Evaluation of the Effect of Low-level Laser on Biomaterials Used in Maxillary Sinus Grafts Histological and Radiologic Examinations: A Randomized Controlled Clinical Trial
2016
Background: One of the techniques suggested for the provision
of adequate bone in the maxillary sinus area for placement of
endosteal implants with a standard length is to use the sinus lift
surgical technique along with autogenous bone graft or bone
substitute materials. The aim of this study was an evaluation of the
effect of low-level laser on graft materials used for augmentation of
the maxillary sinus.
Materials and Methods: In the present randomized clinical
trial with a split-mouth design, 19 patients aged 30-80 years were
evaluated. All the subjects underwent a bimaxillary sinus lift surgical
procedure. In the control group, freeze-dried bone allograft (FDBA)
and platelet-rich fibrin (PRF) allograft materials were used; in the
case group, in addition to the materials mentioned above, low-level
980-nm diode laser beams were applied. Six months after surgery,
the density of bone in the augmented area was determined with the
cone-beam computed tomography technique.
Results: The results showed that the percentages of bone formed
in the control and case groups were 20.10 ± 5.67% and 36.26 ±
11.26%, respectively, with a significant difference between the
two groups (P < 0.05). There was no significant difference in the
means of connective tissue between the two groups (P = 0.612).
The Hounsfield unit exhibited a significant difference in relation to
the mean bone density within the graft material between the two
groups (P = 0.000).
Conclusion: Low-level 980-nm diode laser beams can improve the
results of treatment rendered with the use of FDBA and PRF.
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