DIODE LASER PHOTOCOAGUALTION AS A NOVEL METHOD FOR SOCKET SEALING DURING ALVEOLAR SOCKET PRESERVATION

Document Type : Original Article

Authors

1 Department of Oral Medicine , Periodontology , Oral Diagnosis and Oral Radiology , Alexandria University , Alexandria , Egypt

2 Oral Medicine, Periodontology, Oral Diagnosis and Oral Radiology, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

3 Associate Professor, Department of Periodontology and Oral medicine, Faculty of Dentistry, Alexandria University.

Abstract

Introduction: Socket preservation is a procedure after tooth extraction to limit the post-extraction reduction of the ridge volume. Non-contact laser photocoagulation is a simple and atraumatic method used for socket sealing.
Objectives: Compare the effect of diode laser photocoagulation to the non-resorbable dense polytetraflouoroethylene (dPTFE) membrane on the bone dimensional changes.
Materials and methods: Thirty-six patients (n =18 for each group) with non-restorable maxillary anterior or premolar teeth were included in this study. After extraction, sites were grafted with deproteinized bovine bone xenograft and sealed either with laser photocoagulation or a non-resorbable dPTFE membrane. Measurements of the alveolar bone width were performed on cone beam computed tomographs, taken at the baseline before extraction and after 4 months.
Results: Both groups showed a reduction in bone width. At the crest, the mean amount of reduction was 0.69 (0.33) mm and 0.78 (0.15) mm for the laser and membrane groups, respectively. As for the middle third, less amount of reduction was observed by a mean of 0.56 (0.36) mm and 0.58 (0.18) mm for the laser and membrane groups, respectively. The least amount of reduction was in the apical third with a mean of 0.26 (0.36) mm and 0.41 (0.17) mm for the laser and membrane groups, respectively. However, this reduction in bone dimensions was insignificant between both groups.
Conclusion: The laser photocoagulation is as effective as the dPTFE membrane in sealing sockets after grafting.

Keywords

Main Subjects

References

  1. American Academy of Periodontology. Comprehensive periodontal therapy: A statement by the American Academy of Periodontology. J Periodontol. 2011;82:943-9.

  2. Chapple IL, Wilson NH. Manifesto for a paradigm shift: periodontal health for a better life. Br Dent J.. 2014;216:159-62.

  3. Barone A, Toti P, Piattelli A, Iezzi G, Derchi G, Covani U. Extraction socket healing in humans after ridge preservation techniques: comparison between flapless and flapped procedures in a randomized clinical trial. J Periodontol. 2014;85:14-23.

  4. Araújo MG, Silva CO, Misawa M, Sukekava F. Alveolar socket healing: what can we learn? Periodontol 2000. 2015;68:122-34.

  5. Schroeder HE. Development, structure, and function of periodontal tissues. Periodontium: Springer; 1986. p. 23- 323.

  6. Januário AL, Duarte WR, Barriviera M, Mesti JC, Araújo MG, Lindhe J. Dimension of the facial bone wall in the anterior maxilla: a cone‐beam computed tomography study. Clin Oral Implants Res. 2011;22:1168-71.

  7. Jung RE, Ioannidis A, Hämmerle CH, Thoma DS. Alveolar ridge preservation in the esthetic zone. Periodontol 2000. 2018;77:165-75.

  8. Kerr EN, Mealey BL, Noujeim ME, Lasho DJ, Nummikoski PV, Mellonig JT. The effect of ultrasound on bone dimensional changes following extraction: a pilot study. J Periodontol. 2008;79:283-90.

  9. Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single- tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003;23:313-23.

  10. AraújoMG,LindheJ.Dimensionalridgealterationsfollowingtoothextraction.Anexperimentalstudyinthedog. J Clin Periodontol. 2005;32:212-8.

  11. Kassim B, Ivanovski S, Mattheos N. Current perspectives on the role of ridge (socket) preservation procedures in dental implant treatment in the aesthetic zone. Aust Dent J. 2014;59:48-56.

  12. Avila‐Ortiz G, Chambrone L, Vignoletti F. Effect of alveolar ridge preservation interventions following tooth extraction: A systematic review and meta‐analysis. J Clin Periodontol. 2019;46:195-223.

  13. Iocca O, Farcomeni A, Pardiñas Lopez S, Talib HS. Alveolar ridge preservation after tooth extraction: a Bayesian Network meta‐analysis of grafting materials efficacy on prevention of bone height and width reduction. J Clin Periodontol. 2017;44:104-14.

  14. Cardaropoli D, Roffredo A, Cardaropoli G. Socket preservation using bovine bone mineral and collagen membrane: a randomized controlled clinical trial with histologic analysis. I Int J Periodontics Restorative Dent. 2012;32:421-30.

  15. Lee JS, Cha JK, Kim CS. Alveolar ridge regeneration of damaged extraction sockets using deproteinized porcine versus bovine bone minerals: A randomized clinical trial. Clin Implant Dent Relat Res. 2018;20:729-37.

  16. Araújo MG, Lindhe J. Socket grafting with the use of autologous bone: an experimental study in the dog. Clin Oral Implants Res. 2011;22:9-13.

  17. HorváthA,MardasN,MezzomoLA,NeedlemanIG,DonosN.Alveolarridgepreservation.Asystematicreview. Clin Oral Investig. 2013;17:341-63.

  18. Avila-Ortiz G, Elangovan S, Kramer K, Blanchette D, Dawson D. Effect of alveolar ridge preservation after tooth extraction: a systematic review and meta-analysis. J Dent Res. 2014;93:950-8.

  19. Elian N, Cho S, Froum S, Smith RB, Tarnow DP. A simplified socket classification and repair technique. Pract Proced Aesthet Dent. 2007;19:99-104.

  20. Landsberg CJ. Implementing socket seal surgery as a socket preservation technique for pontic site development: surgical steps revisited–a report of two cases. J Periodontol. 2008;79:945-54.

  21. Barber HD, Lignelli J, Smith BM, Bartee BK. Using a dense PTFE membrane without primary closure to achieve bone and tissue regeneration. J Oral Maxillofac Surg. 2007;65:748-52.

  22. Aladmawy MA, Natto ZS, Steffensen B, Levi P, Cheung W, Finkelman M, et al. A Comparison between Primary and Secondary Flap Coverage in Ridge Preservation Procedures: A Pilot Randomized Controlled Clinical Trial. Biomed Res Int. 2019;2019:7679319.

  23. GenoveseWJ,dosSantosMT,FaloppaF,deSouzaMerliLA.Theuseofsurgicaldiodelaserinoralhemangioma: a case report. Photomed Laser Surg. 2010;28:147-51.

  24. Jasper J, Camilotti RS, Pagnoncelli RM, Poli VD, da Silveira Gerzson A, Gavin Zakszeski AM. Treatment of lip hemangioma using forced dehydration with induced photocoagulation via diode laser: report of three cases. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119:e89-94.

  25. BacciC,SacchettoL,ZanetteG,SivolellaS.Diodelasertotreatsmalloralvascularmalformations:Aprospective case series study. Lasers Surg Med. 2018;50:111-6.

  1. Mirdan BM. A 980nm Diode Laser Clot Formation of the Rabbit’s Dental Sockets after Teeth Extraction. Iraqi J Laser. 2012;11:37-42.

  2. O'LearyTJ,DrakeRB,NaylorJE.Theplaquecontrolrecord.JPeriodontol.1972;43:38.

  3. SaghaeiM.Randomallocationsoftwareforparallelgrouprandomizedtrials.BMCMedResMethodol.2004;4:26.

  4. Koo TH, Song YW, Cha JK, Jung UW, Kim CS, Lee JS. Histologic analysis following grafting of damaged

    extraction sockets using deproteinized bovine or porcine bone mineral: A randomized clinical trial. Clin Oral

    Implants Res. 2020;31:93-102.

  5. Chen AC, Arany PR, Huang YY, Tomkinson EM, Sharma SK, Kharkwal GB, et al. Low-level laser therapy

    activates NF-kB via generation of reactive oxygen species in mouse embryonic fibroblasts. PLoS One.

    2011;6:e22453.

  6. Chung H, Dai T, Sharma SK, Huang YY, Carroll JD, Hamblin MR. The nuts and bolts of low-level laser (light)

    therapy. Ann Biomed Eng. 2012;40:516-33.

  7. Ronda M, Rebaudi A, Torelli L, Stacchi C. Expanded vs. dense polytetrafluoroethylene membranes in vertical

    ridge augmentation around dental implants: a prospective randomized controlled clinical trial. Clin Oral Implants

    Res. 2014;25:859-66.

  8. Laurito D, Lollobrigida M, Gianno F, Bosco S, Lamazza L, De Biase A. Alveolar ridge preservation with nc-HA

    and d-PTFE membrane: a clinical, histologic, and Histomorphometric study. Int J Periodontics Restorative Dent.

    2017;37:283-90.

  9. Cardaropoli D, Tamagnone L, Roffredo S, Gaveglio L. Relationship between the buccal bone plate thickness and

    the healing of postextraction sockets with/without ridge preservation. Int J Periodontics Restorative Dent.

    2014;34:211-7.

  10. Tan WL, Wong TLT, Wong MCM, Lang NP. A systematic review of post‐extractional alveolar hard and soft

    tissue dimensional changes in humans. Clin Oral Implants Res. 2012;23:1-21.

  11. Lang NP, Pun L, Lau KY, Li KY, Wong MC. A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Clin Oral Implants Res. 2012;23:39-66.

  12. Jambhekar S, Kernen F, Bidra AS. Clinical and histologic outcomes of socket grafting after flapless tooth extraction: a systematic review of randomized controlled clinical trials. J Prosthet Dent. 2015;113:371-82.

  13. Sun DJ, Lim HC, Lee DW. Alveolar ridge preservation using an open membrane approach for sockets with bone deficiency: A randomized controlled clinical trial. Clin Implant Dent Relat Res. 2019;21:175-82.

  14. Iasella JM, Greenwell H, Miller RL, Hill M, Drisko C, Bohra AA, et al. Ridge Preservation With Freeze-Dried Bone Allograft and a Collagen Membrane Compared to Extraction Alone for Implant Site Development: A Clinical and Histologic Study in Humans. J Periodontol. 2003;74:990-9.

Alexandria Dental Journal
Volume 46, Issue 2
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
August 2021
Pages 54-62

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