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快速上颌扩弓后低强度激光治疗的效果:显微CT分析

The effect of low-level laser therapy after rapid maxillary expansion: Micro-CT analysis.

作者信息

Sasso Stuani Maria Bernadete, Sasso Stuani Andréa, Leite Pedroso Gabriela, da Silva Mira Paôla Caroline, Gollino Sara, Dastra Michel, Melsen Birte

机构信息

Universidade de São Paulo, São Paulo, Brazil.

Aarhus University, Aarhus, Denmark.

出版信息

Lasers Med Sci. 2025 May 27;40(1):245. doi: 10.1007/s10103-025-04497-6.

DOI:10.1007/s10103-025-04497-6
PMID:40423898
Abstract

This study aimed to evaluate quantitatively the effects of low-level laser therapy (LLLT) on bone healing performed after rapid maxillary expansion (RME) in rats, using micro-computed tomography (micro-CT). Ninety rats were used, randomly distributed into three groups: control (n = 10) (young and adult rats - intact suture), experimental I (n = 40) (young and adult rats with RME without LLLT), and experimental II (n = 40) (young and adult rats with RME + LLLT). Five rats from the groups were euthanized on days 0, 7, 14, and 21 of the experiment and evaluated by microCT analysis. The laser increased the bone formation volume at 7 and 14 days (young rats) and 14 days (adult rats) were statistically significant (p < 0.05), but at the end of the healing (21 days), no statistically significant difference was observed between the laser and no-laser groups (p > 0.05). These findings suggest that LLLT improves bone mineralization during the early healing phases after RME, accelerating the process of bone mineralization during the initial experimental phase, which may have clinical implications in reducing orthodontic treatment duration and improving bone stability.

摘要

本研究旨在使用微型计算机断层扫描(micro-CT)定量评估低强度激光疗法(LLLT)对大鼠快速上颌扩弓(RME)后骨愈合的影响。共使用了90只大鼠,随机分为三组:对照组(n = 10)(年轻和成年大鼠 - 缝合完整)、实验组I(n = 40)(接受RME但未接受LLLT的年轻和成年大鼠)和实验组II(n = 40)(接受RME + LLLT的年轻和成年大鼠)。在实验的第0、7、14和21天,每组处死5只大鼠,并通过microCT分析进行评估。激光照射在第7天和14天(年轻大鼠)以及第14天(成年大鼠)增加了骨形成体积,差异具有统计学意义(p < 0.05),但在愈合末期(21天),激光组和非激光组之间未观察到统计学显著差异(p > 0.05)。这些发现表明,LLLT可改善RME后早期愈合阶段的骨矿化,在初始实验阶段加速骨矿化过程,这可能对缩短正畸治疗时间和提高骨稳定性具有临床意义。

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本文引用的文献

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The role of bone histomorphometry in the management of metabolic bone disease.骨组织形态计量学在代谢性骨病管理中的作用。
ARP Rheumatol. 2025 Jan-Mar;4(1):37-43.
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The Effect of Low-Level Laser Therapy on Accelerating Tooth Movement in Orthodontic Patients: A Randomized Controlled Trial.低强度激光治疗对正畸患者牙齿移动加速的影响:一项随机对照试验。
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Radiographical impact of photobiomodulation therapy on bone regeneration in clinical studies: a systematic review.
光生物调节疗法对临床研究中骨再生的影像学影响:一项系统评价
Lasers Med Sci. 2025 Jan 20;40(1):23. doi: 10.1007/s10103-024-04244-3.
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Potential of combined red and near-infrared photobiomodulation to mitigate pro-osteoclastic and inflammatory gene expression in human mandibular osteogenic cells.红光和近红外光联合光生物调节对减轻人下颌骨成骨细胞破骨细胞生成和炎症基因表达的作用。
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Surgically assisted rapid maxillary expansion: current concepts of minimally invasive approaches.外科辅助快速上颌扩弓:微创方法的当前概念
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Osteoinductive micro-nano guided bone regeneration membrane for in situ bone defect repair.用于原位骨缺损修复的骨诱导微纳导向型骨再生膜。
Stem Cell Res Ther. 2024 May 7;15(1):135. doi: 10.1186/s13287-024-03745-w.
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The role of photobiomodulation in accelerating bone repair.光生物调节在加速骨修复中的作用。
Prog Biophys Mol Biol. 2024 May;188:55-67. doi: 10.1016/j.pbiomolbio.2024.03.002. Epub 2024 Mar 16.
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Effects of different doses of ionizing radiation on alveolar bone repair in post-extraction tooth socket: an experimental study in rats.不同剂量电离辐射对拔牙后牙槽骨修复的影响:大鼠实验研究
Clin Oral Investig. 2023 Dec;27(12):7583-7593. doi: 10.1007/s00784-023-05348-w. Epub 2023 Oct 31.
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Maxillary expansion in nongrowing patients. Conventional, surgical, or miniscrew-assisted, an update.上颌骨扩张在非生长患者中的应用。传统的、外科的或微螺钉辅助的方法,更新。
J World Fed Orthod. 2023 Aug;12(4):173-183. doi: 10.1016/j.ejwf.2023.04.005. Epub 2023 Jun 19.
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