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不同剂量光生物调节疗法对大鼠临界尺寸骨缺损修复的影响:一项组织形态计量学研究

The Effect of Photobiomodulation Therapy in Different Doses on Bone Repair of Critical Size Defects in Rats: A Histomorphometric Study.

作者信息

De Marco Andrea Carvalho, Torquato Letícia Cavassini, Gonçalves Paulo Roberto, Ribeiro Tatiana Camacho, Nunes Camilla Moretto, Bernardo Daniella Vicensotto, Gomes Mônica Fernandes, Jardini Maria Aparecida Neves, Santamaria Mauro Pedrine

机构信息

Department of Diagnosis and Surgery - Division of Periodontology, São Paulo State University (UNESP), Institute of Science and Tecnology, Campus São José dos Campos, Sao Paulo, Brazil.

Sao Jose dos Campos, Sao Paulo, Brazil.

出版信息

J Lasers Med Sci. 2021 Sep 26;12:e53. doi: 10.34172/jlms.2021.53. eCollection 2021.

Abstract

Photobiomodulation therapy (PBM) appears to induce osteogenesis and stimulate fracture repair; because of its capacity, it is considered a promising treatment, but the characteristics of response to different radiation doses must be investigated through studies to establish their safety and effectiveness. Thus, this paper aims to analyze the effects of the PBM at different doses on the repair of critical bone defects through histological and histomorphometric analyses. Sixty 90-day-old adult rats (, , Wistar) weighing approximately 300 g were used. Critical bone defects of 5 mm in diameter were performed in their calvaria. The animals were randomly separated into 5 groups: C-Blood clot, L15-PBM 15J/cm, L30-PBM 30 J/ cm, L45-PBM 45 J/cm, L60-PBM 60 J/cm. Each group was subdivided according to observation periods of 30 and 60 days with 6 rats in each subgroup. Low-level gallium aluminum arsenide (GaAlAs) lasers were used at a 660 nm wavelength, 30 mW and 0.04 cm in area. The PBM was applied over 5 points; 4 points of application were distributed on the edges while one point of application was located in the center of the bone defect. PBM occurred right after the procedure. In 30 and 60 days, the animals were euthanized by anesthesia overdose and the analyses were performed. The data were analyzed statistically by the ANOVA, together with the Tukey test, whose significance level was 5%. As regards the treatment factor, the highest percentage of bone neoformation was achieved by group L45-60. The group with the highest closure, despite not having a statistically significant difference with the other doses, was 45 J with only 0.49 mm between edges. Thus, the present study allowed concluding that the highest percentage of bone neoformation area was achieved at 45 J/cm in 60 days; that is, it was significantly effective in comparison with other doses.

摘要

光生物调节疗法(PBM)似乎能诱导骨生成并刺激骨折修复;鉴于其能力,它被认为是一种有前景的治疗方法,但必须通过研究来调查对不同辐射剂量的反应特征,以确定其安全性和有效性。因此,本文旨在通过组织学和组织形态计量学分析,分析不同剂量的PBM对关键骨缺损修复的影响。使用了60只90日龄、体重约300克的成年大鼠(Wistar)。在其颅骨上制造直径为5毫米的关键骨缺损。将动物随机分为5组:C-血凝块组、L15-PBM 15J/cm组、L30-PBM 30 J/cm组、L45-PBM 45 J/cm组、L60-PBM 60 J/cm组。根据30天和60天的观察期对每组进行细分,每个亚组有6只大鼠。使用波长为660纳米、功率为30毫瓦、光斑面积为0.04平方厘米的低强度砷化镓铝(GaAlAs)激光器。PBM在5个点上进行照射;4个照射点分布在边缘,1个照射点位于骨缺损中心。PBM在手术后立即进行。在30天和60天时,通过过量麻醉使动物安乐死并进行分析。数据通过方差分析(ANOVA)以及Tukey检验进行统计学分析,显著性水平为5%。关于治疗因素,L45 - 60组实现了最高的骨新形成百分比。闭合度最高的组,尽管与其他剂量没有统计学上的显著差异,但45 J组边缘之间仅有0.49毫米。因此,本研究得出结论,在60天时,45 J/cm实现了最高的骨新形成面积百分比;也就是说,与其他剂量相比,它具有显著的有效性。

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