Bioglass/PLGA associated to photobiomodulation: effects on the healing process in an experimental model of calvarial bone defect.

Bioactive glasses (BG) are known for their ability to bond to bone tissue. However, in critical situations, even the osteogenic properties of BG may be not enough to induce bone consolidation. Thus, the enrichment of BG with polymers such as Poly (D, L-lactic-co-glycolic) acid (PLGA) and associated to photobiomodulation (PBM) may be a promising strategy to promote bone tissue healing. The aim of the present study was to investigate the in vivo performance of PLGA supplemented BG, associated to PBM therapy, using an experimental model of cranial bone defect in rats. Rats were distributed in 4 different groups (Bioglass, Bioglass/PBM, Bioglas/PLGA and BG/PLGA/PBM). After the surgical procedure to induce cranial bone defects, the pre-set samples were implanted and PBM treatment (low-level laser therapy) started (808 nm, 100 mW, 30 J/cm2). After 2 and 6 weeks, animals were euthanized, and the samples were retrieved for the histopathological, histomorphometric, picrosirius red staining and immunohistochemistry analysis. At 2 weeks post-surgery, it was observed granulation tissue and areas of newly formed bone in all experimental groups. At 6 weeks post-surgery, BG/PLGA (with or without PBM) more mature tissue around the biomaterial particles. Furthermore, there was a higher deposition of collagen for BG/PLGA in comparison with BG/PLGA/PBM, at second time-point. Histomorphometric analysis demonstrated higher values of BM.V/TV for BG compared to BG/PLGA (2 weeks post-surgery) and N.Ob/T.Ar for BG/PLGA compared to BG and BG/PBM (6 weeks post-surgery). This current study concluded that the use of BG/PLGA composites, associated or not to PBM, is a promising strategy for bone tissue engineering.

Avaliação de diferentes protocolos de aplicação do laser de baixa intensidade associado ou não ao osso bovino inorgânico (Bio-Oss®) na cicatrização de defeitos ósseos criados cirurgicamente em calvárias de ratos: estudo histológico e histométrico / Evaluation of different protocols of low-level laser (LLL) application combined or not with inorganic bovine bone (Bio-Oss®) in the healing of surgically created bone defects in rat calvaria: histological and histometric study

O propósito deste estudo foi avaliar diferentes protocolos de aplicação do laser de baixa intensidade (LBI) associados ou não ao osso bovino inorgânico (Bio-Oss®) na cicatrização de defeitos ósseos de tamanho crítico (DTC) em calvárias de ratos. Foram utilizados 90 ratos machos adultos (Rattus norvegicus, albinus, Wistar). Um defeito de tamanho crítico (DTC) de 5 mm de diâmetro foi criado cirurgicamente na calvária de cada animal. Os animais foram divididos igualmente (n=10) e aleatoriamente em 9 gruposexperimentais: 1) grupo C (controle), 2) grupo LBI (4J) (laser de baixa intensidade GaAlAs, 730 nm, 100 mW, 4J, 140 J/cm2), 3) Grupo LBI (6J) (laser de baixa intensidade GaAlAs, 730 nm, 100 mW, 6J, 210 J/cm2), 4) Grupo BO (osso bovino inorgânico), 5) Grupo BO + LBI (4J) (osso bovino inorgânico + laser de baixa intensidade 4J), 6) Grupo BO + LBI (6J) (osso bovino inorgânico + laser de baixa intensidade 6J), 7) Grupo OA (osso autógeno), 8) Grupo OA + LBI (4J) (osso autógeno + laser de baixa intensidade 4J), 9) Grupo OA + LBI (6J) (osso autógeno + laser de baixa intensidade 6J). Os animais foram submetidos à eutanásia aos 30 dias pós-operatórios. Foram avaliadas a área de osso neoformado (AON), extensão linear de osso (ELO) e área de partículas remanescentes (APR). Os dados foram submetidos ao teste paramétrico ANOVA, seguido pelo teste de Tukey (p<0,05). O grupo BO+LBI (6J) demonstrou maior média (48,57 ± 28,22%) de AON e o grupo C a menor média (9,96 ± 4,49%) de AON. Os grupos LBI (6J), OA+LBI (6J) e BO+LBI (6J) demonstraram diferenças estatisticamente significativas de AON em relação ao grupo C. Em relação a ELO, apenas os grupos BO e BO+LBI (4J) não demonstraram diferenças estatisticamente significativas quando comparados ao grupo C, e a maior diferença entre as médias de ELO foram nas comparações do grupo LBI (6J) (76,55 ± 15,54%) com o grupo C (16,00 ± 9,86%. Maior APR foi observada nos grupos em que BO não foi irradiado pelo LBI. Porém, quando...

The purpose of this study was to evaluate different protocols of low-level laser (LLL) application combined or not with inorganic bovine bone (Bio-Oss®) in the healing process of bone defects of critical size (CSD) in rat calvaria. 90 male adult rats (Rattusnorvegicus, albinus, Wistar) were used. A critical size defect (CSD) of 5 mm in diameter was surgically created in the calvaria of each rat. The rats were then divided equally (n=10) and randomly into 9 experimental groups: 1) Group C (control) 2) Group LBI (4J) (low-level laser - GaAlAs, 730 nm, 100 mW, 4J, 140 J/cm2), 3) Group LBI (6) (low- level laser - GaAlAs, 730 nm, 100 mW, 6J, 210 J/cm2), 4) Group BO (inorganic bovine bone), 5) Group BO + LBI (4J) (inorganic bovine bone + low-level laser 4J), 6) Group BO LBI (6J) (inorganic bovine bone + low-level laser 6J), 7) Group OA (autogenous bone), 8) Group OA + LBI (4J) (autogenous bone + low-level laser 4J), 9 Group OA + LBI (6J) (autogenous bone + low-level laser 6J). The rats utilized were euthanized 30 days post-operation. The areas of new bone formation (ANB), linear extension bone (LEB), and areas of remaining particles (ARP) were evaluated. The data underwent the parametric ANOVA test, followed by the Tukey test (p<0,05). Group BO+LBI (6J) presented the greatest average (48,57 ± 28,22%) of ANB and Group C presented the lowest average (9,96 ± 4,49%) of ANB. The groups LBI (6J), OA+LBI (6J), and BO+LBI (6J) presented statistically significant differences of ANB in comparison to Group C. Regarding the LEB, only the groups BO and BO+LBI (4J) did not present differences statistically significant in comparison to Group C. The largest difference between the averages of LEB were in the comparison of Group LBI (6J) (76,55 ± 15,54%) with Group C (16,00 ± 9,86%). The largest ARP was observed in the groups where the inorganic bovine bone was not irradiated by the LLL. However, when comparing Group BO+LBI (6J) to Group OA+LBI (4J) and...

Avaliação de diferentes protocolos de aplicação do laser de baixa intensidade associado ou não ao osso bovino inorgânico (Bio-Oss®) na cicatrização de defeitos ósseos criados cirurgicamente em calvárias de ratos: estudo histológico e histométrico / Evaluation of different protocols of low-level laser (LLL) application combined or not with inorganic bovine bone (Bio-Oss®) in the healing of surgically created bone defects in rat calvaria: histological and histometric study

O propósito deste estudo foi avaliar diferentes protocolos de aplicação do laser de baixa intensidade (LBI) associados ou não ao osso bovino inorgânico (Bio-Oss®) na cicatrização de defeitos ósseos de tamanho crítico (DTC) em calvárias de ratos. Foram utilizados 90 ratos machos adultos (Rattus norvegicus, albinus, Wistar). Um defeito de tamanho crítico (DTC) de 5 mm de diâmetro foi criado cirurgicamente na calvária de cada animal. Os animais foram divididos igualmente (n=10) e aleatoriamente em 9 gruposexperimentais: 1) grupo C (controle), 2) grupo LBI (4J) (laser de baixa intensidade GaAlAs, 730 nm, 100 mW, 4J, 140 J/cm2), 3) Grupo LBI (6J) (laser de baixa intensidade GaAlAs, 730 nm, 100 mW, 6J, 210 J/cm2), 4) Grupo BO (osso bovino inorgânico), 5) Grupo BO + LBI (4J) (osso bovino inorgânico + laser de baixa intensidade 4J), 6) Grupo BO + LBI (6J) (osso bovino inorgânico + laser de baixa intensidade 6J), 7) Grupo OA (osso autógeno), 8) Grupo OA + LBI (4J) (osso autógeno + laser de baixa intensidade 4J), 9) Grupo OA + LBI (6J) (osso autógeno + laser de baixa intensidade 6J). Os animais foram submetidos à eutanásia aos 30 dias pós-operatórios. Foram avaliadas a área de osso neoformado (AON), extensão linear de osso (ELO) e área de partículas remanescentes (APR). Os dados foram submetidos ao teste paramétrico ANOVA, seguido pelo teste de Tukey (p<0,05). O grupo BO+LBI (6J) demonstrou maior média (48,57 ± 28,22%) de AON e o grupo C a menor média (9,96 ± 4,49%) de AON. Os grupos LBI (6J), OA+LBI (6J) e BO+LBI (6J) demonstraram diferenças estatisticamente significativas de AON em relação ao grupo C. Em relação a ELO, apenas os grupos BO e BO+LBI (4J) não demonstraram diferenças estatisticamente significativas quando comparados ao grupo C, e a maior diferença entre as médias de ELO foram nas comparações do grupo LBI (6J) (76,55 ± 15,54%) com o grupo C (16,00 ± 9,86%. Maior APR foi observada nos grupos em que BO não foi irradiado pelo LBI. Porém, quando...

The purpose of this study was to evaluate different protocols of low-level laser (LLL) application combined or not with inorganic bovine bone (Bio-Oss®) in the healing process of bone defects of critical size (CSD) in rat calvaria. 90 male adult rats (Rattusnorvegicus, albinus, Wistar) were used. A critical size defect (CSD) of 5 mm in diameter was surgically created in the calvaria of each rat. The rats were then divided equally (n=10) and randomly into 9 experimental groups: 1) Group C (control) 2) Group LBI (4J) (low-level laser - GaAlAs, 730 nm, 100 mW, 4J, 140 J/cm2), 3) Group LBI (6) (low- level laser - GaAlAs, 730 nm, 100 mW, 6J, 210 J/cm2), 4) Group BO (inorganic bovine bone), 5) Group BO + LBI (4J) (inorganic bovine bone + low-level laser 4J), 6) Group BO LBI (6J) (inorganic bovine bone + low-level laser 6J), 7) Group OA (autogenous bone), 8) Group OA + LBI (4J) (autogenous bone + low-level laser 4J), 9 Group OA + LBI (6J) (autogenous bone + low-level laser 6J). The rats utilized were euthanized 30 days post-operation. The areas of new bone formation (ANB), linear extension bone (LEB), and areas of remaining particles (ARP) were evaluated. The data underwent the parametric ANOVA test, followed by the Tukey test (p<0,05). Group BO+LBI (6J) presented the greatest average (48,57 ± 28,22%) of ANB and Group C presented the lowest average (9,96 ± 4,49%) of ANB. The groups LBI (6J), OA+LBI (6J), and BO+LBI (6J) presented statistically significant differences of ANB in comparison to Group C. Regarding the LEB, only the groups BO and BO+LBI (4J) did not present differences statistically significant in comparison to Group C. The largest difference between the averages of LEB were in the comparison of Group LBI (6J) (76,55 ± 15,54%) with Group C (16,00 ± 9,86%). The largest ARP was observed in the groups where the inorganic bovine bone was not irradiated by the LLL. However, when comparing Group BO+LBI (6J) to Group OA+LBI (4J) and...

Avaliação do efeito do laser em baixa intensidade na cicatrização de defeitos ósseos preenchidos com vidro bioativo (Biogran®): estudo em animais / Evaluation of the effect of low-level lasers on the healing of bone defects grafted with bioactive glass (Biogran®): animal study

O objetivo deste estudo foi avaliar o efeito do laser em baixa intensidade na cicatrização de defeitos ósseos preenchidos com vidro bioativo (VB), em animais. Foi criado um defeito ósseo de tamanho crítico (DTC) com 5 mm de diâmetro na calvária de 60 ratos machos adultos (Rattus novergicus, albinos, Winstar), pesando entre 250g e 300g. Os animais foram divididos aleatoriamente em 6 grupos (n=10), sendo: 1) Grupo C (controle), 2) Grupo L (laser), 3) Grupo OA (osso autógeno), 4) Grupo OAL (osso autógeno + laser), 5) Grupo VB (vidro bioativo), 6) Grupo VBL (vidro bioativo + laser). Os animais foram submetidos a eutanásia após 30 dias. As áreas de osso neoformado (AON) e as áreas de partículas remanescentes de vidro bioativo (APR) foram calculados em relação à área total (AT), em porcentagem. Para análise estatística dos dados utilizou-se o teste paramétrico ANOVA, seguido pelo teste Tukey (p>0,05). A maior média de AON foi encontrada no grupo L (47,67 +8,66), seguido pelos grupos OAL (30,98 +16,59)e VBL (31,13 + 16,98). Houve diferença estatisticamente significante em relação ao AON entre o grupo C e os demais grupos com exceção da comparação com o grupo VB (Teste Tukey, p>0,05); entre os grupos L e VB quanto aos valores de AON (Teste Tukey, p>0,05). Não houve diferença estatisticamente significante dos valores de AON entre o grupo OA e os demais grupos estudados (Teste Tukey, p>0,05), entre o grupo OAL e os grupos VB e VBL quanto aos valores de AON (Teste Tukey, p>0,05) e entre os grupos VB e VBL (Teste Tuckey, p>0,05). A maior média de APR foi encontrada no grupo VB (25,15 + 4,82), seguido pelo grupo VBL (17,06 +9,01). Não houve diferença estatisticamente significante entre os grupos (teste t, p>0,05). O laser em baixa intensidade, com o protocolo de aplicação utilizado, não contribuiu para o aumento da área de neoformação óssea dos sítios preenchidos com vidro bioativo, no período avaliado.

The objective of this study was to evaluate the effect of low-level lasers on the healing of bone defects grafted with bioactive glass (VB) in animals. A bone defect of critical size with 5mm in diameter was made in the skullcap of 60 male adult rats (Rattus novergicus, albinos, Winstar), weighing between 250g and 300g. The rats were divided randomly into 6 groups (n=10). Those being: 1) Group C (control); 2) Group L (laser); 3) Group OA (autogenous bone); 4) Group OAL (autogenous bone + Laser); 5) Group VB (bioactive glass); 6) Group VBL (bioactive glass + laser). The rats were euthanized after 30 days. The areas of new bone formation (AON) and the areas of remaining particles of bioactive glass (APR) were calculated in relation to the total area by percentage. For statistical analysis of the data, the parametric ANOVA rest followed by the Tukey test (p>0,05) was used. The highest average AON was found in group L (47,67 + 8,66), followed by groups OAL (30,98 + 16,59) and VBL (31,13 + 16,98). There was a statistically significant difference regarding in AON between Group C and the other groups with the exception of comparison with Group VB (Tukey Test, p>0,05). There was also a statistically significant difference between the L and VB groups regarding the AON value (Tukey Test, p>0,05). There was no statistically significant difference of AON values between group OA and the other groups studied (Tukey Test, p>0,05); between group OAL and the groups VB and VBL regarding the AON value (Tukey Test, p>0,05); and between the VB and VBL groups (Tukey Test, p>0,05). The highest average of APR was found in group VB (25,15 + 4,82), followed by group VBL (17,06 + 9,01).There was no statistically significant difference between groups (teste t, p>0,05). The low-level laser, with the application protocol used, did not contribute to an increase in the new bone formation area of the sites grafted with bioactive glass in the assessed period of time.

Avaliação da cicatrização de defeitos ósseos criados cirurgicamente em calvárias de ratos e tratados com enxertos de origem bovina (Bio-Oss®) associados ao laser de baixa intensidade: estudo histológico e histométrico / Evaluation of healing of surgically created bone defects in rat calvaria treated with bovine grafts (Bio-Oss®) associated with low level laser: histological and histometric study

O propósito deste estudo foi avaliar, histologicamente, o efeito do laser de baixa intensidade na cicatrização óssea de defeitos de tamanho crítico (DTC- 5mm) criados cirurgicamente em calvárias de ratos, quando associado ou não ao osso bovino inorgânico (Bio-Oss®). 60 ratos machos (Rattusnorvegicus, albinus, Wistar) foram divididos em 6 grupos: C (controle), L (Laser de Baixa Intensidade - GaAlAs, 730nm, 100mW, 6J, 210J/cm2), AO (Osso Autógeno) OAL (Osso Autógeno + Laser de Baixa Intensidade), BO (Osso Bovino Inorgânico), BOL (Osso Bovino Inorgânico + Laser de Baixa Intensidade) . Os animais foram submetidos à eutanásia após 30 dias. A quantidade de osso neoformado e a área de partícula remanescente dos materiais implantados foram calculadas como porcentagem da área do defeito original. Os dados foram submetidos à análise estatística (Teste de Kruskal - Wallis, Teste de Dunn; p<0,05). Os grupos irradiados com laser de baixa intensidade, L (47,67% ± 8,66%), OAL (39,15% ± 16,72%) e BOL (48,57% ± 28,22%) apresentaram maior área de neoformação óssea que os grupos C (9,96% ± 4,50%), OA (30,98% ± 16,59%) e BO (11,36% ± 7,89%) que não foram irradiados. Além disso, foram significativamente melhores que o Grupo C. Dentro dos limites deste estudo, conclui-se que o laser acelerou o processo de neoformação óssea e de reabsorção das partículas dos materiais de enxertia, podendo ser considerado uma modalidade terapêutica interessante a ser associada com biomateriais em cirurgias ósseas reconstrutivas.

This study histologically evaluated the effect of low level laser on the bone healing of critical size defects (CSD- 5mm) surgically created in rat calvaria, associated or not with inorganic bovine bone (Bio-Oss®). Sixty male rats (Rattus norvegicus, albinus, Wistar) were divided in 6 groups: C (control), L (low level laser - GaAlAs, 730nm, 100mW, 6J, 210J/cm2), AO (autogenous bone) OAL (autogenous bone + low level laser), BO (inorganic bovine bone), BOL (inorganic bovine bone + low level laser). The animals were killed after 30 days. The quantity of newly formed bone and area of remaining particles of the implanted materials were calculated as percentages of the original defect area. Data were statistically analyzed (Kruskal Wallis test, Dunn test; p<0.05). The groups irradiated with low level laser, L (47.67% ± 8.66%), OAL (39.15% ± 16.72%) and BOL (48.57% ± 28.22%) presented greater area of new bone formation than the groups C (9.96% ± 4.50%), OA (30.98% ± 16.59%) and BO (11.36% ± 7.89%), which were not irradiated. Also, they were significantly better than group C. within the limits of this study, it was concluded that the laser accelerated the new bone formation and resorption of particles of graft materials, thus it may be considered an interesting therapeutic option for association with biomaterials in reconstructive bone surgeries.

Low level laser therapy does not modulate the outcomes of a highly bioactive glass-ceramic (Biosilicate) on bone consolidation in rats.

The main purpose of the present work was to evaluate if low level laser therapy (LLLT) can improve the effects of novel fully-crystallized glass-ceramic (Biosilicate) on bone consolidation in tibial defects of rats. Forty male Wistar rats with tibial bone defects were used. Animals were divided into four groups: group bone defect control (CG); group bone defect filled with Biosilicate (BG); group bone defect filled with Biosilicate, irradiated with LLLT, at 60 J cm(-2) (BG 60) and group bone defect filled with Biosilicate, irradiated with LLLT, at 120 J cm(-2) (BG 120). A low-energy GaAlAs 830 nm, CW, 0.6 mm beam diameter, 100 W cm(-2), 60 and 120 J cm(-2) was used in this study. Laser irradiation was initiated immediately after the surgery procedure and it was performed every 48 h for 14 days. Fourteen days post-surgery, the three-point bending test revealed that the structural stiffness of the groups CG and BG was higher than the values of the groups BG60 and BG120. Morphometric analysis revealed no differences between the control group and the Biosilcate group. Interestingly, the groups treated with Biosilicate and laser (BG 60 and BG120) showed statistically significant lower values of newly formed bone in the area of the defect when compared to negative control (CG) and bone defect group filled with Biosilicate (CB). Our findings suggest that although Biosilicate exerts some osteogenic activity during bone repair, laser therapy is not able to modulate this process.

Influence of low-level laser therapy on biomaterial osseointegration: a mini-review.

The aim of this paper is to provide an overview of the available literature on low-level laser therapy (LLLT) and its influence on bone repair and the osseointegration of biomaterials. Extensive studies of alveolar bone repair, a common problem in periodontal therapy, have been conduced worldwide. The utility of LLLT in biomaterial osseointegration is still unanswered, due to lack of literature and poorly understood mechanisms. It is still difficult for one to compare studies about the action of LLLT on the osseointegration of biomaterials because the experimental models and duration of treatments are very distinct. However, it could be concluded that LLLT may offer advantages in terms of periodontal and bone functional recovery and biomaterial osseointegration.

Histologic comparison of light emitting diode phototherapy-treated hydroxyapatite-grafted extraction sockets: a same-mouth case study.

BACKGROUND: The stimulating effect of red and near-infrared (NIR) laser phototherapy on bone regeneration and growth has been shown in a number of in vitro and animal studies. However, the effect of NIR phototherapy on the bone regeneration of hydroxyapatite (HA) -treated extraction sockets has not been previously demonstrated. MATERIALS AND METHODS: An investigational Biolux extraoral light emitting diode phototherapy device was used daily for 21 days postextraction and socket grafting with HA (Osteograf LD300) unilaterally. Bone regeneration of the phototherapy-treated and nontreated side was compared in same-mouth extraction sockets. RESULTS: Histologic evaluations showed enhanced bone formation and faster particle resorption associated with the phototherapy-treated socket graft compared with the non-phototherapy-treated socket. CONCLUSIONS: The accelerated bone healing in the phototherapy-treated HA socket graft may provide faster implant placement compared to non-phototherapy-treated socket grafts.