Bone regeneration associated with low-level laser therapy in implantology

Karina R Teixeira, J. Mendonca, M. Rosa, R. Huebner, M. Cortés, Marcus L Ferreira
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Abstract

Several therapies for tissue regeneration in implantology have been explored for their ability to enhance bone regeneration such as low-level laser therapy (LLLT), also known as photobiomodulation. This technique has been shown to reduce inflammation and edema, induce analgesia, and promote healing in a range of musculoskeletal pathologies with cost-effective for healing therapy. The endothelial progenitor and hematopoietic stem cells, together with LLLT improving their capacity to induce angiogenesis, recruit other cells to a site of injury and secrete growth factors and cytokines that have a paracrine effect on surrounding cells. A critical review and comprehensively analyze of tissue regeneration associated to newer regenerative techniques as LLLT, platelet derivatives and mesenchymal stem cells (MSCs) at preimplant sites was released. An electronic search in PubMed via Medline and Embase was conducted of publications from the previous 10 years. English language articles related to the subject were found using selected keywords. We summarize the photobiomodulation properties and its relation with platelet derivatives and MSCs and discuss the efficacy of these therapies for tissue repair. The LLLT is well-documented therapy but further research studies relating LLLT to tissue regeneration in periodontics and implantology are needed.
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骨再生与低水平激光治疗在种植学中的应用
种植学中组织再生的几种治疗方法已经被探索用于增强骨再生的能力,如低水平激光治疗(LLLT),也被称为光生物调节。该技术已被证明可以减少炎症和水肿,诱导镇痛,促进一系列肌肉骨骼病变的愈合,具有成本效益的愈合治疗。内皮祖细胞和造血干细胞与LLLT一起提高了它们诱导血管生成的能力,招募其他细胞到损伤部位,并分泌对周围细胞具有旁分泌作用的生长因子和细胞因子。发表了一篇重要的综述和全面分析与较新的再生技术相关的组织再生,如LLLT,血小板衍生物和植入前部位的间充质干细胞(MSCs)。通过Medline和Embase在PubMed中对过去10年的出版物进行了电子检索。使用选定的关键词找到与主题相关的英语文章。我们总结了光生物调节特性及其与血小板衍生物和间充质干细胞的关系,并讨论了这些治疗方法在组织修复中的效果。LLLT是一种有充分证据的治疗方法,但需要进一步研究LLLT与牙周病和种植学组织再生的关系。
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