Impact of photobiomodulation in alveolar ridge preservation and implant stability after a dental extraction: a systematic review.

IF 2.1 4区医学 Q3 ENGINEERING, BIOMEDICAL

Lasers in Medical Science Pub Date : 2024-10-26 DOI:10.1007/s10103-024-04215-8

Théo Mahintach, Emilie Hascoet, Alexandra Cloitre, Anne-Gaëlle Chaux

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引用次数: 0

Abstract

The bone volume preservation after dental extraction is challenging in case of implant rehabilitation for functional and aesthetics results. Photobiomodulation (or LLLT) is used in medicine for its properties of accelerating the healing process. The aim of the systematic review was to determine if the use of photobiomodulation had an impact on implant stability and on alveolar bone healing, either in quality or in quantity. A systematic review following the PRISMA guidelines was conducted on the databases PubMed, Science Direct, Scopus and Google Scholar. The review was registered on Prospero under the number CRD42023467581. 414 articles were screened, of which 12 were selected for the review. In 10 of the 12 articles, LLLT seemed to show a positive impact on bone healing and implant stability. Regarding alveolar preservation, 6 out of 8 studies found statistically significant results. Regarding implant stability, 3 out of the 4 articles found a statistically significant impact of photobiomodulation versus control group. Despite the great heterogeneity of the studies, some LLLT protocols seemed consensual: the use of a Ga-Al-As laser with an emission over 800 nm with a continuous emission consisting of 3 to 4 sessions each with a duration of 4 to 5 min, on a sole application point. The use of photobiomodulation seemed to inhance the alveolar bone healing after a dental extraction, and the implant stability in case of immediate extraction-implantation. Further randomized controlled trials with a placebo group seem mandatory to corroborate the results.

查看原文本刊更多论文

光生物调制对拔牙后牙槽嵴背保护和种植体稳定性的影响：系统性综述。

拔牙后的骨量保存对种植体修复的功能和美观效果都具有挑战性。光生物调节（或 LLLT）因其加速愈合过程的特性而被广泛应用于医学领域。本系统综述旨在确定光生物调制对种植体稳定性和牙槽骨愈合的质量或数量是否有影响。我们按照 PRISMA 指南在 PubMed、Science Direct、Scopus 和 Google Scholar 等数据库中进行了系统性综述。该综述在 Prospero 上注册，注册号为 CRD42023467581。共筛选出 414 篇文章，其中 12 篇被选中进行综述。在这 12 篇文章中，有 10 篇文章认为 LLLT 对骨愈合和种植体稳定性有积极影响。在牙槽骨保存方面，8 项研究中有 6 项发现了具有统计学意义的结果。在种植体稳定性方面，4 篇文章中有 3 篇发现光生物调制对对照组的影响具有统计学意义。尽管研究的差异很大，但一些 LLLT 方案似乎是一致的：使用波长超过 800 纳米的 Ga-Al-As 激光，持续发射，在唯一的应用点上进行 3 到 4 次治疗，每次持续 4 到 5 分钟。使用光生物调节似乎能促进拔牙后牙槽骨的愈合，并在拔牙后立即进行种植的情况下提高种植体的稳定性。为了证实这些结果，似乎有必要进一步进行随机对照试验，并在试验中加入安慰剂组。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Lasers in Medical Science 医学-工程：生物医学

CiteScore

4.50

自引率

4.80%

发文量

192

审稿时长

3-8 weeks

期刊介绍： Lasers in Medical Science (LIMS) has established itself as the leading international journal in the rapidly expanding field of medical and dental applications of lasers and light. It provides a forum for the publication of papers on the technical, experimental, and clinical aspects of the use of medical lasers, including lasers in surgery, endoscopy, angioplasty, hyperthermia of tumors, and photodynamic therapy. In addition to medical laser applications, LIMS presents high-quality manuscripts on a wide range of dental topics, including aesthetic dentistry, endodontics, orthodontics, and prosthodontics. The journal publishes articles on the medical and dental applications of novel laser technologies, light delivery systems, sensors to monitor laser effects, basic laser-tissue interactions, and the modeling of laser-tissue interactions. Beyond laser applications, LIMS features articles relating to the use of non-laser light-tissue interactions.