Regular Home-use Dual Light Photodynamic Therapy in the Prevention of Osteolysis After Dental Implant Surgery

Authors
Category Primary study
Registry of TrialsClinicalTrials.gov
Year 2023
After a dental implant procedure, implant stability is crucial for the success of theimplant. The initial stability of the implant is determined by various factors such asimplant design, surgical technique, bone quality, and quantity.During the implant procedure, the implant is placed into the jawbone and is in directcontact with the surrounding bone. Over time, the bone will grow and fuse with theimplant surface in a process called osseointegration. The implant stability is evaluatedimmediately after the surgery by measuring the implant stability quotient (ISQ) using adevice called an implant stability meter.The ISQ value ranges from 0 to 100, with higher values indicating greater implantstability. In general, an ISQ value of 60 or higher is considered to be a good indicatorof implant stability. If the initial ISQ value is low, the implant may be at risk offailure due to lack of stability, and additional measures may be necessary to promoteosseointegration, such as using bone grafting materials or growth factors.In the first few weeks after the implant procedure, the implant may experience someinitial mobility due to the inflammatory response and remodeling of the bone around theimplant. However, with time, the bone will grow and fuse with the implant, providing astable foundation for dental restoration.With proper implant placement and regular follow‐up care, the incidence of osteolysis canbe minimized. Maintaining good oral hygiene practices, such as regular brushing,flossing, and dental check‐ups, can help reduce the risk of inflammatory changes arounddental implants. In addition, patients are usually advised to avoid placing excessiveforce on the implant during the healing process to prevent any damage to the implant andto ensure successful osseointegration. For example, patients can be advised to have asoft food diet at least for a few days after the implant placement.One of the key issues in maintaining good oral health is patient self‐management. A newtool "Lumoral Treatment" has been introduced in order to enhance oral home care. TheLumoral Treatment is a CE‐marked medical device developed to provide a potent, targetedantibacterial action on the dental plaque in a home environment. It is used together withthe mechanical cleaning (such as toothbrushing) of teeth. The device mechanism of actionis antibacterial photodynamic therapy (aPDT) and thus non‐medicinal. The LumoralTreatment includes a light‐activated Lumorinse mouth rinse and a Lumoral light activator.Its effect is based on a photodynamic method where the light‐sensitive substance ‐indocyanine green ‐ contained in the Lumorinse mouth rinse is attached to the bacterialfilm (plaque) and is activated by antibacterial dual light with 405 and 810 nanometers(nm).The 810 nm light can also have a photobiomodulation effect in promoting bone growth andregeneration. Photobiomodulation (PBM) is a non‐invasive therapy that uses low‐levellight therapy (LLLT) to stimulate cellular function and enhance tissue repair.Near‐infrared (NIR) light is one of the commonly used wavelengths for PBM due to itsability to penetrate deeper into tissues. In the case of dental bone, PBM with NIR lighthas shown promising effects in promoting bone growth and regeneration. In dentalapplications, PBM with NIR light has shown promise in promoting bone growth andregeneration in cases of dental implant placement, tooth extraction, and periodontaldisease.
Epistemonikos ID: 2a53e473c888ed96e0ff7ab8c4235d304a69fe58
First added on: May 15, 2024