We congratulate Dr. Maawan Khadra on his PhD exam, passed on the 31 of March
2005. Dr. Khadra has been performing his research at the Faculty of Dentistry,
University of Oslo.
This faculty was the first Scandinavian faculty to present a LLLT PhD when
Dr. Shelly Khullar defended her thesis on REINNERVATION AFTER NERVE INJURY:
THE EFFECTS OF LOW LEVEL LASER TREATMENT, in June of 1997.
Below follow two abstracts from Dr. Khadra´s work.
Maawan Khadra, Nesrin Kasem, Ståle Petter Lyngstadaas, Hans R. Haanæs
and Kamal Mustafa. Laser therapy accelerates initial attachment and subsequent
behaviour of human oral fibroblasts cultured on titanium implant material.
A scanning electron microscopic and histomorphometric analysis. Clinical Oral
Implants Research. 16(2):168-175.
The aim of the study was to investigate the effect of low-level laser therapy
(LLLT) on attachment and proliferation of human gingival fibroblasts (HGF)
cultured on titanium implant material. HGF were exposed to gallium aluminum
arsenide diode laser at dosages of 1.5 or 3 J/cm2 and then cultured on commercially
pure titanium discs. Cell profile areas were measured after 1, 3 and 24 h,
using scanning electron microscopy and an automatic image analyzer. The results
were expressed as percentage of attachment. In order to investigate the effect
of LLLT on cellular growth after 8 and 10 days, HGF were cultured on titanium
discs for 24 h and then exposed to laser irradiation on 3 consecutive days.
Colony-forming efficiency (CFE) and clonal growth rates (CGR) were measured.
Cell viability was determined by Hoechst and prodidium iodide staining. Non-lased
cultures served as controls. Morphologically, the cells spread well on all
titanium surfaces, indicating good attachment by both irradiated and non-irradiated
cells. Fibroblasts exposed to laser irradiation had significantly higher percentages
of cell attachment than the non-exposed cells (P<0.05). CFE and CGR were
also enhanced for the irradiated cells (P<0.05). Cell viability was high
(>90%) in the irradiated and control groups, without significant differences.
It is concluded that in vitro LLLT enhances the attachment and proliferation
of HGF on titanium implant material.
Khadra M, Ronold HJ, Lyngstadaas SP, Ellingsen JE, Haanaes HR.
Low-level laser therapy stimulates bone-implant interaction: an experimental
study in rabbits. Clin Oral Implants Res. 2004; 15(3):325-332.
The aim of the present study was to investigate the effect of low-level laser
therapy (LLLT) with a gallium-aluminium-arsenide (GaAlAs) diode laser device
on titanium implant healing and attachment in bone. This study was performed
as an animal trial of 8 weeks duration with a blinded, placebo-controlled
design. Two coin-shaped titanium implants with a diameter of 6.25 mm and a
height of 1.95 mm were implanted into cortical bone in each proximal tibia
of twelve New Zealand white female rabbits (n=48). The animals were randomly
divided into irradiated and control groups. The LLLT was used immediately
after surgery and carried out daily for 10 consecutive days. The animals were
killed after 8 weeks of healing. The mechanical strength of the attachment
between the bone and 44 titanium implants was evaluated using a tensile pullout
test. Histomorphometrical analysis of the four implants left in place from
four rabbits was then performed. Energy-dispersive X-ray microanalysis was
applied for analyses of calcium and phosphorus on the implant test surface
after the tensile test. The mean tensile forces, measured in Newton, of the
irradiated implants and controls were 14.35 (SD+/-4.98) and 10.27 (SD+/-4.38),
respectively, suggesting a gain in functional attachment at 8 weeks following
LLLT (P=0.013). The histomorphometrical evaluation suggested that the irradiated
group had more bone-to-implant contact than the controls. The weight percentages
of calcium and phosphorus were significantly higher in the irradiated group
when compared to the controls (P=0.037) and (P=0.034), respectively, suggesting
that bone maturation processed faster in irradiated bone. These findings suggest
that LLLT might have a favorable effect on healing and attachment of titanium
implants.
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