TREATMENT OUTCOME OF TWO SHORT IMPLANT RETAINED MANDIBULAR OVERDENTURE IN COMBINATION WITH PHOTOBIOMODULATION | ||
| Alexandria Dental Journal | ||
| Article 9, Volume 46, Issue 2, August 2021, Pages 132-138 PDF (1.02 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/adjalexu.2020.24785.1050 | ||
| Authors | ||
| Sara K. Zayed* 1; Marwa Gamal Noureldin2; Ahmad Mohamed El Shimy3; Ahmed Adel Abdel Hakim4 | ||
| 1Removable prosthodontics , Faculty of dentistry , Alexandria university, Alexandria , Egypt . | ||
| 2Oral surgery , faculty of dentistry , Alexandria university, Egypt | ||
| 3Professor, Department of Removable Prosthodontics, Faculty of Dentistry, Alexandria University, Egypt | ||
| 4Removable Prosthodontics, Faculty of dentistry , Alexandria University , Egypt | ||
| Abstract | ||
| Aim of the study: To evaluate the clinical and radiographic outcomes of mandibular overdentures retained by 2 short implants in combination with two different doses of PBM. Materials and methods: 6 edentulous patients received 2 short implants in canine area. Implants were inserted via stereolithographic surgical guide. Patients received 5 PBM sessions immediately after surgery and every 48 hours. Group A (n =6) right side implants received dose of 2.4 J/cm2, and group B (n=6) left side implants received dose 4.8 J/cm2. Implants were loaded after 3 months. Each implant was evaluated at time of initial prosthetic loading and 6 months later for peri-implant probing depth (PIPD), modified gingival index (MGI), and vertical bone loss. Implant stability was assessed at the time of surgery and 6 months after loading. Results: The findings indicate that after 6 months, two short implant retained overdentures showed no biological nor mechanical complications. A minor but significant increase (P < 0.05) was observed in the PIPD after 6 months in both groups. The MGI values were very low. Radiographic evaluation revealed minimal insignificant marginal bone loss (P > 0.05) 0.51+30, 0.38+28 for group A and group B respectively. Implant stability values for group A were almost maintained and there was a slight increase in group B after 6 months. Insignificantly better results were reported with group B. Conclusion: Two short implant retained overdenture can be a viable option for atrophic mandibles, PBM dose of 4.8 J/cm2 has a potential positive influence on healing and osseointegration. | ||
| Keywords | ||
| Atrophic mandible, short dental implant; guided implant surgery, photobiomodulation | ||
| References | ||
|
Bilhan H, Erdogan O, Ergin S, Celik M, Ates G, Geckili O. Complication rates and patient satisfaction with removable dentures. J Adv Prosthodont. 2012; 4:109-15.
Meijer HJ, Raghoebar GM, Batenburg RH, Visser A, Vissink A. Mandibular overdentures supported by two or four endosseous implants: a 10-year clinical trial. Clin Oral Implants Res. 2009;20 :722-8.
De Marchi RJ, Hugo FN, Padilha DM, Hilgert JB, Machado DB, Durgante PC, et al. Edentulism, use of dentures and consumption of fruit and vegetables in south Brazilian community-dwelling elderly. J Oral Rehabil. 2011 ;38 :533-40.
Doundoulakis JH, Eckert SE, Lidnquist CC, Jeffcoat MK. The implant-supported overdenture as an alternative to the complete mandibular denture. J Am Dent Assoc. 2003; 134:1455-8.
Van der Bilt A, Burgers M, van Kampen FM, Cune MS. Mandibular implant-supported overdentures and oral function. Clin Oral Implants Res. 2010 ;21 :1209-13.
Dene L. Implant Supported Overdenture for the Atrophic Mandible. N Y State Dent J. 2010; 76:26-9.
Annibali S, Cristalli MP, Dell’Aquila D, Bignozzi I, La Monaca G, Pilloni A. Short dental implants: a systematic
review. J Dent Res. 2012; 91:25-32.
Pommer B, Busenlechner D, Fürhauser R, Watzek G, Mailath-Pokorny G, Haas R. Trends in techniques to avoid
bone augmentation surgery: Application of short implants, narrow-diameter implants and guided surgery. J Cranio
maxillofac Surg. 2016; 44:1630-4.
Deporter D, Todescan R, Caudry S. Simplifying management of the posterior maxilla using short, porous-surfaced
dental implants. Int J Perio Rest Dent. 2000; 20:476-85.
Atieh MA, Zadeh H, Stanford CM, Cooper LF. Survival of short dental implants for treatment of posterior partial
edentulism: a systematic review. Int J Oral Maxillofac Implants. 2012; 27:1323- 31.
D'haeseJ,AckhurstJ,WismeijerD,DeBruynH,TahmasebA.Currentstateoftheartofcomputer-guidedimplant
surgery. Periodontol 2000. 2017; 73:121-33.
Hämmerle CH, Stone P, Jung RE, Kapos T, Brodala N. Consensus statements and recommended clinical
procedures regarding computer-assisted implant dentistry. Int J Oral Maxillofac Implants. 2009;24 :126-31.
Valente F, Schiroli G, Sbrenna A. Accuracy of Computer-Aided Oral Implant Surgery: A Clinical and
Radiographic Study”. Int J Oral Maxillofac Implants. 2009; 24:234-42.
Bölükbaşı Ateş G, Ak Can A, Gülsoy M. Investigation of photobiomodulation potentiality by 635 and 809 nm
lasers on human osteoblasts. Lasers Med Sci. 2017; 32:591–9.
Khalil NM, Noureldin MG. Comparison of Single Versus Multiple Low-Level Laser Applications on Bone
Formation in Extraction Socket Healing in Rabbits (Histologic and Histomorphometric Study). J Oral Maxillofac
Surg. 2019; 77:1760-8.
Ebrahimi T, Moslemi N, Rokn A, Heidari M, Nokhbatolfoghahaie H, Fekrazad R. The influence of low-intensity
laser therapy on bone healing. J Dent. 2012; 9:238–48.
KhadraM,KasemN,HaanaesHR,EllingsenJE,LyngstadaasSP.Enhancementofboneformationinratcalvarial
bone defects using low-level laser therapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 97:693–
700.
AranyPR.CraniofacialWoundHealingwithPhotobiomodulationTherapy:NewInsightsandCurrentChallenges.
J Dent Res. 2016; 95:977-84.
Mayer L, Gomes FV, Carlsson L, Gerhardt-Oliveira M. Histologic and Resonance Frequency Analysis of Peri-
Implant Bone Healing After Low-Level Laser Therapy: An in-Vivo Study. Int J Oral Maxillofac Implants. 2015;
30:1028-35.
Tang E, Arany P. Photobiomodulation and implants: implications for dentistry. J Periodontal Implant Sci. 2013;
43:262-8.
DE Vico G, Ferraris F, Arcuri L, Guzzo F, Spinelli D. a novel workflow for computer guided implant surgery
matchingdigital dental casts and CBCT scan. Oral Implantol (Rome). 2016 ;9:33-48.
Gutierrez JL, Bagan JV, Bascones A, Lamas R, Llena J. Morales A, et al. Consensus document on the use of
antibiotic prophlaxis in dental surgery and procedures. Med oral pathol oral cir buccal. 2006; 11:188-205.
BorrajoJL,VarelaLG,CastroGL,Rodriguez-Nunez,FigueroaMG,TorreiraMGEfficacyofchlorhexidinemouth
rinses with and without alcohol: clinical study. J Periodont. 2002; 73:317-21.
Myung-Sun K, Yong-Ick C, Min-Suk K, Sang-Chul J, Young HH. Effect of 660 nm Light-Emitting Diode on the
Wound Healing in Fibroblast-Like Cell Lines. Inter J Photoenergy. 2015; 2015:1-9.
Bragger U, Burgin WB, Hammerle CH, Lang NP. Associations between clinical parameters assessed around
implants and teeth. Clin Oral Implants Res. 1997; 8:412-21.
Mombelli A, van Oosten MA, Schurch E, Land NP. The microbiota associated with successful or failing
osseointegrated titanium implants. Oral Microbiol Immunol. 1987; 2:145-51.
Sim CP, Lang NP. Factors influencing resonance frequency analysis assessed by osstel mentor during implant tissue integration: I. instrument positioning bone structure, implant length. Clin Oral Implants Res. 2010; 21:598- 604.
Herrero-ClimentM,Santos-GarcíaR,Jaramillo-SantosR,Romero-RuizMM,Fernández-PalacinA,Lázaro-Calvo P, Bullón P, Ríos-Santos JV. Assessment of Osstell ISQ’s reliability for implant stability measurement: A cross- sectional clinical study. Med Oral Patol Oral Cir Bucal. 2013;18: 877-82.
De Bruyn H, Vandeweghe S, Ruyffelaert C, Cosyn J, Sennerby L. Radiographic evaluation of modern oral implants with emphasis on crestal bone level and relevance to peri-implant health. Periodontol 2013; 62:256-70.
Cassetta M, Stefanelli LV, Giansanti M, Calasso S. Accuracy of implant placement with a stereolithographic surgical template. Int J Oral Maxillofac Implants. 2012; 27:655-63.
Pozzi A, Tallarico M, Marchetti M, Scarfò B, Esposito M. Computer-guided versus free-hand placement of immediately loaded dental implants: 1-year post-loading results of a multicentre randomised controlled trial. Eur J Oral Implantol. 2014; 7:229-42.
JacobsR,QuirynenM,BornsteinMM.Neurovasculardisturbancesafterimplantsurgery.Periodontol2000.2014; 66:188-202.
Casap N, Tarazi E, Wexler A, Sonnenfeld U, Lustmann J. Intraoperative computerized navigation for flapless implant surgery and immediate loading in the edentulous mandible. Int J Oral Maxillofac Implants. 2005; 20:92- 8.
Hahn J. Single-stage, immediate loading, and flapless surgery. J Oral Implantol. 2000; 26:193-8.
Torkzaban P, Kasraei S, Torabi S, Farhadian M. Low level laser therapy with 940 nm diode laser on stability of
dental implants: a randomized controlled clinical trial. Lasers Med Sci. 2018; 33:287-93.
Amid R, Kadkhodazadeh M, Ahsaie MG, Hakakzadeh A. Effect of low-level laser therapy on proliferation and
differentiation of the cells contributing in bone regeneration. J Lasers Med Sci. 2014; 5:163-70.
Barbosa D, de Souza RA, Xavier M, da Silva FF, Arisawa EA, Villaverde AG. Effects of low-level laser herapy
(LLLT) on bone repair in rats: optical densitometry analysis. Lasers Med Sci. 2013; 28:651-56.
Stein A, Benayahu D, Maltz L, Oron U. Low-level laser irradiation promotes proliferation and differentiation of
human osteoblasts in vitro. Photomed Laser Surg. 2005; 23:161-6.
Gomes FV, Mayer L, Massotti FP, Baraldi CE, Ponzoni D, Webber JB, de Oliveira MG. Low-level laser therapy
improves peri-implant bone formation: resonance frequency, electron microscopy, and stereology findings in a
rabbit model. Int J Oral Maxillofac Surg. 2015; 44:245-51.
Aoki A, Mizutani K, Schwarz F, Sculean A, Yukna RA, Takasaki AA, Romanos GE, et al. Periodontal and
periimplant wound healing following laser therapy. Periodontol 2000. 2015; 68:217-69.
AlGhamdi KM, Kumar A, Moussa NA Low-level laser therapy: a useful technique for enhancing the proliferation
of various cultured cells. Lasers Med Sci. 2012; 27:237-49.
Pires Oliveira DA, de Oliveira RF, Zangaro RA, Soares CP. P. Soares. Evaluation of low-level laser therapy of
osteoblastic cells. Photomed Laser Surg. 2008; 26:401-4.
Raghavendra S, Wood MC, Taylor TD. Early wound healing around endosseous implants: a review of the
literature. Int J Oral Maxillofac Implants. 2005; 20:425-31.
Hopkins JT, McLoda TA, Seegmiller JG, David Baxter G. Low-level laser therapy facilitates superficial wound
healing in humans: a triple-blind, sham-controlled study. J.Athletic Training. 2004;39: 223-9.
ByrnesKR,WaynantRW,IlevIK,WuX,BarnaL,SmithK,HeckertR,GerstHetal.Lightpromotesregeneration and functional recovery and alters the immune response after spinal cord injury. Lasers Surg Med. 2005; 36:171–
85.
WeberJB.EffectofThreeDifferentProtocolsofLow-LevelLaserTherapyonThyroidHormoneProductionAfter
Dental Implant Placement in an Experimental Rabbit Model. Photomedicine and Laser Surgery. 2014; 32:11-8.
Pinheiro AL, Gerbi ME. Photoengineering of bone repair processes. Photomed Laser Surg. 2006; 24:169-78.
BloiseN,CeccarelliG,MinzioniP,VercellinoM,BenedettiL,DeAngelisMG,ImbrianiM,VisaiL.Investigation
of low-level laser therapy potentiality on proliferation and differentiation of human osteoblast-like cells in the
absence/presence of osteogenic factors. J Biomed Opt. 2013; 18:1-14.
Renvert S, Persson GR, Pirih FQ, Camargo PM. Peri-implant health, peri-implant mucositis, and peri-implantitis:
Case definitions and diagnostic considerations. J Periodontol. 2018 ;89 :304-12.
Matys J, Grzech-Le ́sniak K, Flieger R, Dominiak M. Assessment of an impact of a diode laser mode with
wavelength of 980 nm on a temperature rise measured by means of k-02 thermocouple: preliminary results. Dent
Med Problems. 2016; 53: 345–51.
Niemz MH. Laser-Tissue Interactions – Fundamentals and Applications. 3rd ed. Berlin, Germany: Springer; 2004.
| ||
|
Statistics Article View: 377 PDF Download: 604 |
||
