Phototherapy enhances bone regeneration in sinus bone grafts

Phototherapy enhances bone regeneration in sinus bone grafts

Oct 26, 2022
pbmadmin


A KWONG HING1
, P BRAWN2
(1) , Schulich School of Medicine and Dentistry, Division of Periodontics and Private
Practice, London and Toronto, Ontario, Canada. (2) , Private Practice, Nanaimo,British
Columbia, Canada.

This clinical report describes a direct sinus lift with BiOss graft placement
approximately 15mm in height, The treatment of the graft with a course of 10 mw
light therapy was utilized for a period of 10 minutes two times per day for 2 weeks
utilizing a Biolux Light Array. Subsequently the implant was placed at 4 weeks with
histology demonstrating almost complete turnover of the xenograft and replacement
with host bone.
Materials and methods: Utilizing a direct window approach a severely pneumatized
sinus was prepared for implant placement by augmenting the defect with BioOss
alone. Subsequently a course of light therapy was applied by the patient to stimulate
the healing process of the grafted bone and allow a faster implant placement.
At 4 weeks a flapless 2mm bone core biopsy was obtained from the grafted site prior
to implant placement and the bone fixated in formalin. A histological analysis
demonstrated almost complete turnover of graft with host bone. The implant was
successfully placed into the previously grafted bone at a torque of 45 ncm. After a
conventional healing period of 3 months the implant was restored successfully
Results: The histological analysis of the grafted bone demonstrated a robust healing
process in response to the light therapy.Almost all the BioOss had been replaced with
autogenous bone.This allowed a much shorter treatment time period than
conventional sinus lift bone grafts of the magnitude completed in this case study.
Conventional healing times approach 6 -9 months prior to implant placement.The
patient underwent a non complicated healing period after the bone graft and light
therapy and was able to receive placement of the implant in a much shorter time
period than conventional treatment without the bone stimulating effect of the light
therapy


Conclusions:
The utilization of light therapy in conjunction with bone grafting can accelerate the
healing process and allow faster implant placement than under conventional
treatment regimens.

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