Hamdy A Abol-Khair¹, Mostafa M Hosny², Hisham A Abozeid³ and Abdel-Fattah M Amer⁴*

¹Assistant Lecturer, Department of Oral Medicine, Periodontology, Diagnosis and Oral Radiology Faculty of Dentistry, Al-Azhar University, Cairo, Egypt
²Assistant Professor, Department of Oral Medicine, Periodontology, Diagnosis and Oral Radiology, Faculty of Dental Medicine Al-Azhar University, Cairo, Egypt
³Lecturer, Department of Oral Medicine, Periodontology, Diagnosis and Oral Radiology Faculty of Dentistry, Al-Azhar University, Cairo, Egypt
⁴Professor of Oral Medicine, Periodontology, Diagnosis and Oral Radiology, Faculty of Dental Medicine Al-Azhar University, Cairo, Egypt

*Corresponding Author: Abdel-Fattah M Amer, Professor of Oral Medicine, Periodontology, Diagnosis and Oral Radiology, Faculty of Dental Medicine Al-Azhar University, Cairo, Egypt.

Received: August 27, 2021; Published: September 27, 2021

Citation: Abdel-Fattah M Amer., et al. “Diode Laser Biostimulatory Effect on Dental Implant Inserted into Narrows Mandibular Ridges: Clinico-Radiographic Evaluation". Acta Scientific Dental Sciences 5.10 (2021): 100-108.

Abstract

Purpose: To evaluate possible effect of simultaneous Laser therapy application on dental implant inserted into narrow alveolar ridges after crestal splitting using a piezoelectric device.

Subjects and Methods: Thirty-two dental implants were inserted into 16 patients exhibiting partially edentulous mandibular posterior sites, applying split mouth technique to classify them into two groups: Group 1: received split-crest technique by ultrasonic bone surgery with implant placement and PRF only. Group 2: received split-crest technique by ultrasonic bone surgery with the implant. Placement and PRF + biostimulation of implant sites by diode laser. Clinical evaluation was carried out using: site-specific Gingival Index (GI), Plaque Index (PlI) and Pocket depth (PD). These were recorded immediately after implant loading, at one, three, and six months later. Implant stability was evaluated by resonance frequency analysis (RFA) at the baseline and immediately before implant loading. Radiographic evaluation was carried out preoperative using (CBCT) to assess the bone height and thickness (to guide the implant treatment plan), immediately after surgery at time of loading, as well as 6 months after loading to evaluate the ridge width, crestal bone loss, and bone density.

Results: There were no statistically significant differences regarding GI, PlI, and PD measured in the two groups after one as well as three months. After 6 months; Group I showed a statistically significantly lower scores than Group II, for GI the P-value = 0.021, Effect size = 1.416), for PlI the P-value = 0.027, Effect size = 1.333), and for PD the P-value = 0.008, Effect size = 0.386). Radiographically, there was no statistically significant difference between median crestal bone height measurements in the two groups immediately after loading as well as after six months. The two groups showed a statistically significant increase in crestal bone height measurements denoting crestal bone loss (P-value < 0.001, Effect size = 3.701) and (P-value =0.001, Effect size = 3.265), respectively. No statistically significant difference between the two groups in ridge width, bone density, and Implant stability evaluated RFA.

Keywords: Laser Biostimulation; PRF; Piezoelectric Surgery; Ridge Splitting; Implant Stability; CBCT