Osteoporotic Patient

Emergency Dentistry London

Low Level Laser Therapy and The Treatment of Periodontal Disease in

Osteoporotic Patient

Rozalia Dana Vieru1, Lewis Clayman2, Anca Dumitriu3

 

1, 3: Department ofPeriodontology, Faculty of Dentistry, Carol Davila Medical and Pharmaceutical University, Bucharest,  Romania; 1: New York School for Medical and Dental Assistants, New York, USA;2: Clinical Prof. OMS, University of Michigan,

OBJECTIVE: The aim of the present study is to demonstrate the application of low level laser therapy (LLLT), for osteoporotic patients in compare with the healthy patient in addition to standard procedures employed to treat periodontal disease, on the healing of bone defects and improves the outcome of the treatment

BACKGROUND DATA: Osteoporosis is always associated with alveolar bone loss. Women with osteoporosis have increased alveolar bone retraction, attachment loss, and tooth loss compared with women without osteoporosis. Estrogen deficiency has been linked to decreases in alveolar bone. Approximately half of the healthy patients and half of the patients with osteoporosis received LLLT in addition to the classic treatment. In this study we searched for the effects of LLLT on advanced chronic periodontal diseases that had caused severe destruction of the periodontal structures and increased tooth mobility. A healthy human will develop as well aggressive progressive periodontal disease by iatrogenic cause, oclusal traumatic factor or many other ways not related with a metabolic condition. The FDA gave clearance for LLLT use on temporary relief of minor muscle and joint pain, temporary relief of minor joint pain associated with arthritis, the temporary increase of local circulation where applied and muscular relaxation.

METHODS: Approximately half of the healthy patients and half of the patients with osteoporosis received LLLT in addition to the classic treatment. In this study we searched for the effects of LLLT on advanced chronic periodontal diseases that had caused severe destruction of the periodontal structures and increased tooth mobility.For all four groups (1) healthy patients treated with LLLT; (2) healthy patients without LLLT; (3) osteoporotic patients treated with LLLT; and (4) osteoporotic patients without LLLT) we determined the mean and standard deviations of the following parameters: gingival bleeding time, pain relief time, bone recovery time, recurency and complete healing.

Laser beam parameters used in LLLT was infrared diode laser, λ = 830 nm, Irradiation: in Nogier Pulse Mode, energy density/pulse from 0.5 J/cm2 up to 2J/ cm2.

RESULTS: The healthy patients treated with LLLT proved to have a more immediate response and osteoporotic patients showed better response over the long term. All the LLLT-treated groups were superior to the non-treated control groups in both the healthy and osteoporotic patients.

CONCLUSION: The general social benefits are the development of a novel LLLT modality for treatment of periodontal disease, which allows for early noninvasive treatment of periodontal infection, leading to shortening of the treatment time and bone healing, avoiding expensive and toxic antibiotics treatment claimed by local infection, avoiding tooth loss (possibly accompanied by post operator complications); the patient could avoid interruption of his professional and social activity.

The objective of this study is to demonstrate whether the application of low level laser therapy (LLLT), for osteoporotic patients and diabetic patients, in addition to standard procedures employed to treat periodontal disease, improves the outcome of the treatment. Diabetic individuals are three times more likely to have attachment and bone loss than non-diabetic patients. Furthermore, osteoporosis is always associated with alveolar bone loss. Women with osteoporosis have increased alveolar bone retraction, attachment loss, and tooth loss compared with women without osteoporosis. Estrogen deficiency has been linked to decreases in alveolar bone. Approximately half of the diabetic patients and half of the patients with osteoporosis received LLLT in addition to the classic treatment. In this study we searched for the effects of LLLT on advanced chronic periodontal diseases that had caused severe destruction of the periodontal structures and increased tooth mobility.For all four groups (1) diabetic patients treated with LLLT; (2) diabetic patients without LLLT; (3) osteoporotic patients treated with LLLT; and (4) osteoporotic patients without LLLT) we determined the mean and standard deviations of the following parameters: gingival bleeding time, pain relief time, bone recovery time. The diabetic patients treated with LLLT proved to have a more immediate response and osteoporotic patients showed better response over the long term. All the LLLT-treated groups were superior to the non-treated control groups in both the diabetic and osteoporotic patients.

The general social benefits are the development of the 15 years used LLLT modality for treatment of periodontal disease, which allows for early noninvasive treatment of periodontal infection.

 

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