Terapia láser de baja potencia como apoyo complementario en la implantología: ¿una opción fiable?

Terapia láser de baja potencia como apoyo complementario en la implantología: ¿una opción fiable?

Contenido principal del artículo

Sara Bernardi

Resumen

El uso de la terapia con láser de baja potencia (LLLT) en la reparación ósea se ha estudiado
durante años y su aplicación en la implantología sigue siendo un tema controvertido, debido a
la difícil evaluación de su eficacia clínica. Reportamos la aplicación de LLLT como ayuda en la
osteointegración en dos pacientes sometidos a cirugía de implantes en el maxilar superior. En
un hemi-arco se aplicó la LLLT y en el otro se utilizó como control. La evaluación del área ósea
que rodea a las fijaciones se realizó mediante tomografía computarizada Cone Beam y el área de
contacto hueso-implantes se midió mediante el software InVesalius®. Los hallazgos radiológicos
apoyan la idea de considerar la bioestimulación con láser como un coadyuvante en la cirugía de
implantes.

Citas

Abe T. (1990) Diode Laser Lllt-Enhanced Bone Fusion Of Femoral Shaft Fracture Complicated By Chronic Osteomyelitis: A Case Report, Laser Ther, 2(4), pp. 175–178. https://doi.org/10.5978/islsm.90-SC-01

Albrektson M., Hedstrom L. and Bergh H. (2014) Recurrent aphthous stomatitis and pain management with low-level laser therapy: a randomized controlled trial, Oral Surg Oral Med Oral Pathol Oral Radiol, 117(5), pp. 590–594. https://doi.org/10.1016/j.oooo.2014.01.228

Anders J. J. et al. (2019) Light-Emitting Diode Therapy and Low-Level Light Therapy Are Photobiomodulation Therapy, Photobiomodul Photomed Laser Surg, pp. 63–65. https://doi.org/10.1089/photob.2018.4600

Avci P. et al. (2013) Low-level laser (light) therapy (LLLT) in skin: stimulating, healing, restoring., Semin Cutan Med Surg, 32(1), pp. 41–52. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc4126803/

Basso F. G. et al. (2012) In vitro wound healing improvement by low-level laser therapy application in cultured gingival fibroblasts., Int J Den , p. 719452. https://doi.org/10.1155/2012/719452

Bernardi S., Mummolo S., Ciavarelli L. M., et al. (2016) Cone beam computed tomography investigation about the antral artery anastomosis in a center of Italy population, Folia Morphol (Warsz), 75(2), pp. 149–153. https://doi.org/10.5603/fm.a2015.0095

Bernardi S., Mummolo S., Zeka K., et al. (2016) ‘Use and Evaluation of a Cooling Aid in LaserAssisted Dental Surgery: An Innovative Study.’, Photomedicine and laser surgery, 34(6), pp. 258–62. https://doi.org/10.1089/pho.2015.4008

Bernardi S, Continenza MA. Bone Laser Biostimulation Applied to Implant Dentistry: a case report in Abstracts of the Pre-Congress Courses from the 12th International Congress on Implant Prosthodontics. June 6– 8, 2013. Padova, Palazzo della Ragione, Italy. Clinical oral implants research. 2013; 1–29

Dörtbudak O., Haas R. and Mailath-Pokorny G. (2002) ‘Effect of low-power laser irradiation on bony implant sites.’, Clin Oral Implants Res, 13(3), pp. 288–292. https://doi.org/10.1034/j.1600-0501.2002.130308.x

Dörtbudak O., Haas R. and Mallath-Pokorny G. (2000) Biostimulation of bone marrow cells with a diode soft laser., Clin Oral Implants Res, 11(6), pp. 540–545. https://doi.org/10.1034/j.1600-0501.2000.011006540.x

Falisi G. et al. (2017) “All on short” prosthetic-implant supported rehabilitations., Oral Implantol (Rome), 10 (4), pp. 477-487. En: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892663/

Fronza B. et al. (2013) Assessment of the systemic effects of low-level laser therapy (LLLT) on thyroid hormone function in a rabbit model, Int J Oral Maxillofac Surg, 42(1), pp. 26–30. https://doi.org/10.1016/j.ijom.2012.06.017

Guzzardella G. et al. (2003) ‘Osseointegration of endosseous ceramic implants after postoperative low-power laser stimulation: an in vivo comparative study.’, Clin Oral Implants Res, 14(2), pp.226–232. https://doi.org/10.1034/j.1600-0501.2003.00872.x

Jacques S. L. (1992) ‘Laser-tissue interactions: Photochemical, photothermal, and photomechanical’, Surg Clin North Am, 72(3), pp. 531–558. https://doi.org/10.1016/S0039-6109(16)45731-2

Khadra, M. et al. (2004) ‘Low-level laser therapy stimulates bone-implant interaction: An experimental study in rabbits’, Clin Oral Implants Res, 15(3), pp. 325–332. https://doi.org/10.1111/j.1600-0501.2004.00994.x

Lancieri L. et al. (2011) ‘A new bone surgical laser technique: technical aspects and applications in dentistry’, Front Biosci (Elite Ed), E3(January 1), pp. 463–468. http://doi.org/10.2741/e261

Nicola R. A et al. (2003) Effect of low-power GaAlAs laser (660 nm) on bone structure and cell activity:

an experimental animal study., Lasers Med Sci , 18(2), pp. 89–94. https://doi.org/10.1007/s10103-003-0260-z

Noba C. et al. (2018) Laser for bone healing after oral surgery: systematic review., Lasers Med Sci, 33(3), pp. 667–674. https://doi.org/10.1007/s10103-017-2400-x

Oton-Leite A. F. et al. (2015) ‘Effect of low-level laser therapy on chemoradiotherapy-induced oral mucositis and salivary inflammatory mediators in head and neck cancer patients.’, Lasers SurgMed, 47(4), pp. 296–305. https://doi.org/10.1002/lsm.22349

Øzhayat E. B. et al. (2016) Patients’ experience of partial tooth loss and expectations to treatment: a qualitative study in Danish and Swedish patients., .J Oral Rehabil . 43(3), pp. 180–189. https:// doi.org/10.1111/joor.12355

Plaetzer K. et al. (2009) Photophysics and photochemistry of photodynamic therapy: fundamental aspects. Lasers Med Sci , 24(2), pp. 259–268. https://doi.org/10.1007/s10103-008-0539-1

Roo J. P. (1992) ‘Permanent damage to inferior alveolar and lingual nerves during the removal of impacted mandibular third molars. Comparison of two methods of bone removal.’, Br Dent J,172(3), pp. 108–10 https://doi.org/10.1038/sj.bdj.4807777

Tang E. and Arany P. (2013) Photobiomodulation and implants: implications for dentistry. J Periodontal Implant Sci, 43(6), pp. 262–268. https://doi.org/10.5051/jpis.2013.43.6.262

Trelles M.A. and Mayayo E. (1987) Bone fracture consolidates faster with low-power laser., Lasers Surg Med, 7(1), pp. 36–45. https://doi.org/10.1002/lsm.1900070107

Tunér J. and Beck-Kristensen, P. H. (2011) ‘Low-Level Lasers in Dentistry’, in Principles and Practice of Laser Dentistry. New York, USA: Mosby, Elsevier, pp. 263–286. https://doi.org/10.1016/B978-0-323-06206-0.00015-1

Vescovi, P. et al. (2007) Nd:YAG laser biostimulation of bisphosphonate-associated necrosis of the jawbone with and without surgical treatment, Br J Oral Maxillofac Surg, 45(8), pp. 628–632. https://doi.org/10.1016/j.bjoms.2007.03.016

Walsh L. J. (1997) The current status of low level laser therapy in dentistry. Part 1. Soft tissue applications., Aust Dent J, 42(4), pp. 247–254. https://doi.org/10.1111/j.1834-7819.1997.tb00129.x