Effect of Laser Therapy on the Osseointegration of Immediately Loaded Dental Implants in Patients under Vitamin C, Omega-3 and Calcium Therapy

Faten Fawzy Mikhail; Mouchira El-Din; Tarek Ibrahim; Khaled Zekry; Amany Hussein Nemat; Sherine Nasry

doi:10.3889/oamjms.2018.291

Authors

Faten Fawzy Mikhail Department of Surgery and Oral Medicine, National Research Centre, Cairo
Mouchira El-Din Periodontology and Oral Radiology, Department of Oral Medicine, Faculty of Oral and Dental Medicine, Cairo University, Cairo
Tarek Ibrahim Department of Medical Laser Application, National Institute of Laser Enhanced Sciences, Cairo University, Cairo
Khaled Zekry Periodontology and Oral Radiology, Department of Oral Medicine, Faculty of Oral and Dental Medicine, Cairo University, Cairo
Amany Hussein Nemat Department of Surgery and Oral Medicine, National Research Centre, Cairo
Sherine Nasry Department of Surgery and Oral Medicine, National Research Centre, Cairo

DOI:

https://doi.org/10.3889/oamjms.2018.291

Keywords:

Calcium, Immediately loaded implant, Laser therapy, Omega-3, Osseointegration, Vitamin C

Abstract

BACKGROUND: The use of laser therapy in the biostimulation of bone repair has been growing steadily.

AIM: This study aimed to evaluate the radio-densitometric effect of low-intensity laser therapy on the osseointegration of immediately loaded dental implants in patients under vitamin C, omega-3 and calcium therapy.

PATIENTS AND METHODS:Â A single implant was placed in the mandibular first molar region of twenty patients which were equally divided into two groups. In the non-laser group, the healing phase was left to progress spontaneously without any intervention, while in the laser group it was augmented with low-level laser therapy of wavelength 904 nm in contact mode, continuous wave, 20 mW output power and exposure time 30 sec with a dose 4.7 J/cm². Patients in both groups were given vitamin C, calcium and omega-3 starting one month preoperatively. Postoperative digital panoramas were taken immediately after surgery, 1.5 months and 6 months postoperatively. Changes in bone density along the bone-implant interface at the mesial, distal and apical sides were assessed using the Digora software.

RESULTS: Independent student t-test was used to compare means of variables between the laser and the non-laser group while repeated measures ANOVA was used to compare bone densities at different times for the same group. Significant increased differences were observed at the mesial, distal and apical sides surrounding the implants of both groups per time. However, the rate of increase was significantly higher in the laser group.Â The mean difference at the mesial side after 6 months was 21.99 Â± 5.48 in the laser group and 14.21 Â± 4.95 in the non-laser group, while it read 21.74 Â± 3.56 in the laser group and 10.78 Â± 3.90 in non-laser group at the distal side and was 18.90 Â± 5.91 in the laser group and 10.39 Â± 3.49 in non-laser group at the apical side. Significance was recorded at P = 0.004, P = 0.0001, and 0.001 at the mesial, distal and apical sides respectively.

CONCLUSION: The low-intensity laser irradiation significantly promoted bone healing and speeded up the osseointegration process emphasising the laserâ€™s biostimulatory effect.

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