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糖尿病影响牙槽骨愈合的光生物调节比较研究:组织形态计量学和分子研究。

Comparative Investigation of Photobiomodulation in Diabetes-Impaired Alveolar Bone Healing: A Histomorphometrical and Molecular Study.

机构信息

Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Oral and Maxillofacial Pathology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Photobiomodul Photomed Laser Surg. 2024 Sep;42(9):577-584. doi: 10.1089/photob.2023.0170.

Abstract

Diabetes mellitus is increasing worldwide. Photobiomodulation (PBM) is proposed as a therapeutic method in various medical concerns. This study aimed to compare the effects of PBM at the wavelengths of 660, 808, or 660 + 808 nm on alveolar bone healing in diabetic rats. Bilateral maxillary first molars were extracted from diabetic Wistar rats ( = 36). Right-sided sockets were treated by an In-Ga-Al-P laser at 660 nm (7.2 J/cm, 24 s; DM660), Ga-Al-As laser at 808 nm (7 J/cm, 14 s; DM808), or a combination of these two sets (DM-dual) ( = 12). Left sides served as controls. On days 7 or 14, specimens were assigned for histomorphometric or real-time PCR analysis of runt-related transcription factor 2, osteocalcin, collagen I, and vascular endothelial growth factor expression. Irradiated sockets of groups DM-808 and DM-dual showed a significant increase in bone tissue and blood vessel establishment as compared to DM-660. Further, group DM-dual exhibited the least amount of fibrotic tissue as compared to the other groups. Within our study limits, the present experiment suggested PBM at 808 nm, alone or combined with 660 nm irradiation, could promote alveolar bone healing, along with minimal fibrosis induction, in diabetic rats.

摘要

糖尿病在全球范围内呈上升趋势。光生物调节(PBM)被提议作为各种医学关注的治疗方法。本研究旨在比较波长为 660、808 或 660+808nm 的 PBM 对糖尿病大鼠牙槽骨愈合的影响。从糖尿病 Wistar 大鼠(=36 只)双侧上颌第一磨牙中取出磨牙。右侧牙槽窝用 In-Ga-Al-P 激光(660nm,7.2J/cm,24s;DM660)、Ga-Al-As 激光(808nm,7J/cm,14s;DM808)或两种激光联合(DM-双激光)(=12)照射。左侧作为对照。在第 7 天或第 14 天,对标本进行组织形态计量学或实时 PCR 分析,以检测 runt 相关转录因子 2、骨钙素、I 型胶原和血管内皮生长因子的表达。与 DM-660 相比,DM-808 组和 DM-双激光组照射的牙槽窝骨组织和血管形成明显增加。此外,与其他组相比,DM-双激光组的纤维组织最少。在本实验的限制范围内,本实验表明,808nm 单独或联合 660nm 照射的 PBM 可促进糖尿病大鼠牙槽骨愈合,同时诱导最小的纤维化。

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