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Superpulsed laser therapy on healing process after tooth extraction in patients waiting for liver transplantation

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Abstract

Alveolar healing following tooth extraction is a complex repair process involving different tissues, including epithelium and bone. This research aimed to study the effect of laser therapy on alveolar healing process in patients waiting for liver transplantation, evaluating some inflammation, osteogenesis, and clinical parameters. Twelve patients with hepatic failure waiting for liver transplantation, with indications to bilateral extraction, entered the split-mouth study. One post-extractive defect was treated with laser while the other was left without treatment. Specimens of soft tissues were removed from around the tooth before extraction and after 7 days. Superpulsed laser irradiation prevented IL-1β increase and induced IL-6, IL-10, and collagen III increase at 7 days in comparison to their level before extraction, whereas the other parameters were unmodified. Moreover, the epithelial regeneration evidenced a positive result of laser therapy, and the patients reported less pain in the site treated with laser. In conclusion, laser therapy appears to be the treatment of choice for patients due to its clinical efficacy, safety, good tolerance, and its ability to prevent inflammation.

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References

  1. Boyne PJ (1966) Osseous repair of the postextraction alveolus in man. Oral Surg Oral Med Oral Pathol 21:805–813

    Article  PubMed  CAS  Google Scholar 

  2. Ahn JJ, Shin HI (2008) Bone tissue formation in extraction sockets from sites with advanced periodontal disease: a histomorphometric study in humans. Int J Oral Maxillofac Implant 23:1133–1138

    Google Scholar 

  3. Douglas LR, Douglas JB, Sieck JO, Smith PJ (1998) Oral management of the patients with end-stage liver disease and liver transplant patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:55–64

    Article  PubMed  CAS  Google Scholar 

  4. Chiapasco M, Casentini P, Zaniboni M (2009) Bone augmentation procedures in implant dentistry. Int J Oral Maxillofac Implants 24:237–259

    PubMed  Google Scholar 

  5. Obradović RR, Kesić LG, Pesevska S (2009) Influence of low-level laser therapy on biomaterial osseointegration: a mini-review. Lasers Med Sci 24:447–451

    Article  PubMed  Google Scholar 

  6. Walsh LJ (2003) The current status of laser applications in dentistry. Aust Dent J 48:146–155

    Article  PubMed  CAS  Google Scholar 

  7. Qadri T, Miranda L, Tunér J, Gustafsson A (2005) The short-term effects of low-level lasers as adjunct therapy in the treatment of periodontal inflammation. J Clin Periodontol 32:714–719

    Article  PubMed  CAS  Google Scholar 

  8. Chukwuneke F, Onyejiaka N (2007) Management of postoperative morbidity after third molar surgery: a review of the literature. Niger J Med 16:107–112

    PubMed  CAS  Google Scholar 

  9. Sun G, Tunér J (2004) Low-level laser therapy in dentistry. Dent Clin North Am 48:1061–1076

    Article  PubMed  Google Scholar 

  10. Saracino S, Mozzati M, Martinasso G, Pol R, Canuto RA, Muzio G (2009) Superpulsed laser irradiation increases osteoblast activity via modulation of bone morphogenetic factors. Lasers Surg Med 41:298–304

    Article  PubMed  Google Scholar 

  11. Peplow PV, Chung TY, Baxter GD (2009) Laser photobiomodulation of wound healing: a review of experimental studies in mouse and rat animal models. Photomed Laser Surg [Epub ahead of print]

  12. Gonzaga Ribeiro MA, Cavalcanti de Albuquerque RL, Santos Barreto AL, Moreno de Oliveira VG, Santos TB, Freitas Dantas CD (2009) Morphological analysis of second-intention wound healing in rats submitted to 16 J/cm2 lambda 660-nm laser irradiation. Indian J Dent Res 20:390–396

    PubMed  Google Scholar 

  13. Medeiros JL, Nicolau RA, Nicola EM, Dos Santos JN, Pinheiro AL (2009) Healing of surgical wounds made with lambda 970-nm diode laser associated or not with laser phototherapy (lambda 655 nm) or polarized light (lambda 400-2,000 nm). Photomed Laser Surg [Epub ahead of print]

  14. Schwarz F, Aoki A, Sculean A, Becker J (2000) The impact of laser application on periodontal and peri-implant wound healing. Periodontol 51:79–108

    Article  Google Scholar 

  15. Delaleu N, Bickel M (2000) Interleukin-1β and interleukin-18: regulation and activity in local inflammation. Periodontol 35:42–52

    Article  Google Scholar 

  16. Orozco A, Gemmel E, Bickel M, Seymour GJ (2006) Interleukin 1β, interleukin-12 and interleukin-18 levels in gingival fluid and serum of patients with gingivitis and periodontitis. Oral Microb Immunol 21:256–260

    Article  CAS  Google Scholar 

  17. Schierano G, Pejrone G, Roana J, Scalas D, Allizond V, Martinasso G et al (2010) A split-mouth study on microbiological profile in clinical healthy teeth and implants related to key inflammatory mediators. Int J Immunopathol Pharmacol 23:279–288

    PubMed  CAS  Google Scholar 

  18. Schierano G, Pejrone G, Brusco P, Trombetta A, Martinasso G, Preti G et al (2008) TNF-α, TGF-β2 and Il-1β levels in gingival and peri-implant crevicular fluid before and after de novo plaque accumulation. J Clin Periodontol 35:532–538

    Article  PubMed  Google Scholar 

  19. Noguchi K, Ishikawa I (2000) The roles of cyclooxygenase-2 and prostaglandin E2 in periodontal disease. Periodontol 43:85–101

    Article  Google Scholar 

  20. Goutoudi P, Diza E, Arvantidou M (2004) Effect of periodontal therapy on crevicular fluid interleukin-1β and interleukin-10 levels in chronic periodontitis. J Dent 32:511–520

    Article  PubMed  CAS  Google Scholar 

  21. Lee YM, Fujikado N, Manaka H, Yasuda H, Iwakura Y (2010) IL-1 plays an important role in the bone metabolism under physiological conditions. Int Immunol 22:805–816

    Article  PubMed  CAS  Google Scholar 

  22. Delima AJ, Oates T, Assuma R, Schwartz Z, Cochran D, Amar S et al (2001) Soluble antagonists to interleukin-1 (IL1) and tumor necrosis factor (TNF) inhibits loss of tissue attachment in experimental periodontitis. J Clin Periodontol 28:233–240

    Article  PubMed  CAS  Google Scholar 

  23. Malchow S, Thaiss W, Jänner N, Gewiese-Rabsch J, Garbers C, Yamamoto K, et al. (2010) Essential role of neutrophil mobilization in concanavalin A-induced hepatitis is based on classic IL-6 Signaling but not IL-6 trans-signaling. Biochim Biophys Acta [Epub ahead of print]

  24. Moore KW, de Waal MR, Coffman RL, O'Garra A (2001) Interleukin-10 and the interleukin-10 receptor. Annu Rev Immunol 19:683–765

    Article  PubMed  CAS  Google Scholar 

  25. Gál P, Mokrý M, Vidinský B, Kilík R, Depta F, Harakalová M et al (2009) Effect of equal daily doses achieved by different power densities of low-level laser therapy at 635 nm on open skin wound healing in normal and corticosteroid-treated rats. Lasers Med Sci 24:539–547

    Article  PubMed  Google Scholar 

  26. Gál P, Vidinský B, Toporcer T, Mokrý M, Mozes S, Longauer F et al (2006) Histological assessment of the effect of laser irradiation on skin wound healing in rats. Photomed Laser Surg 24:480–448

    Article  PubMed  Google Scholar 

  27. Ozcelik O, Cenk Haytac M, Kunin A, Seydaoglu G (2008) Improved wound healing by low-level laser irradiation after gingivectomy operations: a controlled clinical pilot study. J Clin Periodontol 35:250–254

    Article  PubMed  Google Scholar 

  28. Amorim JC, de Sousa GR, de Barros SL, Prates RA, Pinotti M, Ribeiro MS (2006) Clinical study of the gingiva healing after gingivectomy and low-level laser therapy. Photomed Laser Surg 24:588–594

    Article  PubMed  Google Scholar 

  29. Markovic A, Todorovic LJ (2007) Effectiveness of dexamethasone and low-power laser in minimizing oedema after third molar surgery: a clinical trial. Int J Oral Maxillofac Surg 36:226–229

    Article  PubMed  CAS  Google Scholar 

  30. Antunes HS, de Azevedo AM, da Silva Bouzas LF, Adão CA, Pinheiro CT, Mayhe R et al (2007) Low-power laser in the prevention of induced oral mucositis in bone marrow transplantation patients: a randomized trial. Blood 109:2250–2255

    Article  PubMed  CAS  Google Scholar 

  31. Pourzarandian A, Watanabe H, Aoki A, Ichinose S, Sasaki KM, Nitta H et al (2004) Histological and TEM examination of early stages of bone healing after Er:YAG laser irradiation. Photomed Laser Surg 22:342–350

    Article  PubMed  Google Scholar 

  32. Polosukhin VV (2000) Ultrastructure of the blood and lymphatic capillaries of the respiratory tissue during inflammation and endobronchial laser therapy. Ultrastruct Pathol 24:183–189

    Article  PubMed  CAS  Google Scholar 

  33. Pires Oliveira DA, de Oliveira RF, Zangaro RA, Soares CP (2008) Evaluation of low-level laser therapy of osteoblastic cells. Photomed Laser Surg 26:401–404

    Article  PubMed  Google Scholar 

  34. Pinheiro AL, Gerbi ME (2006) Photoengineering of bone repair processes. Photomed Laser Surg 24:169–178

    Article  PubMed  CAS  Google Scholar 

  35. Maluf AP, Maluf RP, da Rocha Brito C, França FM, de Brito RB Jr (2010) Mechanical evaluation of the influence of low-level laser therapy in secondary stability of implants in mice shinbones. Lasers Med Sci [Epub ahead of print]

  36. Mozzati M, Martinasso G, Pol R, Polastri C, Cristiano A, Muzio G, et al (2010) The impact of PRGF on clinical and biological factors involved in healing processes following third molar extraction. J Biomed Mater Res A [Epub ahead of print]

  37. Opal SM, De Palo VA (2000) Anti-inflammatory cytokines. Chest 117:1162–1172

    Article  PubMed  CAS  Google Scholar 

  38. Werner S, Grose R (2003) Regulation of wound healing by growth factors and cytokines. Physiol Rev 83:835–870

    PubMed  CAS  Google Scholar 

  39. Chang HC, Bistrian B (1998) The role of cytokines in the catabolic consequences of infection and injury. J Parenter Enter Nutr 22:156–166

    Article  CAS  Google Scholar 

Download references

Acknowledgments

This research work was supported by grants from Regione Piemonte and the University of Turin, Italy.

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Correspondence to Rosa Angela Canuto.

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Mozzati, M., Martinasso, G., Cocero, N. et al. Superpulsed laser therapy on healing process after tooth extraction in patients waiting for liver transplantation. Lasers Med Sci 27, 353–359 (2012). https://doi.org/10.1007/s10103-010-0880-z

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  • DOI: https://doi.org/10.1007/s10103-010-0880-z

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