Effect of Low Level Diode Laser Biostimulation on Implant Stability

Alexandria University20 enrolled

Overview

Tooth loss is accompanied by bone loss in all dimensions, so preservation of the bone is mandatory for placement of dental implant, as bone quantity and quality are predictive factors in achieving proper primary stability. Low level bio stimulation has stimulatory effect on bone cells so it can be used in immediate implants to increase bone formation around the implant. the Aim of this study is to evaluate the effect of low-level diode laser Biostimulation on immediate implants in maxillary premolars.

20 patients with unrestorable maxillary premolars were included in the study treated with immediate implants. Patients were divided into two groups (n=10). Group 1 Received immediate implant with low level diode laser application (study), and group 2 received immediate implant without laser application (control). Preoperative clinical and radiographic evaluation, immediate post operative and after 4 months radiographic evaluation to assess stability and bone density around the implant.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Immediate Implant Placement Laser Biostimulation

Interventions

immediate maxillary premolar implant placement with no subsequent laser BiostimulationPROCEDURE

Sham laser application

immediate maxillary premolar implant placement with subsequent laser BiostimulationPROCEDURE

low lever biostimulation was performed on two consecutive sessions each of 100 s. First session was carried out immediately on surgery time after implant placement, using a diode laser Photo-biomodulation tip in a continuous wave and non-contact mode

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients with unrestorable maxillary premolars with sufficient bone quantity to receive the dental implant. 2. Age ranging from 25-45. 3. Patients with no local or systemic pathology that can interfere with normal wound healing. 4. Non- smokers. 5. Patients that are properly motivated to complete follow up visits. 6. Patients with adequate oral hygiene or willing to improve their oral hygiene to ensure uncompromised wound healing. Exclusion Criteria: 1. Patients with uncontrolled medical condition that can affect surgical outcome or bone and wound healing. (ex: diabetes mellitus) 2. Patients with periapical pathology that may contraindicate immediate implant placement. 3. History of receiving irradiation in head and neck region

Locations (1)

Faculty of Dentistry, Alexandria University

Alexandria, Alexandria Governorate, Egypt

Outcomes

Primary Outcomes

Implant Stability Assessment using Radio frequency analysis

Secondary implant stability analysis was performed 4-months after implant placement. Radio frequency analysis (RFA) was performed using Osstell device (Integration diagnostic Ltd. Company, Sävedalen, Sweden). Primary and secondary implant stability were analyzed and compared. The use of the Osstell and ISQ values were obtained by a blinded operator

Time frame: 4 month

Secondary Outcomes

Radiographic assessment of the management of the crestal bone width and changes in labial bone thickness.

A postoperative CBCT will be taken within 24 hours of implant placement followed by a 6-months scan, and values will be compared with the preoperative record. The assessment will be conducted using the tools on the "On Demand 3D App." Software\*. The following criteria will be assessed:

Time frame: 4 months

Data from ClinicalTrials.gov

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