Enhancement of Healing of Periodontal Intrabony Defects Using 810 nm Diode Laser and Different Advanced Treatment Modalities: A Blind Experimental Study

Shrief Hemaid; Ali Saafan; Manal Hosny; Gernot Wimmer

doi:10.3889/oamjms.2019.484

Authors

Shrief Hemaid Dental Laser Applications, Department of Medical Applications of Laser, National Institute for Laser Enhancement Sciences, Cairo University, Cairo, Egypt
Ali Saafan Dental Laser Applications, Department of Medical Applications of Laser, National Institute for Laser Enhancement Sciences, Cairo University, Cairo, Egypt
Manal Hosny Dental Laser Applications, Department of Medical Applications of Laser, National Institute for Laser Enhancement Sciences, Cairo University, Cairo, Egypt
Gernot Wimmer Dental Laser Applications, Department of Medical Applications of Laser, National Institute for Laser Enhancement Sciences, Cairo University, Cairo, Egypt

DOI:

https://doi.org/10.3889/oamjms.2019.484

Keywords:

laser biostimulation, periodontal intrabony defects, rabbits, platelet rich fibrin, NanoHydroxyApatite

Abstract

BACKGROUND: Low-level laser therapy (LLLT) in the early stage of bone healing was demonstrated as a positive local biostimulative effect. It was also shown that platelet-rich fibrin (PRF) and nanohydroxyapatite alloplast (NanoHA) are effective in treating periodontal intrabony defects.
AIM: The study aimed to evaluate the combined effects of LLLT (810 nm), PRF and NanoHA on induced intrabony periodontal defects healing.
MATERIAL AND METHODS The study was conducted on 16 defects in 8 adult male rabbits (n = 16) divided into 4 groups; Control non-treated group (C), laser irradiated control group (CL), PRF+NanoHA graft (NanoHA-Graft+PRF) treated group and laser irradiated and treated group (NanoHA-Graft+PRF+L). CT radiography was made at baseline, 15 and 30 days later. The defects were induced in the form of one osseous wall defects of 10 mm height, 4 mm depth between the 1st and the 2nd molars using a tapered fissure drill coupled to a high-speed motor. Statistical analysis was done using ANOVA.
RESULTS: (NanoHA-Graft+PRF+L) group significantly produced bone density higher than C, CL and NanoHA-G+PRF alone.
CONCLUSION: The combination of LLLT+PRF+NanoHA as a treatment modality induced the best results in bone formation in the bone defect more than LLLT alone or PRF+NanoHA alone.

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