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Published in: Lasers in Medical Science 2/2018

01-02-2018 | Original Article

Low-level laser therapy with 940 nm diode laser on stability of dental implants: a randomized controlled clinical trial

Authors: Parviz Torkzaban, Shahin Kasraei, Sara Torabi, Maryam Farhadian

Published in: Lasers in Medical Science | Issue 2/2018

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Abstract

Low-level laser therapy (LLLT) is a non-invasive modality to promote osteoblastic activity and tissue healing. The aim of this study was to evaluate the efficacy of LLLT for improvement of dental implant stability. This randomized controlled clinical trial was performed on 80 dental implants placed in 19 patients. Implants were randomly divided into two groups (n = 40). Seven sessions of LLLT (940 nm diode laser) were scheduled for the test group implants during 2 weeks. Laser was irradiated to the buccal and palatal sides. The same procedure was performed for the control group implants with laser hand piece in “off” mode. Implant stability was measured by Osstell Mentor device in implant stability quotient (ISQ) value immediately after surgery and 10 days and 3, 6, and 12 weeks later. Repeated measures ANOVA was used to compare the mean ISQ values (implant stability) in the test and control groups. Statistical test revealed no significant difference in the mean values of implant stability between the test and control groups over time (P = 0.557). Although the mean values of implant stability changed significantly in both groups over time (P < 0.05). Although the trend of reduction in stability was slower in the laser group in the first weeks and increased from the 6th to 12th week, LLLT had no significant effect on dental implant stability.
Literature
1.
go back to reference Brånemark PI, Svensson B, van Steenberghe D (1995) Ten-year survival rates of fixed prostheses on four or six implants ad modum Brånemark in full edentulism. Clin Oral Implants Res 6:227–231CrossRefPubMed Brånemark PI, Svensson B, van Steenberghe D (1995) Ten-year survival rates of fixed prostheses on four or six implants ad modum Brånemark in full edentulism. Clin Oral Implants Res 6:227–231CrossRefPubMed
2.
go back to reference Zarb GA (1985) Clinical application of osseointegration. An introduction. Swed Dent J Suppl 28:7–9PubMed Zarb GA (1985) Clinical application of osseointegration. An introduction. Swed Dent J Suppl 28:7–9PubMed
3.
go back to reference Becker W (2005) Immediate implant placement: diagnosis, treatment planning and treatment steps/or successful outcomes. J Calif Dent Assoc 33:303–310 ReviewPubMed Becker W (2005) Immediate implant placement: diagnosis, treatment planning and treatment steps/or successful outcomes. J Calif Dent Assoc 33:303–310 ReviewPubMed
4.
go back to reference Elias CN, Rocha FA, Nascimento AL, Coelho PG (2012) Influence of implant shape, surface morphology, surgical technique and bone quality on the primary stability of dental implants. J Mech Behav Biomed Mater 16:169–180CrossRefPubMed Elias CN, Rocha FA, Nascimento AL, Coelho PG (2012) Influence of implant shape, surface morphology, surgical technique and bone quality on the primary stability of dental implants. J Mech Behav Biomed Mater 16:169–180CrossRefPubMed
5.
go back to reference Raghavendra S, Wood MC, Taylor TD (2005) Early wound healing around endosseous implants: a review of the literature. Int J Oral Maxillofac Implants 20:425–431PubMed Raghavendra S, Wood MC, Taylor TD (2005) Early wound healing around endosseous implants: a review of the literature. Int J Oral Maxillofac Implants 20:425–431PubMed
6.
go back to reference Javed F, Romanos GE (2010) The role of primary stability for successful immediate loading of dental implants. A literature review. J Dent 38:612–620CrossRefPubMed Javed F, Romanos GE (2010) The role of primary stability for successful immediate loading of dental implants. A literature review. J Dent 38:612–620CrossRefPubMed
7.
go back to reference Marquezan M, Osório A, Sant'Anna E, Souza MM, Maia L (2012) Does bone mineral density influence the primary stability of dental implants? A systematic review. Clin Oral Implants Res 23:767–774CrossRefPubMed Marquezan M, Osório A, Sant'Anna E, Souza MM, Maia L (2012) Does bone mineral density influence the primary stability of dental implants? A systematic review. Clin Oral Implants Res 23:767–774CrossRefPubMed
8.
go back to reference Atsumi M, Park SH, Wang HL (2007) Methods used to assess implant stability: current status. Int J Oral Maxillofac Implants 22:743–754PubMed Atsumi M, Park SH, Wang HL (2007) Methods used to assess implant stability: current status. Int J Oral Maxillofac Implants 22:743–754PubMed
10.
go back to reference Kazem Shakouri S, Soleimanpour J, Salekzamani Y, Oskuie MR (2010) Effect of low-level laser therapy on the fracture healing process. Lasers Med Sci 25:73–77CrossRefPubMed Kazem Shakouri S, Soleimanpour J, Salekzamani Y, Oskuie MR (2010) Effect of low-level laser therapy on the fracture healing process. Lasers Med Sci 25:73–77CrossRefPubMed
11.
go back to reference Goymen M, Isman E, Taner L, Kurkcu M (2015) Histomorphometric evaluation of the effects of various diode lasers and force levels on orthodontic mini screw stability. Photomed Laser Surg 33:29–34CrossRefPubMedPubMedCentral Goymen M, Isman E, Taner L, Kurkcu M (2015) Histomorphometric evaluation of the effects of various diode lasers and force levels on orthodontic mini screw stability. Photomed Laser Surg 33:29–34CrossRefPubMedPubMedCentral
13.
go back to reference Moore P, Ridgway TD, Higbee RG, Howard EW, Lucroy MD (2005) Effect of wavelength on low-intensity laser irradiation-stimulated cell proliferation in vitro. Lasers Surg Med 36:8–12CrossRefPubMed Moore P, Ridgway TD, Higbee RG, Howard EW, Lucroy MD (2005) Effect of wavelength on low-intensity laser irradiation-stimulated cell proliferation in vitro. Lasers Surg Med 36:8–12CrossRefPubMed
14.
go back to reference Vinck EM, Cagnie BJ, Cornelissen MJ, Declercq HA, Cambier DC (2003) Increased fibroblast proliferation induced by light emitting diode and low power laser irradiation. Lasers Med Sci 18:95–99CrossRefPubMed Vinck EM, Cagnie BJ, Cornelissen MJ, Declercq HA, Cambier DC (2003) Increased fibroblast proliferation induced by light emitting diode and low power laser irradiation. Lasers Med Sci 18:95–99CrossRefPubMed
15.
go back to reference Hawkins D, Houreld N, Abrahamse H (2005) Low level laser therapy (LLLT) as an effective therapeutic modality for delayed wound healing. Ann N Y Acad Sci 1056:486–493CrossRefPubMed Hawkins D, Houreld N, Abrahamse H (2005) Low level laser therapy (LLLT) as an effective therapeutic modality for delayed wound healing. Ann N Y Acad Sci 1056:486–493CrossRefPubMed
16.
go back to reference Posten W, Wrone DA, Dover JS, Arndt KA, Silapunt S, Alam M (2005) Low-level laser therapy for wound healing: mechanism and efficacy. Dermatol Surg 31:334–340CrossRefPubMed Posten W, Wrone DA, Dover JS, Arndt KA, Silapunt S, Alam M (2005) Low-level laser therapy for wound healing: mechanism and efficacy. Dermatol Surg 31:334–340CrossRefPubMed
17.
go back to reference Arisu HD, Turkoz E, Bala O (2006) Effects of Nd:Yag laser irradiation on osteoblast cell cultures. Lasers Med Sci 21:175–180CrossRefPubMed Arisu HD, Turkoz E, Bala O (2006) Effects of Nd:Yag laser irradiation on osteoblast cell cultures. Lasers Med Sci 21:175–180CrossRefPubMed
18.
go back to reference Al-Watban FA, Zhang XY (2004) The comparison of effects between pulsed and CW lasers on wound healing. J Clin Laser Med Surg 22:15–18CrossRefPubMed Al-Watban FA, Zhang XY (2004) The comparison of effects between pulsed and CW lasers on wound healing. J Clin Laser Med Surg 22:15–18CrossRefPubMed
19.
go back to reference Agha-Hosseini F, Moslemi E, Mirzaii-Dizgah I (2012) Comparative evaluation of low-level laser and CO(2) laser in treatment of patients with oral lichen planus. Int J Oral Maxillofac Surg 41:1265–1269CrossRefPubMed Agha-Hosseini F, Moslemi E, Mirzaii-Dizgah I (2012) Comparative evaluation of low-level laser and CO(2) laser in treatment of patients with oral lichen planus. Int J Oral Maxillofac Surg 41:1265–1269CrossRefPubMed
20.
go back to reference Freddo AL, Rodrigo SM, Massotti FP, Etges A, de Oliveira MG (2009) Effect of low-level laser therapy after implantation of poly-L-lactic/polyglycolic acid in the femurs of rats. Lasers Med Sci 24:721–728CrossRefPubMed Freddo AL, Rodrigo SM, Massotti FP, Etges A, de Oliveira MG (2009) Effect of low-level laser therapy after implantation of poly-L-lactic/polyglycolic acid in the femurs of rats. Lasers Med Sci 24:721–728CrossRefPubMed
21.
go back to reference Mohammed IF, Al-Mustawfi N, Kaka LN (2007) Promotion of regenerative processes in injured peripheral nerve induced by low-level laser therapy. Photomed Laser Surg 25:107–111CrossRefPubMed Mohammed IF, Al-Mustawfi N, Kaka LN (2007) Promotion of regenerative processes in injured peripheral nerve induced by low-level laser therapy. Photomed Laser Surg 25:107–111CrossRefPubMed
22.
go back to reference Gomes FV, Mayer L, Massotti FP, Baraldi CE, Ponzoni D, Webber JB, de Oliveira MG (2015) Low-level laser therapy improves peri-implant bone formation: resonance frequency, electron microscopy, and stereology findings in a rabbit model. Int J Oral Maxillofac Surg 44:245–251CrossRefPubMed Gomes FV, Mayer L, Massotti FP, Baraldi CE, Ponzoni D, Webber JB, de Oliveira MG (2015) Low-level laser therapy improves peri-implant bone formation: resonance frequency, electron microscopy, and stereology findings in a rabbit model. Int J Oral Maxillofac Surg 44:245–251CrossRefPubMed
23.
go back to reference Truhlar RS, Morris HF, Ochi S, Winkler S (1994) Assessment of implant mobility at second-stage surgery with the Periotest: DICRG interim report no.3. Dental implant clinical research group. Implant Dent 3:153–156CrossRefPubMed Truhlar RS, Morris HF, Ochi S, Winkler S (1994) Assessment of implant mobility at second-stage surgery with the Periotest: DICRG interim report no.3. Dental implant clinical research group. Implant Dent 3:153–156CrossRefPubMed
24.
go back to reference Meredith N (1998) Assessment of implant stability as a prognostic determinant. Int J Prosthodont 11:491–501PubMed Meredith N (1998) Assessment of implant stability as a prognostic determinant. Int J Prosthodont 11:491–501PubMed
25.
go back to reference Karl M, Graef F, Heckmann S, Krafft T (2008) Parameters of resonance frequency measurement values: a retrospective study of 385 ITI dental implants. Clin Oral Implants Res 19:214–218CrossRefPubMed Karl M, Graef F, Heckmann S, Krafft T (2008) Parameters of resonance frequency measurement values: a retrospective study of 385 ITI dental implants. Clin Oral Implants Res 19:214–218CrossRefPubMed
26.
go back to reference Sjostrom M, Lundgren S, NilsonH SL (2005) Monitoring of implant stability in grafted bone using resonance frequency analysis. A clinical study from implant placement to 6 months of loading. Int J Oral Maxillofac Surg 34:45–51PubMed Sjostrom M, Lundgren S, NilsonH SL (2005) Monitoring of implant stability in grafted bone using resonance frequency analysis. A clinical study from implant placement to 6 months of loading. Int J Oral Maxillofac Surg 34:45–51PubMed
27.
go back to reference Garcia-Morales JM, Tortamano-Neto P, Todescan FF, de Andrade JC Jr, Marotti J, Zezell DM (2012) Stability of dental implants after irradiation with an 830-nm low-level laser: a double-blind randomized clinical study. Lasers Med Sci 27:703–711CrossRefPubMed Garcia-Morales JM, Tortamano-Neto P, Todescan FF, de Andrade JC Jr, Marotti J, Zezell DM (2012) Stability of dental implants after irradiation with an 830-nm low-level laser: a double-blind randomized clinical study. Lasers Med Sci 27:703–711CrossRefPubMed
28.
go back to reference Mandić B, Lazić Z, Marković A, Mandić B, Mandić M, Djinić A, Miličić B (2015) Influence of postoperative low-level laser therapy on the osseointegration of self-tapping implants in the posterior maxilla: a 6-week split-mouth clinical study. Vojnosanit Pregl 72:233–240CrossRefPubMed Mandić B, Lazić Z, Marković A, Mandić B, Mandić M, Djinić A, Miličić B (2015) Influence of postoperative low-level laser therapy on the osseointegration of self-tapping implants in the posterior maxilla: a 6-week split-mouth clinical study. Vojnosanit Pregl 72:233–240CrossRefPubMed
29.
go back to reference Medina-Huertas R, Manzano-Moreno FJ, De Luna-Bertos E, Ramos-Torrecillas J, Garcia-Martinez O, Ruiz C (2014) The effects of low-level diode laser irradiation on differentiation, antigenic profile, and phagocytic capacity of osteoblast-like cells (MG-63). Lasers Med Sci 29:1479–1484PubMed Medina-Huertas R, Manzano-Moreno FJ, De Luna-Bertos E, Ramos-Torrecillas J, Garcia-Martinez O, Ruiz C (2014) The effects of low-level diode laser irradiation on differentiation, antigenic profile, and phagocytic capacity of osteoblast-like cells (MG-63). Lasers Med Sci 29:1479–1484PubMed
30.
go back to reference Jawad MM, Husein A, Azlina A, Alam MK, Hassan R, Shaari R (2013) Effect of 940 nm low-level laser therapy on osteogenesis in vitro. J Biomed Opt 18:128001CrossRefPubMed Jawad MM, Husein A, Azlina A, Alam MK, Hassan R, Shaari R (2013) Effect of 940 nm low-level laser therapy on osteogenesis in vitro. J Biomed Opt 18:128001CrossRefPubMed
31.
go back to reference Mayer L, Gomes FV, Carlsson L, Gerhardt-Oliveira M (2015) Histologic and resonance frequency analysis of peri-implant bone healing after low-level laser therapy: an in vivo study. Int J Oral Maxillofac Implants 30:1028–1035CrossRefPubMed Mayer L, Gomes FV, Carlsson L, Gerhardt-Oliveira M (2015) Histologic and resonance frequency analysis of peri-implant bone healing after low-level laser therapy: an in vivo study. Int J Oral Maxillofac Implants 30:1028–1035CrossRefPubMed
32.
go back to reference Mayer L, Gomes FV, de Oliveira MG, de Moraes JF, Carlsson L (2016) Peri-implant osseointegration after low-level laser therapy: micro-computed tomography and resonance frequency analysis in an animal model. Lasers Med Sci 31:1789–1795CrossRefPubMed Mayer L, Gomes FV, de Oliveira MG, de Moraes JF, Carlsson L (2016) Peri-implant osseointegration after low-level laser therapy: micro-computed tomography and resonance frequency analysis in an animal model. Lasers Med Sci 31:1789–1795CrossRefPubMed
33.
go back to reference Weber JB, Pinheiro AL, de Oliveira MG, Oliveira FA, Ramalho LM (2006) Laser therapy improves healing of bone defects submitted to autologous bone graft. Photomed Laser Surg 24:38–44CrossRefPubMed Weber JB, Pinheiro AL, de Oliveira MG, Oliveira FA, Ramalho LM (2006) Laser therapy improves healing of bone defects submitted to autologous bone graft. Photomed Laser Surg 24:38–44CrossRefPubMed
34.
go back to reference Oh JS, Kim SG, Lim SC, Ong JL (2009) A comparative study of two noninvasive techniques to evaluate implant stability: Periotest and Osstell Mentor. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107:513–518CrossRefPubMed Oh JS, Kim SG, Lim SC, Ong JL (2009) A comparative study of two noninvasive techniques to evaluate implant stability: Periotest and Osstell Mentor. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107:513–518CrossRefPubMed
35.
go back to reference Caulier H, Naert I, Kalk W, Jansen JA (1997) The relationship of some histologic parameters, radiographic evaluations, and Periotest measurements of oral implants: an experimental animal study. Int J Oral Maxillofac Implants 12:380–386PubMed Caulier H, Naert I, Kalk W, Jansen JA (1997) The relationship of some histologic parameters, radiographic evaluations, and Periotest measurements of oral implants: an experimental animal study. Int J Oral Maxillofac Implants 12:380–386PubMed
36.
go back to reference Lopes CB, Pinheiro AL, Sathaiah S, Duarte J, Cristinamartins M (2005) Infrared laser light reduces loading time of dental implants: a Raman spectroscopic study. Photomed Laser Surg 23:27–31CrossRefPubMed Lopes CB, Pinheiro AL, Sathaiah S, Duarte J, Cristinamartins M (2005) Infrared laser light reduces loading time of dental implants: a Raman spectroscopic study. Photomed Laser Surg 23:27–31CrossRefPubMed
37.
go back to reference Kim YD, Kim SS, Hwang DS, Kim SG, Kwon YH, Shin SH, Kim UK, Kim JR, Chung IK (2007) Effect of low-level laser treatment after installation of dental titanium implant-immunohistochemical study of RANKL, RANK, OPG: an experimental study in rats. Lasers Surg Med 39:441–450CrossRefPubMed Kim YD, Kim SS, Hwang DS, Kim SG, Kwon YH, Shin SH, Kim UK, Kim JR, Chung IK (2007) Effect of low-level laser treatment after installation of dental titanium implant-immunohistochemical study of RANKL, RANK, OPG: an experimental study in rats. Lasers Surg Med 39:441–450CrossRefPubMed
38.
go back to reference Nedir R, Bischof M, Szmukler-Moncler S, Bernard JP, Samson J (2004) Predicting osseointegration by means of implant primary stability. Clin Oral Implants Res 15:520–528CrossRefPubMed Nedir R, Bischof M, Szmukler-Moncler S, Bernard JP, Samson J (2004) Predicting osseointegration by means of implant primary stability. Clin Oral Implants Res 15:520–528CrossRefPubMed
39.
go back to reference Balleri P, Cozzolino A, Ghelli L, Momicchioli G, Varriale A (2004) Stability measurements of osseointegrated implants using Osstell in partially edentulous jaws after 1 year of loading: a pilot study. ClinImplant Dent Relat Res 4:128–132CrossRef Balleri P, Cozzolino A, Ghelli L, Momicchioli G, Varriale A (2004) Stability measurements of osseointegrated implants using Osstell in partially edentulous jaws after 1 year of loading: a pilot study. ClinImplant Dent Relat Res 4:128–132CrossRef
40.
go back to reference Barewal RM, Oates TW, Meredith N, Cochran DL (2003) Resonance frequency measurement of implant stability in vivo on implants with a sandblasted and acid-etched surface. Int J Oral Maxillofac Implants 18:641–651PubMed Barewal RM, Oates TW, Meredith N, Cochran DL (2003) Resonance frequency measurement of implant stability in vivo on implants with a sandblasted and acid-etched surface. Int J Oral Maxillofac Implants 18:641–651PubMed
41.
go back to reference Pinheiro AL, Gerbi ME (2006) Photoengineering of bone repair processes. Photomed Laser Surg 24:169–178CrossRefPubMed Pinheiro AL, Gerbi ME (2006) Photoengineering of bone repair processes. Photomed Laser Surg 24:169–178CrossRefPubMed
42.
go back to reference Rodrigo SM, Cunha A, Pozza DH, Blaya DS, Moraes JF, Weber JB, de Oliveira MG (2009) Analysis of the systemic effect of red and infrared laser therapy on wound repair. Photomed Laser Surg 27:929–935CrossRefPubMed Rodrigo SM, Cunha A, Pozza DH, Blaya DS, Moraes JF, Weber JB, de Oliveira MG (2009) Analysis of the systemic effect of red and infrared laser therapy on wound repair. Photomed Laser Surg 27:929–935CrossRefPubMed
43.
go back to reference Sennerby L, Meredith N (2008) Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontol 47:51–66CrossRef Sennerby L, Meredith N (2008) Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontol 47:51–66CrossRef
44.
go back to reference Maluf AP, Maluf RP, Brito Cda R, Franca FM, de Brito RB Jr (2010) Mechanical evaluation of the influence of low-level laser therapy in secondary stability of implants in mice shinbones. Lasers Med Sci 25:693–698CrossRefPubMed Maluf AP, Maluf RP, Brito Cda R, Franca FM, de Brito RB Jr (2010) Mechanical evaluation of the influence of low-level laser therapy in secondary stability of implants in mice shinbones. Lasers Med Sci 25:693–698CrossRefPubMed
45.
go back to reference Khadra M (2005) The effect of low level laser irradiation on implant-tissue interaction. In vivo and in vitro studies. Swed Dent J Suppl 172:1–63 Khadra M (2005) The effect of low level laser irradiation on implant-tissue interaction. In vivo and in vitro studies. Swed Dent J Suppl 172:1–63
Metadata
Title
Low-level laser therapy with 940 nm diode laser on stability of dental implants: a randomized controlled clinical trial
Authors
Parviz Torkzaban
Shahin Kasraei
Sara Torabi
Maryam Farhadian
Publication date
01-02-2018
Publisher
Springer London
Published in
Lasers in Medical Science / Issue 2/2018
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI
https://doi.org/10.1007/s10103-017-2365-9

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