دورية أكاديمية

Comparative efficacy of photobiomodulation on osseointegration in dental implants: A systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Comparative efficacy of photobiomodulation on osseointegration in dental implants: A systematic review and meta-analysis.
المؤلفون: 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. Electronic address: semosadd@ucm.es., 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; Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: heboyan.artak@gmail.com.
المصدر: Photodiagnosis and photodynamic therapy [Photodiagnosis Photodyn Ther] 2024 Aug; Vol. 48, pp. 104256. Date of Electronic Publication: 2024 Jun 22.
نوع المنشور: Systematic Review; Journal Article; Meta-Analysis; Comparative Study; Review
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101226123 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-1597 (Electronic) Linking ISSN: 15721000 NLM ISO Abbreviation: Photodiagnosis Photodyn Ther Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Amsterdam ; Boston : Elsevier, c2004-
مواضيع طبية MeSH: Low-Level Light Therapy*/methods , Osseointegration* , Dental Implants*, Humans
مستخلص: 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, I 2 =28 %), while the Periotest method indicated significant improvement in stability (p < 0.01, mean difference: -0.51, 95 % CI: -0.78 to -0.24, I 2 =71 %). PBM resulted in a significant bone density increase (p < 0.01, mean difference: 26, 95 % CI: 6.93 to 45.06, I 2 =91 %), but marginal bone loss showed no significant difference (p = 0.11, mean difference: 0.00, 95 % CI: -0.06 to 0.05, I 2 =45 %). Implant survival rate did not significantly differ (p = 0.73, mean difference: 1.56, 95 % CI: 0.38 to 6.46, I 2 =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.
Competing Interests: Competing interests The authors declare that they have no known competing financial interests or personal relationships that could have influenced the work reported in this paper.
(Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.)
فهرسة مساهمة: Keywords: Dental implants; Implant stability; LLLT; Low-level laser therapy; PBM; osseointegration
المشرفين على المادة: 0 (Dental Implants)
تواريخ الأحداث: Date Created: 20240624 Date Completed: 20240819 Latest Revision: 20240819
رمز التحديث: 20240820
DOI: 10.1016/j.pdpdt.2024.104256
PMID: 38914185
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-1597
DOI:10.1016/j.pdpdt.2024.104256