photobiomodulation therapy

光生物调节疗法
  • 文章类型: Journal Article
    目的:评价犬术后光生物调节治疗的效果。
    方法:选择20只狗进行选择性胃切除术,并随机分为对照组(CG,n=10)和PBMT组(PBMTG,n=10)。术前用药包括美托咪定和布托啡诺。美洛昔康在手术前给药。用丙泊酚进行诱导并用七氟醚维持。使用利多卡因局部阻断。在所有动物中进行切开胃切除术。PBMTG在手术后立即接受PBMT。术后镇痛抢救的必要性,如果动物被评估者吃掉了,在气管内拔管后1、2、4、6、8、12、16、20和24h,使用格拉斯哥综合测量疼痛量表(CMPS‑SF)收集疼痛评分。将CMPS-SF评分与Mann-Whitney测试以及需要抢救镇痛并进食的动物比例进行了χ2测试。P设定为<0.05。
    结果:任何动物都不需要抢救镇痛。尽管如此,拔管后1~4小时,CG和PBMTG的CMPS-SF评分存在显著差异.PBMTG在拔管后8小时评估时间内进食的动物比例明显更高。
    结论:与单独的标准方案相比,在标准麻醉和镇痛方案中添加术后光生物调节降低了CMPS-SF评分,并增加了恢复进食的动物比例。
    OBJECTIVE: To evaluate the effect of post-surgical photobiomodulation therapy in dogs.
    METHODS: Twenty dogs were selected for elective gastropexy and randomly divided into a control (CG, n = 10) and a PBMT group (PBMTG, n = 10). Pre‑medication consisted of medetomidine and butorphanol. Meloxicam was administered before the procedure. Induction was performed with propofol and maintained with sevoflurane. Local blocks with lidocaine were used. Incisional gastropexy was performed in all animals. PBMTG received PBMT immediately after surgery. The need for postoperative rescue analgesia, if the animal had eaten by the evaluation momen, and pain scores were collected using the Glasgow Composite Measure Pain Scale - Short Form (CMPS‑SF) at 1, 2, 4, 6, 8, 12, 16, 20, and 24 h post‑endotracheal extubation. CMPS‑SF scores were compared with the Mann-Whitney Test and proportions of animals that required rescue analgesia and had eaten with a χ2 test. P was set at < 0.05.
    RESULTS: No rescue analgesia was needed for any animal. Still, significant differences were observed in CMPS-SF scores between CG and PBMTG between 1 and 4 h post-extubation. PBMTG had a significantly higher proportion of animals eating up to the 8 h post-extubation evaluation moment.
    CONCLUSIONS: Adding post-surgical photobiomodulation to a standard anesthesia and analgesia protocol reduced CMPS-SF scores and increased the proportion of animals that resumed eating compared to the standard protocol alone.
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  • 文章类型: Journal Article
    世界上约有7%的男性人口与相当大的情况纠缠在一起,这被称为男性不育。光生物调节疗法(PBMT)是低水平激光辐射的应用,最近用于增加或促进各种细胞功能,包括,扩散,分化,ATP生产,基因表达,调节活性氧香料(ROS),并促进组织愈合和减少炎症。本系统综述的主要思想是对PBMT在四个光范围波长(蓝色,绿色,红色,近红外(NIR)对精子细胞特性的影响,在体外和体内。在这项研究中,PubMed,谷歌学者,和Scopus数据库用于2003-2023年发表的摘要和全文科学论文,这些论文报道了PBM在精子细胞上的应用。适用纳入和排除审查的标准。最后,包括了与我们的目标相匹配的研究,机密,并详细报道。此外,搜索的研究被细分为四个范围的光照射的影响,包括蓝光范围(400-500nm),绿光范围(500-600nm),红光范围(600-780nm),以及对人类或动物精子细胞进行激光照射的NIR光范围(780-3000nm),在体外或体内的情况下。搜索我们的关键词会产生137篇论文。经过初步分析,一些文章被排除在外,因为它们是综述文章或不完整且不相关的研究.最后,我们使用63篇文章进行本系统综述。我们的分类表是基于照射的光线范围,精子细胞(人或动物细胞)的来源,并且在体外或体内。6%的出版物报道了蓝色的影响,10%绿色,53%红色和31%近红外,光在精子细胞上。总的来说,大多数研究表明PBMT对精子细胞运动有积极作用。PBMT在不同波长范围内的各种效应,正如这篇评论中提到的,为其在改善精子特性方面的潜在应用提供更多见解。PBMT作为一种治疗方法,对于治疗不同的医学问题具有显著的有效性。由于该领域缺乏报告数据,需要未来的研究来评估PBMT对精子细胞的生化和分子效应,以便在ART过程之前将这种治疗应用于人类精子细胞.
    Around 7% of the male population in the world are entangle with considerable situation which is known as male infertility. Photobiomodulation therapy (PBMT) is the application of low-level laser radiation, that recently used to increase or promote the various cell functions including, proliferation, differentiation, ATP production, gene expressions, regulation of reactive oxygen spices (ROS), and also boost the tissue healing and reduction of inflammation. This systematic review\'s main idea is a comprehensive appraisal of the literatures on subjects of PBMT consequences in four light ranges wavelength (blue, green, red, near-infrared (NIR)) on sperm cell characteristics, in vitro and in vivo. In this study, PubMed, Google Scholar, and Scopus databases were used for abstracts and full-text scientific papers published from 2003-2023 that reported the application of PBM on sperm cells. Criteria\'s for inclusion and exclusion to review were applied. Finally, the studies that matched with our goals were included, classified, and reported in detail. Also, searched studies were subdivided into the effects of four ranges of light irradiation, including the blue light range (400-500 nm), green light range (500-600 nm), red light range (600-780 nm), and NIR light range (780-3000 nm) of laser irradiation on human or animal sperm cells, in situations of in vitro or in vivo. Searches with our keywords results in 137 papers. After primary analysis, some articles were excluded because they were review articles or incomplete and unrelated studies. Finally, we use the 63 articles for this systematic review. Our category tables were based on the light range of irradiation, source of sperm cells (human or animal cells) and being in vitro or in vivo. Six% of publications reported the effects of blue, 10% green, 53% red and 31% NIR, light on sperm cell. In general, most of these studies showed that PBMT exerted a positive effect on the sperm cell motility. The various effects of PBMT in different wavelength ranges, as mentioned in this review, provide more insights for its potential applications in improving sperm characteristics. PBMT as a treatment method has significant effectiveness for treatment of different medical problems. Due to the lack of reporting data in this field, there is a need for future studies to assessment the biochemical and molecular effects of PBMT on sperm cells for the possible application of this treatment to the human sperm cells before the ART process.
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  • 文章类型: Journal Article
    背景:目的是确定是否有任何可用的证据表明光生物调节疗法(PBMT)对老年人的疗效。
    方法:进行了文献检索,包括截至2024年2月发表的所有文章。包括报告老年人PBMT数据的研究。本研究在PROSPERO注册。
    结果:总计,已确定406项研究。在消除重复和不相关的研究之后,最终审查中包括10条记录。在所有纳入的研究中,用于递送PBMT的协议在设备类型方面有所不同,波长,辐照持续时间,和脉冲频率。在神经退行性疾病中,两项研究报告了无意义的结果,而两项研究报道了PBMT的疗效。在伤口和溃疡中,3项研究中有2项报告了PBMT的疗效.在黄斑变性中,一项研究报道了PBMT的疗效。一项关于唾液分泌不足的研究报道了PBMT的功效。
    结论:PBMT似乎是一种有希望的补充治疗。所有研究报告在整个治疗过程中具有良好的依从性和安全性。在未来,协调PBMT参数至关重要。需要进一步的研究来确定最佳适应症,最有效的协议,以及在常规实践中使用的正确人群。
    BACKGROUND: The aim was to determine whether there is any available evidence on the efficacy of photobiomodulation therapy (PBMT) in older adults.
    METHODS: A literature search was performed including all articles published up to February 2024. Studies reporting data on PBMT in older adults were included. This study was registered with PROSPERO.
    RESULTS: In total, 406 studies were identified. After eliminating duplicates and irrelevant studies, 10 records were included in the final review. In all included studies, the protocols used to deliver PBMT were different in terms of type of device, wavelength, irradiation duration, and pulse frequency. In neurodegenerative diseases, two studies reported non-significant results, while two studies reported efficacy of PBMT. In wounds and ulcers, two out of three studies reported efficacy of PBMT. In macular degeneration, one study reported efficacy of PBMT. One study on hyposalivation reported efficacy of PBMT.
    CONCLUSIONS: PBMT appears to be a promising complementary treatment. All studies reported good compliance and safety throughout the treatment. In the future, it will be essential to harmonize PBMT parameters. Further studies are warranted to define the best indications, the most effective protocols, and the right population to target for use in routine practice.
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  • 文章类型: Journal Article
    目的:研究660和810nm光生物调节疗法(PBMT)对β淀粉样蛋白(Aβ)42诱导的分化SH-SY5Y细胞毒性的影响,并评估其对Aβ42积累和胆碱能神经传递的影响。背景:阿尔茨海默病(AD)的特征是Aβ肽的积累,导致神经变性,胆碱能缺陷,和认知能力下降。PBMT已成为减轻Aβ诱导的毒性和增强胆碱能功能的潜在治疗方法。方法:分化的神经元用1μMAβ42处理1天,然后在660和810nm的波长下每日PBMT持续7天。处理使用以5mW/cm2的功率密度每天10分钟发射连续波光的LED以实现3J/cm2的能量密度。结果:分化的SH-SY5Y细胞表现出增加的Aβ42聚集,神经突回缩,和降低细胞活力。810nm的PBMT可显着减轻Aβ42在这些细胞中诱导的毒性,正如Aβ42聚集减少所证明的那样,神经突回缩,并改善细胞活力和神经元形态。值得注意的是,该治疗还恢复了暴露于Aβ42的神经元中的乙酰胆碱水平。结论:810nm的PBMT可有效降低Aβ42诱导的毒性并支持神经元存活,强调其对胆碱能神经元的神经保护作用。通过发光对低水平光疗对Aβ42积累和细胞过程的影响。这些发现主张进一步研究以阐明PBMT的机制并验证其在AD管理中的临床相关性。
    Objective: To investigate the effects of photobiomodulation therapy (PBMT) at 660 and 810 nm on amyloid-beta (Aβ)42-induced toxicity in differentiated SH-SY5Y cells and to assess its impact on Aβ42 accumulation and cholinergic neurotransmission. Background: Alzheimer\'s disease (AD) is characterized by the accumulation of Aβ peptides, leading to neurodegeneration, cholinergic deficit, and cognitive decline. PBMT has emerged as a potential therapeutic approach to mitigate Aβ-induced toxicity and enhance cholinergic function. Methods: Differentiated neurons were treated with 1 μM Aβ42 for 1 day, followed by daily PBMT at wavelengths of 660 and 810 nm for 7 days. Treatments used LEDs emitting continuous wave light at a power density of 5 mW/cm2 for 10 min daily to achieve an energy density of 3 J/cm2. Results: Differentiated SH-SY5Y cells exhibited increased Aβ42 aggregation, neurite retraction, and reduced cell viability. PBMT at 810 nm significantly mitigated the Aβ42-induced toxicity in these cells, as evidenced by reduced Aβ42 aggregation, neurite retraction, and improved cell viability and neuronal morphology. Notably, this treatment also restored acetylcholine levels in the neurons exposed to Aβ42. Conclusions: PBMT at 810 nm effectively reduces Aβ42-induced toxicity and supports neuronal survival, highlighting its neuroprotective effects on cholinergic neurons. By shedding light on the impact of low-level light therapy on Aβ42 accumulation and cellular processes. These findings advocate for further research to elucidate the mechanisms of PBMT and validate its clinical relevance in AD management.
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  • 文章类型: Journal Article
    简介:多囊卵巢综合征(PCOS)是一种复杂的疾病,可以有各种症状和并发症,其中之一是不孕症。miRNA的失调与许多疾病如PCOS的发病机理有关。在这项研究中,我们评估了光生物调节疗法(PBMT)和外泌体疗法(EXO)对PCOS卵母细胞中miRNA和细胞核乙酰化调节的影响。方法:在这项研究中,36个卵母细胞分为三组:对照组,EXO,和PBM(640nm波长)。随后,评估体外成熟(IVM)。使用实时PCR评估miRNA-21,16,19,24,30,106,155和GAPDH。之后,用H4K12测定卵母细胞谷胱甘肽(GSH)和细胞核乙酰化。结果:与对照组相比,EXO和PBMT组的miR-16,miRNA-19,miRNA-24,miRNA-106和miRNA-155基因的表达明显下调。但与对照组相比,EXO和PBMT组的miRNA-21和miR-30的表达显着增加。EXO和PBMT显著增加GSH和细胞核乙酰化(P<0.0001)。结论:本研究结果表明,使用EXO和PBMT可以改善PCOS卵母细胞的GSH和细胞核乙酰化,并改变miRNAs的表达。
    Introduction: Polycystic ovary syndrome (PCOS) is a complex condition that can have various symptoms and complications, one of which is infertility. Dysregulation of miRNA has been associated with the pathogenesis of numerous illnesses such as PCOS. In this study, we evaluated the effect of photobiomodulation therapy (PBMT) and exosome therapy (EXO) on the regulation of miRNA and nucleus acetylation in a PCOS oocyte. Methods: In this research, 36 oocytes divided into three groups: control, EXO, and PBM (Wavelength of 640 nm). Subsequently, in-vitro maturation (IVM) was evaluated. Real-time PCR was used to evaluate miRNA-21,16,19,24,30,106,155 and GAPDH. Afterward, oocyte glutathione (GSH) and nucleus acetylation were measured by H4K12. Results: The expression of the miR-16, miRNA-19, miRNA-24, miRNA-106 and miRNA-155 genes in the EXO and PBMT groups was significantly down-regulated in comparison to the control group, but the expression of miRNA-21 and miR-30 significantly increased in the EXO and PBMT groups in comparison to the control group. The EXO and PBMT significantly increased GSH and nucleus acetylation (P<0.0001). Conclusion: The results of this study showed that the use of EXO and PBMT can improve GSH and nucleus acetylation in the PCOS oocyte and also change the expression of miRNAs.
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  • 文章类型: Journal Article
    背景:伤口愈合是一个多步骤的过程,涉及多种细胞类型的协调反应,细胞因子,生长因子,和细胞外基质(ECM)成分导致组织完整性的生理恢复。光生物调节疗法(PBMT)已被强调为改善愈合过程的方法,尽管如此,在分子水平上,PBMT的影响尚未完全了解。
    目的:系统回顾研究体内皮肤修复过程中PBMT后基因表达的出版物。
    方法:在MedlineOvid(WoltersKluwer)进行了电子搜索,PubMed(国家医学图书馆),WebofScience(ThomsonReuters),Scopus(Elsevier),Embase,和LILACS数据库。搜索策略是从以下术语进行的:低水平光疗法,基因表达,伤口愈合和它们的同义词。2023年12月查阅了这些数据库,没有使用出版年份限制。
    结果:本综述包括11项研究,评估了186个基因的表达。PBMT修饰的几个靶基因的表达研究,例如与细胞外基质蛋白酶(MMP2和MMP9)和促炎细胞因子(IL10和IL6)相关的基因的下调以及DNMT3A和BFGF的上调。
    结论:这篇综述表明PBMT能够在伤口愈合过程中调节基因表达。大多数证据表明PBMT在调节与炎性细胞因子相关的基因方面具有积极影响,可改善皮肤伤口愈合。然而,PBMT在涉及其他机制的基因中的作用仍需要更好地理解。
    BACKGROUND: Wound healing is a multistep process involving coordinated responses of a variety of cell types, cytokines, growth factors, and extracellular matrix (ECM) components leading to the physiological restoration of tissue integrity. Photobiomodulation therapy (PBMT) has been highlighted as an approach to improve the healing process, nonetheless at the molecular level, the effects of PBMT are not entirely understood.
    OBJECTIVE: To systematically review publications that investigated gene expression after PBMT during in vivo skin repair.
    METHODS: An electronic search was undertaken in Medline Ovid (Wolters Kluwer), PubMed (National Library of Medicine), Web of Science (Thomson Reuters), Scopus (Elsevier), Embase, and LILACS databases. The search strategy was conducted from the terms: low-level light therapy, gene expression, and wound healing and their synonyms. The databases were consulted in December 2023 and no publication year limit was used.
    RESULTS: Eleven studies were included in this review and the expression of 186 genes was evaluated. PBMT modified the expression of several targets genes studied, such as down-regulation of genes related to extracellular matrix proteases (MMP2 and MMP9) and pro-inflammatory cytokines (IL10 and IL6) and up-regulation of DNMT3A and BFGF.
    CONCLUSIONS: This review demonstrates that PBMT is capable of regulating gene expression during wound healing. Most evidence showed a positive impact of PBMT in regulating genes linked to inflammatory cytokines improving skin wound healing. Yet, the effects of PBMT in genes involved in other mechanisms still need to be better understood.
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  • 文章类型: Journal Article
    目的:考虑到口腔或口咽部和鼻咽部肿瘤可能是口腔黏膜炎(OM)表现的加重因素,本研究旨在评估肿瘤的位置和光生物调节疗法(PBMT)的使用是否会影响放疗(RT)和/或化疗(CT)治疗期间口腔念珠菌病(OC)的发生频率.
    方法:评估了2016年至2019年在公共服务部门接受治疗的74例头颈部癌症患者的医疗记录。所有这些患者均以48至70Gy的累积剂量接受RT。根据激光光生物调节(PBMT)控制口腔粘膜炎的治疗方案的应用,收集并提供有关OM和OC的数据。或不(无PBM),和肿瘤的位置(头颈部或口腔)。在PBMT组患者中,由InGaAlP二极管组成的低功率激光器件(最大输出功率为86.7mW,有源尖端面积为0.1256cm2,连续波长为660nm),涂在嘴唇上(每个三个点),左、右粘膜(各3点),硬腭和软腭之间的界限(三点),颊底/舌下腺(一点),舌的横向边缘(每侧三个点),和舌头的背面(六个点),每周三次,5周。每次应用中使用的剂量测定为2J,持续3s,因此总计56J。年龄等临床特征之间的相关性,肿瘤大小(T),转移性淋巴结(N),RT和CT会话的数量,念珠菌病,和OM进行了分析。
    结果:粘膜炎1级和2级在所有患者中最常见,特别是在第12次放射治疗之前,与PBM治疗无关(p>0.05)。此外,比较两个激光治疗组时,OM和OC的等级没有显着差异。在第12次放疗后,所有组的OC频率更高。尽管如此,OM和OC与肿瘤位置(头颈部和口腔)具有不同的相关性,PBMT是延迟OM的积极疗法。观察到口腔肿瘤与OM之间呈正相关且具有统计学意义。无论PBMT(PBMT为R=0.84,p<0.05,PBMT为R=0.13,无PBM为p<0.05)。否则,在接受PBMT的口腔肿瘤患者中,OC与局部转移呈正相关(R=0.84,p<0.05)。
    结论:口腔肿瘤患者表现出更多的OM,特别是高年级,然后是头部和颈部其他区域的肿瘤患者,这似乎与放射治疗的照射参数和/或PBMT在肿瘤区域的传导限制有关。OM和OC没有被PBMT改变,尽管它有助于降低严重OM病例的发生率。
    OBJECTIVE: Considering the tumor in the oral cavity or the oropharynx and nasopharynx region might be an aggravating factor for oral mucositis (OM) manifestation, the present study aimed to evaluate whether the location of the tumor and the use of photobiomodulation therapy (PBMT) might affect the frequency of oral candidiasis (OC) during radiotherapy (RT) and/or chemotherapy (CT) treatments.
    METHODS: The medial records of seventy-four patients with head and neck cancer treated in a public service from 2016 to 2019 were evaluated. All these patients were submitted to RT in an accumulated dose of 48 to 70 Gy of radiation. Data about OM and OC were collected and presented according to the application of a therapeutic protocol with laser photobiomodulation (PBMT) to control oral mucositis, or not (No-PBM), and the location of tumor (head and neck or oral cavity). In the PBMT group patients, a low-power laser device composed of InGaAlP diode (maximum output power of 86.7 mW, active tip area of 0.1256 cm2, and continuous wavelength of 660 nm), was applied to the lips (three points each), right and left jugal mucosa (three points each), the limit between hard and soft palate (three points), buccal floor/sublingual gland (one point), lateral edge of the tongue (three points on each side), and back of the tongue (six points), three times weekly, for 5 weeks. The dosimetry used in each application was 2 J for 3 s, thus totaling 56 J. The correlation between clinical characteristics such as age, tumor size (T), metastatic lymph node (N), number of RT and CT sessions, candidiasis, and OM were analyzed.
    RESULTS: Mucositis grades 1 and 2 were the most common among all patients, especially before the 12th radiotherapy session, regardless of the treatment with PBM (p > 0.05). Additionally, no difference in the grade of OM and OC was significantly observed when comparing the two laser therapy groups. OC was more frequent after the 12th radiotherapy session in all groups. Nonetheless, OM and OC had a different correlation regarding to tumor location (head and neck and oral cavity) being PBMT a positive therapy to delay OM. It was observed a positive and statistically significant correlation between tumors at oral cavity and OM, regardless PBMT (R = 0.84, p < 0.05 to PBMT and R = 0.13, p < 0.05 to No-PBM). Otherwise, OC was positively correlated to local metastasis in patients with oral tumors undergoing PBMT (R = 0.84, p < 0.05).
    CONCLUSIONS: Patients with oral cavity tumor presented more OM, especially high grades, then patients with tumors in other regions of the head and neck, which seems to be related to the irradiation parameters of radiotherapy and/or with the limitation of conduction of PBMT in tumor areas. OM and OC were not changed by PBMT, although it helped to reduce the incidence of severe cases of OM.
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  • 文章类型: Journal Article
    目的:评估多次抗菌光动力疗法(aPDT)的短期疗效,发光二极管(LED)光生物调节,和局部臭氧治疗应用后的外科再生治疗的临床参数,以患者为中心的结果,和VEGF的mRNA表达水平,III/IV期患者龈沟液样本中的IL-6,RunX2,Nell-1和osterix,C级牙周炎.
    方法:将48例全身健康的患者分为4组,接受再生牙周辅助手术治疗。aPDT组的970±15nm二极管激光器加吲哚菁绿,用于光生物调节组的626nmLED,术后第0、1、3和7天局部应用气态臭氧,并与对照组进行比较。临床牙周参数,早期伤口愈合指数(EHI),和术后患者的发病率进行评估。通过实时聚合酶链反应评估生物标志物的mRNA水平。
    结果:除牙龈退缩(GR)外,各组间临床参数无显著差异。对于按时间分组的交互,菌斑指数(PI)和探查袋深度(PD)显示显着差异(p=0.034;p=0.022)。在初始PD>7mm的部位,在PD的对照组和光生物调节组之间观察到显着差异(p=0.011),在控制和aPDT之间,在6个月的随访中,CAL的对照组和光生物调节组(p=0.007;p=0.022)。相对osterixmRNA水平在治疗组之间显示出统计学上的显着差异(p=0.014)。
    结论:在III/IV级C级牙周炎再生治疗后,aPDT和LED的额外应用对深牙周袋的临床结局表现出更显著的有益效果。
    OBJECTIVE: To assess the short-term efficacy of multiple sessions of antimicrobial photodynamic therapy (aPDT), light-emitting-diode (LED) photobiomodulation, and topical ozone therapy applications following surgical regenerative treatments on clinical parameters, patient-centered outcomes, and mRNA expression levels of VEGF, IL-6, RunX2, Nell-1, and osterix in gingival crevicular fluid samples in patients with stage III/IV, grade C periodontitis.
    METHODS: Forty-eight systemically healthy patients were assigned into four groups to receive adjunctive modalities with regenerative periodontal surgical treatment. A 970 ± 15 nm diode laser plus indocyanine-green for aPDT group, a 626 nm LED for photobiomodulation group, and topical gaseous ozone were applied at 0, 1, 3, and 7 postoperative days and compared to control group. The clinical periodontal parameters, early wound healing index (EHI), and postoperative patients\' morbidity were evaluated. The mRNA levels of biomarkers were assessed by real-time polymerase chain reaction.
    RESULTS: No significant difference in the clinical parameters except gingival recession (GR) was identified among the groups. For group-by-time interactions, plaque index (PI) and probing pocket depths (PD) showed significant differences (p = 0.034; p = 0.022). In sites with initial PD > 7 mm, significant differences were observed between control and photobiomodulation groups in PD (p = 0.011), between control and aPDT, and control and photobiomodulation groups in CAL at 6-month follow-up (p = 0.007; p = 0.022). The relative osterix mRNA levels showed a statistically significant difference among the treatment groups (p = 0.014).
    CONCLUSIONS: The additional applications of aPDT and LED after regenerative treatment of stage III/IV grade C periodontitis exhibited a more pronounced beneficial effect on clinical outcomes in deep periodontal pockets.
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  • 文章类型: Journal Article
    背景:光生物调节疗法(PBMT)已用于预防和治疗头颈部癌症患者的口腔粘膜炎。然而,关于接受PBMT的患者的生存信息仍然缺乏.因此,这项研究的目的是将接受或未接受PBMT的患者的生存率相关联,结合癌症治疗,并评估PBMT治疗次数是否对生存率有积极影响.
    方法:在圣保罗圣文森特医院就诊的751名被诊断为头颈部癌症的患者的记录,由D.L.P.PBMT的唯一操作者,在2000年至2016年之间,进行了分析。通过分析诊断分期比较中位生存率,癌症治疗的结合,以及PBMT会话的数量。进行相关性分析以评估PBMT疗程的数量和生存率之间的相互作用。
    结果:PBMT使生存率提高了55.14%,从总人口的1.07年(无PBMT)到1.66年(有PBMT),在第41组中更为明显(III和IV阶段,放疗/化疗,超过五个PBMT会话),中位生存值为1.83年,这代表了66.36%的高存活率。在所有分析的人群中,更多的疗程与更好的生存率相关.在生存方面,在没有PBMT的情况下,第三阶段和第四阶段几乎等同于第一阶段和第二阶段。
    结论:PBMT似乎会干扰头颈癌患者的生存,证实其治疗粘膜炎的建议,但需要进一步的研究来研究PBMT与癌症治疗之间可能的协同作用.
    BACKGROUND: Photobiomodulation therapy (PBMT) has been employed for the prevention and treatment of oral mucositis in patients with head and neck cancer undergoing treatment. However, information about the survival of patients receiving PBMT is still lacking. Therefore, the aim of this study was to correlate the survival of patients who either received or did not receive PBMT, combined with cancer treatments, and to assess whether the number of PBMT sessions had a positive impact on survival.
    METHODS: The records of 751 patients seen at Hospital de Caridade São Vicente de Paulo diagnosed with head and neck cancer, treated by D.L.P., the sole operator of PBMT, between 2000 and 2016, were analyzed. The median survival rates were compared by analyzing diagnostic staging, the combination of cancer treatments, and the number of PBMT sessions. Correlation analyses were performed to assess the interactions between the number of PBMT sessions and survival.
    RESULTS: PBMT increased survival by 55.14 %, from 1.07 (Without PBMT) to 1.66 years (With PBMT) for the total population and more significantly in Group 41 (stages III and IV, radiation therapy/chemotherapy, with more than five PBMT sessions), the median survival value of 1.83 years, which represents a 66.36 % higher survival rate. In all the analyzed populations, the larger number of sessions was associated with better survival. In terms of survival, advanced stages III and IV almost equated with stages I and II in the absence of PBMT.
    CONCLUSIONS: PBMT seems to interfere with the survival of patients with head and neck cancer, corroborating its recommendation for the treatment of mucositis, but further research is needed to investigate possible synergistic effects between PBMT and cancer treatments.
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  • 文章类型: Journal Article
    背景:第三磨牙切除是下牙槽神经(IAN)损伤的主要原因,2%导致持续的神经感觉缺陷。这项研究旨在研究延迟光生物调节疗法如何影响持久的神经感觉障碍。方法:这项研究是对神经感觉障碍持续时间超过6个月的患者进行的。患者随机分为研究组和对照组,研究组接受低功率二极管激光器(连续波长为810nm,200mW的功率)在16个点(每个30秒)上进行12个疗程(2个疗程/周),而对照组则通过关闭激光探针接受安慰剂治疗。视觉模拟量表(VAS;范围从1到5),静态轻触,两点歧视,方向歧视,针刺,在治疗后9个月内对每次访视进行热辨别测试,以评估恢复状态.结果:每组18名参与者。对照组和干预组的平均伤后时间分别为8.26±2.05和8.38±1.98个月,分别(p=0.81)。干预组在静光触感上有显著改善(p=0.041),两点判别(p=0.028),VAS(p=0.031),在第11届会议和随后的访问中进行针刺(p=0.014)测试,在第12届会议(p=0.044)和之后进行方向判别测试。两组热辨别试验无显著差异(p>0.05)。结论:光生物调节在解决IAN的持续性神经感觉缺陷方面显示出潜在的益处,通常在开始治疗约35天后观察到显着的改善(10个疗程)。
    Background: Third molar removal is the primary reason for inferior alveolar nerve (IAN) damage, with 2% causing persistent neurosensory deficits. This study aimed to investigate how delayed photobiomodulation therapy affects long-lasting neurosensory disturbances. Methods: This study was conducted on patients with neurosensory disturbances lasting longer than 6 months. Patients were randomly allocated to the study and control groups, with the study group receiving a low-power diode laser (continuous wavelength of 810 nm, power of 200 mW) on 16 points (30 sec at each) for 12 sessions (2 sessions/week), while the control group received a placebo treatment by switched-off laser probe. Visual analog scale (VAS; ranging from 1 to 5), static light touch, two-point discrimination, direction discrimination, pinprick, and thermal discrimination tests were performed on each visit up to 9 months post-therapy to evaluate the recovery status. Results: Each group comprised 18 participants. The mean time since injury was 8.26 ± 2.05 and 8.38 ± 1.98 months for the control and intervention groups, respectively (p = 0.81). There was a significant improvement in the intervention group on the static light touch (p = 0.041), two-point discrimination (p = 0.028), VAS (p = 0.031), and pinprick (p = 0.014) tests on the 11th session and subsequent visits and also on direction discrimination test on the 12th session (p = 0.044) and after that. There was no significant difference in the thermal discrimination tests between the two groups (p > 0.05). Conclusion: Photobiomodulation demonstrated potential benefits in resolving persistent neurosensory deficits of the IAN, with noticeable improvements typically observed after around 35 days of treatment initiation (10 sessions).
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