和 5 周时评估骨密度。我们发现 PBM 组上颌牙槽窝的骨密度在 3、4 和 5 周时均高于对照组(P=0.029,<0.001,<0.001)。下颌牙槽窝在 3 周时 PBM 组与对照组之间无显著差异(P=0.347),而在 4 和 5 周时 PBM 组的骨密度较高(P=0.004,<0.001)。在两组中,骨密度随时间呈显著增加(P<0.001),且 PBM 组增加更高。我们得出结论,使用 980nm 的平顶手持件进行 PBM 可提高拔牙窝的骨密度。
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