Abstract

PurposeThe primary aim of this study is to assess, in an animal model, whether biostimulation of osteoporotic bone with low-level laser therapy improves the osseointegration of dental implants.Material and methodsTwenty-two female rabbits were randomly divided into two groups: sham-ovariectomy and bilateral-ovariectomy. Laser therapy was applied to the implants placed in the right tibial bones and was not applied to implants placed in the left tibial bones. The periotest device was used for the stability test. Periotest values were recorded after the implantation (T0) and when the animals were euthanized (T1). The removal torque test and micro-computed tomography examination were evaluated.ResultsAs a result of removal torque, the mean of ovariectomy-laser group (56.1 ± 5.1 Ncm) was higher than sham-ovariectomy group (55.4 ± 18.5 Ncm) (p = 0.9). In periotest analysis, a significant difference was found between the values of T1 and T0 in all groups, except sham-ovariectomy group (p < 0.05); and the highest difference was found in the ovariectomy-laser group. Micro-CT examination demonstrated that ovariectomy-laser group showed an increase of implant–bone contact when compared with ovariectomy (p < 0.05).ConclusionsThe values obtained from biomechanical tests and micro-CT in the ovariectomy-laser group were significantly higher than the ovariectomy group and achieved the values in the healthy bone.

Highlights

  • Dental implants are frequently used in prosthetic treatment with the aim of restoring the loss of esthetic and function

  • A significant difference was found between the values of T1 and T0 in all groups, except sham-ovariectomy group (p < 0.05); and the highest difference was found in the ovariectomy-laser group

  • The values obtained from biomechanical tests and micro-CT in the ovariectomy-laser group were significantly higher than the ovariectomy group and achieved the values in the healthy bone

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Summary

Introduction

Dental implants are frequently used in prosthetic treatment with the aim of restoring the loss of esthetic and function. Karakaya and Demirbaş International Journal of Implant Dentistry (2020) 6:61 mass and bone mineral density have been reported to cause delayed healing of fractures and bone repair [6]. This increases the risk of failure in the integration of any biomaterial implanted into the osteoporotic bone. The increase in tissue vascularization by LLLT stimulates the production of bone matrix and improves bone healing by the release of mediators [8, 10, 11] These positive effects of LLLT on bone healing are thought to improve osseointegration of dental implants in low-density bones

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