Clinical Outcomes of Low-level Laser Therapy in Management of Advanced Implant Surgery Complications: A Comparative Clinical Study

Pouremadi, Narges; Motaghi, Arash; Safdari, Roya; Zarean, Paridokht; Rashad, Ashkan; Zarean, Parichehr; Aminy, Shahram

doi:10.5005/jp-journals-10024-2479

Cited by 13 publications

(2 citation statements)

References 16 publications

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“…A prophylactic application before implant placement could also be conceivable. There are various other current research projects trying to improve implant osseointegration or soft tissue healing, such as using low-level laser therapy (LLT), the application of bone morphogenetic protein 2 (BMP2), platelet-rich plasma (PRP) treatment, the use of stem cells or optimizing the features of the inserted implants [64][65][66][67][68][69]. Implementing promising approaches could help to advance implant surgery and reduce the incidence of osteoradionecrosis.…”

Section: Osteoradionecrosismentioning

confidence: 99%

Survival of dental implants and occurrence of osteoradionecrosis in irradiated head and neck cancer patients: a systematic review and meta-analysis

et al. 2021

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Objectives This systematic review assesses dental implant survival, calculates the incidence rate of osteoradionecrosis, and evaluates risk factors in irradiated head and neck cancer patients. Materials and methods Various databases (e.g., Medline/Embase using Ovid) and gray literature platforms were searched using a combination of keywords and subject headings. When appropriate, meta-analysis was carried out using a random effects model. Otherwise, pooled analysis was applied. Results A total of 425 of the 660 included patients received radiotherapy. In total, 2602 dental implants were placed, and 1637 were placed in irradiated patients. Implant survival after an average follow-up of 37.7 months was 97% (5% confidence interval, CI 95.2%, 95% CI 98.3%) in nonirradiated patients and 91.9% (5% CI 87.7%, 95% CI: 95.3%) after an average follow-up of 39.8 months in irradiated patients. Osteoradionecrosis occurred in 11 cases, leading to an incidence of 3% (5% CI 1.6%, 95% CI 4.9%). The main factors impacting implant survival were radiation and grafting status, while factors influencing osteoradionecrosis could not be determined using meta-analysis. Conclusion Our data show that implant survival in irradiated patients is lower than in nonirradiated patients, and osteoradionecrosis is—while rare—a serious complication that any OMF surgeon should be prepared for. The key to success could be a standardized patient selection and therapy to improve the standard of care, reduce risks and shorten treatment time. Clinical relevance Our analysis provides further evidence that implant placement is a feasible treatment option in irradiated head and neck cancer patients with diminished oral function and good long-term cancer prognosis.

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Section: Osteoradionecrosismentioning

confidence: 99%

Survival of dental implants and occurrence of osteoradionecrosis in irradiated head and neck cancer patients: a systematic review and meta-analysis

et al. 2021

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“…Відомий позитивний вплив МЛТ на пошкодженні м'які тканин, що призводить до зменшення рівня болю, набряку та поліпшення загоєння ран [14]. В результаті проведення даного дослідження встановлено збільшення обсягу активних рухів і м'язової сили.…”

Section: обговоренняunclassified

Characteristics of Muscle Recovery under Experimental Post-Traumatic Contracture

Pankevych¹,

Matolych²,

Уштан³

et al. 2021

Ukr. ž. med. bìol. sportu

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The frequency of traumatic injuries of the maxillofacial area and the degree of their severity, have been increasing in recent years. The introduction of modern methods of treatment made it possible to improve the results of treatment and shorten its duration. Myogenic contractures develop as a complication after facial injuries, soft tissue injuries, in particular, masticatory muscles. The gastrocnemius muscle of a rat has the same striated structure as the pterygoideus medialis muscle of a person. The purpose of the work is to study the regeneration of striatal muscles with post-traumatic contractures on the basis of combined treatment of laboratory rats. Materials and methods. The study was carried out on 45 sexually mature 12 months old outbred white male rats, which weighed 180-200 g. In animals, reflex post-traumatic muscle contractures (traumatic myositis) resulting from the slaughter of calf muscles (without violating the integrity of muscle tissue) were simulated on the posterior left leg. The rats were divided into two groups. Group 1 included 21 animals that did not receive treatment and whose wounds healed by secondary intention. Group 2 included 24 rats that received combined treatment: on the 2nd day after surgery – general (oral) administration of the drug with the active substance cyclobenzaprine hydrochloride – 0.15 mg, once a day with daily procedures of magnetic laser therapy on the affected hind limb. Results and discussion. Depending on the signs of pain behavior (changes in behavior, restriction of movement, increased sensitivity, pain), the intensity of myogenic pain syndrome was assessed (low, moderate, high, very high). It was found that the use of combined treatment (magnetic laser therapy and the use of cyclobenzaprine hydrochloride) led to the normalization of behavioral and motor reactions by the 28th day: 56% of rats didn’t feel any pain and 44% had a low level of pain. The animals with the same trauma, which weren’t treated, showed a high and moderate level of pain. On the 28th day these animals could lean on their hind limbs while they were moving. However, they could not fully move due to a sharp restriction of their left hind limb function. The obtained results are the basis for the development of new approaches to improving the methods of prevention and rehabilitation treatment of contractures using magnetic laser therapy and central muscle relaxants. Conclusion. It was found that the use of magnetic laser therapy and cyclobenzaprine hydrochloride inhibited the development of an acute inflammatory reaction in the damaged muscle tissue of the hind limb of animals, accelerated and optimized reparative processes, which prevented excessive, functionally significant growth of connective tissue

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Effects of photobiomodulation therapy on implant stability and postoperative recovery: a systematic review and meta-analysis

Luo

Hong

et al. 2022

British Journal of Oral and Maxillofacial Surgery

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Clinical Outcomes of Low-level Laser Therapy in Management of Advanced Implant Surgery Complications: A Comparative Clinical Study

Cited by 13 publications

References 16 publications

Survival of dental implants and occurrence of osteoradionecrosis in irradiated head and neck cancer patients: a systematic review and meta-analysis

Survival of dental implants and occurrence of osteoradionecrosis in irradiated head and neck cancer patients: a systematic review and meta-analysis

Characteristics of Muscle Recovery under Experimental Post-Traumatic Contracture

Effects of photobiomodulation therapy on implant stability and postoperative recovery: a systematic review and meta-analysis

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