الفهرس 
REVIEW OF LITERATUREOnly 14 pages are availabe for public view
 |  | from | 16 |  |  |
| | | from | 16 | | |
Abstract
The present study was conducted on fourteen patients selected from the Outpatient Clinic of the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University. The patients had maxillary single rooted teeth indicated for extraction and immediate implant placement.
This study was performed to evaluate clinically and radiographically the use of low level laser therapy on immediately placed dental implants in fresh extraction sockets.
Fourteen implants were placed in the maxilla replacing single rooted teeth. Seven patients had received low level laser application after implant placement (group I), and the other seven patients had only immediate implant placement without laser application (group II).
Extraction of teeth was performed with minimal trauma to preserve the integrity of the alveolar wall. Removal of infected or inflamed tissue, debridement of the alveolus and irrigation was done.
Atraumatic surgical technique for implant placement was applied. Drilling 3 mm beyond the socket was performed by the drills as recommended by the manufacturer. The implant was inserted in the osteotomy site, wound closure using 3/0 black silk suture, and low level laser application for group I.
Clinical evaluation was performed immediately and after one week for the presence of pain, tenderness, infection and swelling. Delayed follow up was performed at 1, 3 and 6 months using the following clinical parameters: papillary bleeding index, probing depth and implant mobility.
All patients recovered well after surgery, they showed no complications throughout the evaluation period. None of the cases showed any signs of pain, tenderness, infection, swelling nor mobility throughout the study period.
The decrease in the probing depth score from the first, third and sixth month was found to be statistically insignificant for both groups. Meanwhile, the probing depth scores for group I were found to be statistically significant in comparison to group II throughout the study period.
Bleeding index for both groups in relation to each other at 1, 3 and 6 months it was found to be insignificant.
Standardized periapical radiographs were taken immediately, 1, 3 and 6 months post-operatively using XCP film holder with rubber base impression bite. Marginal bone level and bone density changes around the implants were evaluated using the Image J software(151).
Radiographic evaluation revealed no peri-implant radiolucency at any stage of the follow-up period.
The results of bone height for both groups in relation to each other at immediate post operative, 1, 3 and 6 months it was found to be significant.
Furthermore, the results of bone density for both groups in relation to each other at immediate post operative, 1, 3 and 6 months it was found to be significant also.