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Master's Dissertation
DOI
https://doi.org/10.11606/D.25.2019.tde-14062019-183744
Document
Author
Full name
Luísa Belluco Guerrini
Institute/School/College
Knowledge Area
Date of Defense
Published
Bauru, 2018
Supervisor
Committee
Almeida, Ana Lúcia Pompéia Fraga de (President)
Esper, Luís Augusto
Oliveira, Pedro Cesar Garcia de
Silveira, Elcia Maria Varize
Title in Portuguese
Efeito do laser de baixa intensidade na regeneração de defeitos ósseos críticos tratados com osso autógeno e diferentes biomateriais
Keywords in Portuguese
Autoenxerto
Biomateriais
Regeneração óssea
Terapia à laser de baixa intensidade
Abstract in Portuguese
O objetivo deste estudo foi avaliar o efeito do laser de baixa intensidade na regeneração de defeitos ósseos críticos preenchidos com diferentes biomateriais. Foram utilizados 80 ratos machos adultos (Rattus norvegicus, albinus, Wistar) e um defeito de tamanho crítico (5 mm) foi criado na calvária de cada animal. Os animais foram divididos em 8 grupos experimentais (n=10): 1) Grupo C (Controle - coágulo sanguíneo), 2) Grupo LB (Laser de baixa intensidade - GaAlAs), 3) Grupo OA (osso autógeno), 4) Grupo OALB (osso autógeno + laser de baixa intensidade), 5) Grupo VB (vidro bioativo - Biogran), 6) Grupo VBLB (Biogran + laser de baixa intensidade), 7) Grupo BO (osso bovino - Bio-Oss®) e 8) Grupo BOLB (Bio-Oss® + laser de baixa intensidade). Os animais foram submetidos à eutanásia aos 30 dias pós-operatórios. Foram avaliadas as áreas de osso neoformado (AON) e de partículas remanescentes (APR). Os dados foram submetidos ao teste paramétrico ANOVA, seguido pelo teste de Tukey (p<0,05). O efeito fotobiomodulador do laser foi demonstrado no presente estudo uma vez que todos os grupos apresentaram maiores quantidades de AON quando comparados com o grupo C (9,96 ± 4,49%). Ao ser associado aos biomateriais, foi estatisticamente significativo somente quando relacionado ao Bio-Oss® (BOLB 48,57± 28,22). A menor área de APR foi encontrada nos grupos irradiados pelo laser, com diferença significativa somente no grupo BOLB (48,57± 28,22, p < 0,05). O laser de baixa intensidade demonstrou melhores resultados na regeneração óssea de defeitos de tamanho críticos, com maior taxa de AON, quando associado ao Bio-Oss®.
Title in English
Effect of low intensity laser on the regeneration of critical bone defects treated with autogenous bone and different biomaterials
Keywords in English
Autologous
Biocompatible materials
Bone regeneration
Low-level light therapy
Abstract in English
The purpose of this study was to evaluate the effect of low intensity laser on the regeneration of bone defects filled with different biomaterials. Eighty male rats (Rattus norvegicus, albinus, Wistar) were used and a critical size defect (5 mm) was created in the calvaria of each animal. The animals were divided into 8 experimental groups (n = 10): 1) Group C (Control - blood clot), 2) Group LB (Low intensity laser - GaAlAs), 3) Group OA (autogenous bone), 4) OALB group (autogenous bone + low intensity laser), 5) Group VB (bioactive glass - Biogran®), 6) VBLB Group (Biogran® + low intensity laser), 7) BO Group (bovine bone - Bio-Oss®) and 8) BOLB Group (Bio-Oss® + low intensity laser). The animals were submitted to euthanasia after 30 days postoperative. The areas of neoformed bone (AON) and of remaining particles (APR) were evaluated. The data were submitted to the ANOVA parametric test, followed by the Tukey test (p <0.05). The photobiomodulatory effect of the laser was demonstrated in the present study since all groups presented higher amounts of AON when compared to group C (9.96 ± 4.49%). When associated with biomaterials, it was statistically significant only when related to Bio Oss® (BOLB 48.57 ± 28.22, p < 0,05). The lowest APR area was found in the groups irradiated by the laser, with significant difference only in the BOLB group (48.57 ± 28.22). The low intensity laser showed better results in bone regeneration of critical size defects, with a higher AON rate, when associated with Bio-Oss®.
 
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Publishing Date
2019-06-25
 
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