The effect of post-extraction socket preservation laser treatment on bone density 4 months after extraction: Randomized controlled trial.
CBCT
alveolar preservation
bone density
laser post-extraction procedure
Journal
Clinical implant dentistry and related research
ISSN: 1708-8208
Titre abrégé: Clin Implant Dent Relat Res
Pays: United States
ID NLM: 100888977
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
revised:
19
02
2021
received:
15
10
2020
accepted:
22
02
2021
pubmed:
10
3
2021
medline:
29
6
2021
entrez:
9
3
2021
Statut:
ppublish
Résumé
Post-extraction bone resorption may affect the outcome of ensuing restorations. This study aimed to evaluate a comprehensive laser post-extraction protocol by comparing resulting alveolar bone regeneration with that obtained after standard extraction procedure. About 53 simple extractions were randomized to either laser or control group. In the laser group, erbium (Er:YAG; 2940 nm) and neodymium (Nd:YAG; 1064 nm) lasers were used for degranulation, disinfection, de-epithelialization of the surrounding gingiva, clot stabilization, and photobiomodulation. The primary outcome measure was change in bone density in the extraction area between day 1 and 4 months after extraction. Patients were monitored for potential side effects. Increase in bone density at the follow-up CBCT was significantly higher in laser than in control group (p < 0.001). No post-operative pain, bleeding, or swelling was present in the laser group. In the control group, one patient had bleeding 3-5 days after extraction, two patients had swelling and three patients reported post-operative pain rated 3-5 on a 0-10 pain scale up to 3 days after extraction. The proposed laser post-extraction procedure is a safe and effective method to improve post-extraction bone healing.
Sections du résumé
BACKGROUND
BACKGROUND
Post-extraction bone resorption may affect the outcome of ensuing restorations.
PURPOSE
OBJECTIVE
This study aimed to evaluate a comprehensive laser post-extraction protocol by comparing resulting alveolar bone regeneration with that obtained after standard extraction procedure.
MATERIALS AND METHODS
METHODS
About 53 simple extractions were randomized to either laser or control group. In the laser group, erbium (Er:YAG; 2940 nm) and neodymium (Nd:YAG; 1064 nm) lasers were used for degranulation, disinfection, de-epithelialization of the surrounding gingiva, clot stabilization, and photobiomodulation. The primary outcome measure was change in bone density in the extraction area between day 1 and 4 months after extraction. Patients were monitored for potential side effects.
RESULTS
RESULTS
Increase in bone density at the follow-up CBCT was significantly higher in laser than in control group (p < 0.001). No post-operative pain, bleeding, or swelling was present in the laser group. In the control group, one patient had bleeding 3-5 days after extraction, two patients had swelling and three patients reported post-operative pain rated 3-5 on a 0-10 pain scale up to 3 days after extraction.
CONCLUSIONS
CONCLUSIONS
The proposed laser post-extraction procedure is a safe and effective method to improve post-extraction bone healing.
Identifiants
pubmed: 33686771
doi: 10.1111/cid.12991
pmc: PMC8359241
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
309-316Informations de copyright
© 2021 The Authors. Clinical Implant Dentistry and Related Research Published by Wiley Periodicals LLC.
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