Effect of low level laser therapy on crestal bone levels around dental implants—A pilot study

• Published in: Clinical implant dentistry and related research 2020-12, Vol.22 (6), p.739-746
• Main Authors: Gulati, Prachi, Kumar, Manoj, Issar, Gaurav, Thakral, Ankur
• Format: Article
• Language: English
• Subjects: Alveolar Bone Loss - diagnostic imaging; Alveolar Bone Loss - etiology; Alveolar Bone Loss - prevention & control; Bone implants; Bone loss; bone regeneration; Bone resorption; crestal bone loss; Dental Implantation, Endosseous; Dental Implants; Dental materials; Dental Prosthesis Design; Dental prosthetics; Dentistry; Flux density; Humans; implant; Lasers; Light therapy; Low level; low level laser therapy; Low-Level Light Therapy; Mechanical loading; Patients; photobiomodulation; Pilot Projects; Prostheses; Radiographs; Semiconductor lasers; Statistical analysis; Surgical implants; Variance analysis
• ISSN: 1523-0899; 1708-8208
• DOI: 10.1111/cid.12957

Background Implant success is affected by initial bone resorption at the implant surface. Continuous efforts have been made to reduce the peri‐implant crestal bone loss. Limited information is available regarding the influence of low level laser therapy (LLLT) on interaction between the bone and implant surface. Purpose The aim of this pilot study was to assess the effect of LLLT on peri‐implant crestal bone levels. Materials and methods Twenty implants were placed in 20 patients who were randomly assigned to two groups. Group I patients' received no adjunctive treatment and group II patients' were administered LLLT using 980 nm diode laser at 0.1 W output power following implant placement. The energy density of 4 J/cm2 was delivered at six sites for a duration of 10 seconds per site. Crestal bone levels were evaluated primarily using digital intraoral periapical (IOPA) radiograph. The measurements were made immediately (T0) and 6 weeks (T1) post implant placement; and 6 months (T2) and 1 year (T3) post prosthetic loading time intervals and compared using repeated measures ANOVA test. Results Crestal bone levels at baseline were statistically not significant between groups (P = .880). At T3 time interval, the mean change in crestal bone levels around all anatomical implant sites measured was 0.81 (SE 0.04) mm for irradiated group and 0.97 (SE 0.04) mm for nonirradiated group. Intergroup analysis revealed statistically significant (P = .020) less crestal bone loss in group that received LLLT. Conclusion Under the conditions of this study, LLLT reduced the crestal bone resorption surrounding dental implants. Trial registration The present clinical trial was not registered.