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Comparative efficacy of photobiomodulation on osseointegration in dental implants: A systematic review and meta-analysis.
Saini, Ravinder S; Kanji, Masroor Ahmed; Okshah, Abdulmajeed; Alshadidi, Abdulkhaliq Ali F; Binduhayyim, Rayan Ibrahim H; Vyas, Rajesh; Aldosari, Lujain Ibrahim N; Vardanyan, Anna; Mosaddad, Seyed Ali; Heboyan, Artak.
Afiliación
  • Saini RS; Department of Dental Technology, COAMS, King Khalid University, Abha, Saudi Arabia.
  • Kanji MA; Department of Dental Technology, COAMS, King Khalid University, Abha, Saudi Arabia.
  • Okshah A; Department of Dental Technology, COAMS, King Khalid University, Abha, Saudi Arabia.
  • Alshadidi AAF; Department of Dental Technology, COAMS, King Khalid University, Abha, Saudi Arabia.
  • Binduhayyim RIH; Department of Dental Technology, COAMS, King Khalid University, Abha, Saudi Arabia.
  • Vyas R; Department of Dental Technology, COAMS, King Khalid University, Abha, Saudi Arabia.
  • Aldosari LIN; Department of Prosthodontics, College of Dentistry, King Khalid University, Abha, Saudi Arabia.
  • Vardanyan A; Department of Prosthodontics, Faculty of Stomatology, Yerevan State Medical University after Mkhitar Heratsi, Yerevan, Armenia.
  • Mosaddad SA; Department of Research Analytics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India; Department of Conservative Dentistry and Bucofacial Prosthesis, Faculty of Odontology, Complutense University of Madrid, Madrid, Spain.
  • Heboyan A; Department of Prosthodontics, Faculty of Stomatology, Yerevan State Medical University after Mkhitar Heratsi, Yerevan, Armenia; Department of Research Analytics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India; Departme
Photodiagnosis Photodyn Ther ; 48: 104256, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38914185
ABSTRACT

AIM:

This study aimed to assess the effectiveness of photobiomodulation therapy (PBM) in enhancing bone integration with dental implants.

METHOD:

PubMed, ScienceDirect, the Cochrane Library, Scopus, and Google Scholar were searched. Studies assessing PBM effectiveness with defined intervention/control groups were included, while those lacking specified laser types, involving severe maxillofacial defects or surgery, and not reporting outcomes related to dental implant osseointegration post-PBM therapy were excluded. The studies' risk of bias was assessed using Robvis for randomized controlled trials (RCTs) and ROBINS-I for non-RCTs. The meta-analysis was conducted utilizing a random-effects model at a significance level of 0.01.

RESULTS:

The study reviewed 26 papers involving 571 patients undergoing dental implant procedures with PBM/Low-Level Laser Therapy (LLLT) or placebo/control. Implant stability quotients (ISQ) analysis showed a non-significant difference (p = 0.06, mean difference 1.02, 95 % CI 0.28 to 1.75, I2=28 %), while the Periotest method indicated significant improvement in stability (p < 0.01, mean difference -0.51, 95 % CI -0.78 to -0.24, I2=71 %). PBM resulted in a significant bone density increase (p < 0.01, mean difference 26, 95 % CI 6.93 to 45.06, I2=91 %), but marginal bone loss showed no significant difference (p = 0.11, mean difference 0.00, 95 % CI -0.06 to 0.05, I2=45 %). Implant survival rate did not significantly differ (p = 0.73, mean difference 1.56, 95 % CI 0.38 to 6.46, I2=0 %). Most studies raised concerns regarding randomization.

CONCLUSION:

PBM could improve implant stability, as assessed with Periotest, and increase bone density, enhancing osseointegration. However, implant stability assessed with ISQ, marginal bone loss, and implant survival rate were comparable between the study groups.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Implantes Dentales / Oseointegración / Terapia por Luz de Baja Intensidad Límite: Humans Idioma: En Revista: Photodiagnosis Photodyn Ther Asunto de la revista: DIAGNOSTICO POR IMAGEM / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Implantes Dentales / Oseointegración / Terapia por Luz de Baja Intensidad Límite: Humans Idioma: En Revista: Photodiagnosis Photodyn Ther Asunto de la revista: DIAGNOSTICO POR IMAGEM / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Países Bajos