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Effect of low-level laser therapy on intramembranous and endochondral autogenous bone grafts healing
Authors:Biguetti Claudia Cristina  Filho Emílio José Marquardt  de Andrade Holgado Leandro  Caviquioli Gustavo  Moreschi Eduardo  Comparin Eliston  Matsumoto Mariza Akemi
Affiliation:1. School of Dentistry, Sagrado Cora??o University–USC, Rua Irm? Arminda 7‐33, CEP 17011‐160 Jardim Brasil, Bauru, Sao Paulo, Brazil;2. Oral and Maxillofacial Surgery Master's Course Program, Sagrado Cora??o University–USC, Rua Irm? Arminda 10‐50, CEP 17011‐160 Jardim Brasil, Bauru, Sao Paulo, Brazil;3. Department of Health Sciences, Sagrado Cora??o University–USC, Rua Irm? Arminda 10‐50, CEP 17011‐160 Jardim Brasil, Bauru, Sao Paulo, Brazil;4. School of Dentistry, Sagrado Cora??o University–USC, Rua Irm? Arminda 10‐50, CEP 17011‐160 Jardim Brasil, Bauru, Sao Paulo, Brazil;5. Oral and Maxillofacial Surgery Doctoral's Course Program, Sagrado Cora??o University–USC, Centro Universitário de Maringá–CESUMAR, Rua Irm? Arminda 10‐50, CEP 17011‐160 Jardim Brasil, Bauru, Sao Paulo, Brazil;6. Oral and Maxillofacial Surgery Doctoral's Course Program, Sagrado Cora??o University–USC, Rua Irm? Arminda 10‐50, CEP 17011‐160 Jardim Brasil, Bauru, Sao Paulo, Brazil;7. Department of Health Sciences, Sagrado Cora??o University–USC, Rua Luiz Bagnol 1‐26, CEP 17013‐070 Chácara das Flores, Bauru, Sao Paulo, Brazil
Abstract:The aim of this study was to evaluate the healing process of intramembranous (IM) and endochondral (EC) bone grafts under low‐level laser therapy (LLLT). Male rabbits underwent onlay autogenous bone grafts (1 cm in diameter) retrieved from the calvaria and iliac crest and fixed on parietal bones, divided into four groups: Calvaria (C), Iliac (I), Calvaria + LLLT (C+L), and Iliac + LLLT (I+L). Animals from C+L and I+L Groups had their grafts exposed to LLLT (AlGaAs–808 nm, CW, 30 mW, 0.028 cm2 average laser beam area), 15 s irradiation time (16 J/cm2 per point–total of 64 J/cm2 per session). After 7, 14, 30, and 60 days, grafts were retrieved and resorption pattern analyzed by means of morphometry and TRAP‐positive osteoclasts detection. Differences in the resorption levels of iliac grafts were observed, presenting 40% in I group against 8% in I+L grafts at the 14th day of evaluation (P < 0.05). After 30 days, resorption was maintained at 41% in I group, whereas I+L presented 15% in the same period (P = 0.0591). No significant differences were noted in the rates of calvaria grafts resorption in all periods. A significant higher number of osteoclasts on the grafts' surface was observed in C+L Group at day 30, in comparison with C group. In I+L Group, prevalence of osteoclasts was marked at day 7 (P < 0.05) in comparison to I Group. In general, it was concluded that biomodulative effects of LLLT did not significantly affect healing and resorption processes of autogenous bone grafts from EC and IM origins. Microsc. Res. Tech. 75:1237–1244, 2012. © 2012 Wiley Periodicals, Inc.
Keywords:bone grafting  immunohistochemistry  low level laser therapy
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