Effects of photobiomodulation therapy on implant stability and postoperative recovery: a systematic review and meta-analysis

医学 植入 荟萃分析 科克伦图书馆 共振频率分析 牙科 外科 临床试验 随机对照试验 牙种植体 内科学
作者
Changxing Qu,Feng Luo,Guang Hong,Qianbing Wan
出处
期刊:British Journal of Oral & Maxillofacial Surgery [Elsevier BV]
卷期号:60 (5): e712-e721 被引量:7
标识
DOI:10.1016/j.bjoms.2022.01.014
摘要

The purpose of this study was to systemically analyse the effects of photobiomodulation therapy (PBMT) on implant stability and postoperative recovery. Electronic searches on MEDLINE (PubMed), Cochrane Library, EMBASE, and Web of Science were completed independently by two researchers in February 2021, and a manual search was performed for the references of the included articles. The primary outcome was implant stability. The secondary outcome was postoperative recovery, including postoperative pain, recovery of peri-implant hard tissue (marginal bone loss and bone mineral density), facial swelling, and peri-implant clinical parameters. Twenty studies were finally obtained (17 randomised controlled, and 3 controlled clinical studies). Meta-analysis revealed that PBMT increased implant stability at 10 days after insertion (MD 2.27, 95% CI: 0.40 to 4.13, P = 0.020), and reduced marginal bone loss at 6 months after insertion (MD -0.16, 95% CI: -0.23 to -0.08, P < 0.001). However, no significant improvements were noted in implant stability two weeks (P = 0.070), three weeks (P = 0.090), six weeks (P = 0.050), and 12 weeks (P = 0.080) after insertion. Qualitative analysis suggested that PBMT could not alleviate postoperative pain, increase bone mineral density, or improve peri-implant clinical parameters. It was effective only in reducing facial swelling. This study suggests that the effects of PBMT on implant stability and postoperative recovery may be limited.
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