Effect of soft laser and bioactive glass on bone regeneration in the treatment of infra-bony defects (a clinical study)

Lasers Med Sci. 2009 May;24(3):387-95. doi: 10.1007/s10103-008-0576-9. Epub 2008 Jun 26.

Abstract

This study aimed to investigate the influence of low-power 830 nm gallium-aluminium-arsenide (GaAlAs) laser [continuous wave (CW) 40 mW and fluence 4 J/cm(2), with total energy density of 16 J/cm(2)] on the healing of human infra-bony defects treated with bioactive glass graft material. Twenty patients with chronic periodontitis and bilateral infra-bony defects were included. Using a split mouth design, we treated 20 defects with bioactive glass plus laser irradiation during surgical procedures and on days 3, 5, 7 postoperatively; 20 contra-lateral defects were treated with bioactive glass only. Clinical probing pocket depths, clinical attachment levels and standardized periapical radiographs were recorded at baseline and at 3 months and 6 months postoperatively. At 3 months there was a statistically significant difference between the laser and non-laser sites in the parameters investigated. However, at 6 months, no difference was observed. Our results have confirmed the positive effect of soft laser in accelerating periodontal wound healing.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alveolar Bone Loss / drug therapy*
  • Alveolar Bone Loss / pathology
  • Alveolar Bone Loss / radiotherapy*
  • Bone Regeneration / drug effects*
  • Bone Regeneration / radiation effects*
  • Bone Substitutes / therapeutic use*
  • Ceramics / therapeutic use*
  • Chronic Periodontitis / diagnostic imaging
  • Chronic Periodontitis / drug therapy
  • Chronic Periodontitis / radiotherapy
  • Female
  • Humans
  • Lasers, Semiconductor / therapeutic use
  • Low-Level Light Therapy / methods*
  • Male
  • Middle Aged
  • Radiography

Substances

  • Bioglass
  • Bone Substitutes