Skip to main content
Erschienen in: Lasers in Medical Science 7/2020

05.02.2020 | Original Article

Low-level laser therapy (LLLT) in sites grafted with osteoconductive bone substitutes improves osseointegration

verfasst von: Guilherme José Pimentel Lopes de Oliveira, Maurício Andres Tinajero Aroni, Felipe Eduardo Pinotti, Elcio Marcantonio Jr, Rosemary Adriana Chiérici Marcantonio

Erschienen in: Lasers in Medical Science | Ausgabe 7/2020

Einloggen, um Zugang zu erhalten

Abstract

The aim of this study was to evaluate the osseointegration of implants placed in areas grafted with different osteoconductive bone substitutes irradiated with infrared low-level laser therapy (LLLT). Fifty-six rats were randomly allocated into 4 groups: DBB, bone defects filled with deproteinized bovine bone graft (DBB); HA/TCP, bone defects filled with biphasic ceramic made of hydroxyapatite and β-tricalcium phosphate (HA/TCP); DBB-L, bone defects filled with DBB and treated by LLLT; HA/TCP-L, bone defects filled with HA/TCP and treated by LLLT. Bone defects were performed in the tibia of each animal and filled with the different biomaterials. The grafted areas were treated with LLLT (λ 808 nm, 100 mW, ϕ ∼ 0.60 mm) in 7 sessions with 48 h between the irradiations. After the 60-day period, the implants were placed, and the animals were euthanized after 15 and 45 days. The osseointegration and bone repair in the grafted area were evaluated by biomechanical, microtomographic and histometric analyses, and the expression of some bone biomarkers was evaluated by immunohistochemistry analysis. LLLT induced higher degree of osseointegration, which was associated with the greater expression of BMP2 and OCN. LLLT performed in areas grafted with osteoconductive bone substitutes prior to implant placement improves osseointegration.
Literatur
3.
6.
Zurück zum Zitat Spin-Neto R, Stavropoulos A, Coletti FL, Pereira LA, Marcantonio E Jr, Wenzel A (2015) Remodeling of cortical and corticocancellous fresh-frozen allogeneic block bone grafts--a radiographic and histomorphometric comparison to autologous bone grafts. Clin Oral Implants Res 26:747–752. https://doi.org/10.1111/clr.12343 CrossRefPubMed Spin-Neto R, Stavropoulos A, Coletti FL, Pereira LA, Marcantonio E Jr, Wenzel A (2015) Remodeling of cortical and corticocancellous fresh-frozen allogeneic block bone grafts--a radiographic and histomorphometric comparison to autologous bone grafts. Clin Oral Implants Res 26:747–752. https://​doi.​org/​10.​1111/​clr.​12343 CrossRefPubMed
7.
Zurück zum Zitat Nkenke E, Neukam FW (2014) Autogenous bone harvesting and grafting in advanced jaw resorption: morbidity, resorption and implant survival. Eur J Oral Implantol 7(Suppl 2):S203–S217PubMed Nkenke E, Neukam FW (2014) Autogenous bone harvesting and grafting in advanced jaw resorption: morbidity, resorption and implant survival. Eur J Oral Implantol 7(Suppl 2):S203–S217PubMed
8.
Zurück zum Zitat Froum SJ, Wallace SS, Cho SC, Elian N, Tarnow DP (2008) Histomorphometric comparison of a biphasic bone ceramic to an organic bovine bone for sinus augmentation: 6- to 8-month postsurgical assessment of vital bone formation. A pilot study. Int J Periodontics Restorative Dent 28:273–281PubMed Froum SJ, Wallace SS, Cho SC, Elian N, Tarnow DP (2008) Histomorphometric comparison of a biphasic bone ceramic to an organic bovine bone for sinus augmentation: 6- to 8-month postsurgical assessment of vital bone formation. A pilot study. Int J Periodontics Restorative Dent 28:273–281PubMed
11.
Zurück zum Zitat Carmagnola D, Adriaens P, Berglundh T (2003) Healing of human extraction sockets filled with bio-Oss. Clin Oral Implants Res 14:137–143CrossRef Carmagnola D, Adriaens P, Berglundh T (2003) Healing of human extraction sockets filled with bio-Oss. Clin Oral Implants Res 14:137–143CrossRef
13.
18.
Zurück zum Zitat Pereira CL, Sallum EA, Nociti FH Jr, Moreira RW (2009) The effect of low-intensity laser therapy on bone healing around titanium implants: a histometric study in rabbits. Int J Oral Maxillofac Implants 24:47–51PubMed Pereira CL, Sallum EA, Nociti FH Jr, Moreira RW (2009) The effect of low-intensity laser therapy on bone healing around titanium implants: a histometric study in rabbits. Int J Oral Maxillofac Implants 24:47–51PubMed
21.
Zurück zum Zitat Pinheiro AL, Martinez Gerbi ME, de Assis Limeira F Jr, Carneiro Ponzi EA, Marques AM, Carvalho CM, de Carneiro Santos R, Oliveira PC, Noia M, Ramalho LM (2009) Bone repair following bone grafting hydroxyapatite guided bone regeneration and infra-red laser photobiomodulation: a histological study in a rodent model. Lasers Med Sci 24:234–240. https://doi.org/10.1007/s10103-008-0556-0 CrossRefPubMed Pinheiro AL, Martinez Gerbi ME, de Assis Limeira F Jr, Carneiro Ponzi EA, Marques AM, Carvalho CM, de Carneiro Santos R, Oliveira PC, Noia M, Ramalho LM (2009) Bone repair following bone grafting hydroxyapatite guided bone regeneration and infra-red laser photobiomodulation: a histological study in a rodent model. Lasers Med Sci 24:234–240. https://​doi.​org/​10.​1007/​s10103-008-0556-0 CrossRefPubMed
25.
Zurück zum Zitat de Oliveira G, Aroni MAT, Medeiros MC, Marcantonio E Jr, Marcantonio RAC (2018) Effect of low-level laser therapy on the healing of sites grafted with coagulum, deproteinized bovine bone, and biphasic ceramic made of hydroxyapatite and beta-tricalcium phosphate. In vivo study in rats. Lasers Surg Med. https://doi.org/10.1002/lsm.22787 de Oliveira G, Aroni MAT, Medeiros MC, Marcantonio E Jr, Marcantonio RAC (2018) Effect of low-level laser therapy on the healing of sites grafted with coagulum, deproteinized bovine bone, and biphasic ceramic made of hydroxyapatite and beta-tricalcium phosphate. In vivo study in rats. Lasers Surg Med. https://​doi.​org/​10.​1002/​lsm.​22787
26.
Zurück zum Zitat de Oliveira GJ, de Paula LG, Spin-Neto R, Stavropoulos A, Spolidorio LC, Marcantonio E Jr, Marcantonio RA (2014) Effect of avocado/soybean unsaponifiables on osseointegration: a proof-of-principle preclinical in vivo study. Int J Oral Maxillofac Implants 29:949–957. https://doi.org/10.11607/jomi.3498 CrossRefPubMed de Oliveira GJ, de Paula LG, Spin-Neto R, Stavropoulos A, Spolidorio LC, Marcantonio E Jr, Marcantonio RA (2014) Effect of avocado/soybean unsaponifiables on osseointegration: a proof-of-principle preclinical in vivo study. Int J Oral Maxillofac Implants 29:949–957. https://​doi.​org/​10.​11607/​jomi.​3498 CrossRefPubMed
27.
Zurück zum Zitat de Vasconcellos LM, Barbara MA, Deco CP, Junqueira JC, do Prado RF, Anbinder AL, de Vasconcellos LG, Cairo CA, Carvalho YR (2014) Healing of normal and osteopenic bone with titanium implant and low-level laser therapy (GaAlAs): a histomorphometric study in rats. Lasers Med Sci 29:575–580. https://doi.org/10.1007/s10103-013-1326-1 CrossRefPubMed de Vasconcellos LM, Barbara MA, Deco CP, Junqueira JC, do Prado RF, Anbinder AL, de Vasconcellos LG, Cairo CA, Carvalho YR (2014) Healing of normal and osteopenic bone with titanium implant and low-level laser therapy (GaAlAs): a histomorphometric study in rats. Lasers Med Sci 29:575–580. https://​doi.​org/​10.​1007/​s10103-013-1326-1 CrossRefPubMed
30.
Zurück zum Zitat Verzola MH, Frizzera F, de Oliveira GJ, Pereira RM, Rodrigues-Filho UP, Nonaka KO, Orrico SR (2015) Effects of the long-term administration of alendronate on the mechanical properties of the basal bone and on osseointegration. Clin Oral Implants Res 26:1466–1475. https://doi.org/10.1111/clr.12492 CrossRefPubMed Verzola MH, Frizzera F, de Oliveira GJ, Pereira RM, Rodrigues-Filho UP, Nonaka KO, Orrico SR (2015) Effects of the long-term administration of alendronate on the mechanical properties of the basal bone and on osseointegration. Clin Oral Implants Res 26:1466–1475. https://​doi.​org/​10.​1111/​clr.​12492 CrossRefPubMed
31.
Zurück zum Zitat Rasouli Ghahroudi AA, Rokn AR, Kalhori KA, Khorsand A, Pournabi A, Pinheiro AL, Fekrazad R (2014) Effect of low-level laser therapy irradiation and bio-Oss graft material on the osteogenesis process in rabbit calvarium defects: a double blind experimental study. Lasers Med Sci 29:925–932. https://doi.org/10.1007/s10103-013-1403-5 CrossRefPubMed Rasouli Ghahroudi AA, Rokn AR, Kalhori KA, Khorsand A, Pournabi A, Pinheiro AL, Fekrazad R (2014) Effect of low-level laser therapy irradiation and bio-Oss graft material on the osteogenesis process in rabbit calvarium defects: a double blind experimental study. Lasers Med Sci 29:925–932. https://​doi.​org/​10.​1007/​s10103-013-1403-5 CrossRefPubMed
32.
Zurück zum Zitat Torres CS, dos Santos JN, Monteiro JS, Amorim PG, Pinheiro AL (2008) Does the use of laser photobiomodulation, bone morphogenetic proteins, and guided bone regeneration improve the outcome of autologous bone grafts? An in vivo study in a rodent model. Photomed Laser Surg 26:371–377. https://doi.org/10.1089/pho.2007.2172 CrossRefPubMed Torres CS, dos Santos JN, Monteiro JS, Amorim PG, Pinheiro AL (2008) Does the use of laser photobiomodulation, bone morphogenetic proteins, and guided bone regeneration improve the outcome of autologous bone grafts? An in vivo study in a rodent model. Photomed Laser Surg 26:371–377. https://​doi.​org/​10.​1089/​pho.​2007.​2172 CrossRefPubMed
34.
38.
Zurück zum Zitat Esnouf A, Wright PA, Moore JC, Ahmed S (2007) Depth of penetration of an 850nm wavelength low level laser in human skin. Acupunct Electrother Res 32:81–86CrossRef Esnouf A, Wright PA, Moore JC, Ahmed S (2007) Depth of penetration of an 850nm wavelength low level laser in human skin. Acupunct Electrother Res 32:81–86CrossRef
Metadaten
Titel
Low-level laser therapy (LLLT) in sites grafted with osteoconductive bone substitutes improves osseointegration
verfasst von
Guilherme José Pimentel Lopes de Oliveira
Maurício Andres Tinajero Aroni
Felipe Eduardo Pinotti
Elcio Marcantonio Jr
Rosemary Adriana Chiérici Marcantonio
Publikationsdatum
05.02.2020
Verlag
Springer London
Erschienen in
Lasers in Medical Science / Ausgabe 7/2020
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI
https://doi.org/10.1007/s10103-019-02943-w

Weitere Artikel der Ausgabe 7/2020

Lasers in Medical Science 7/2020 Zur Ausgabe