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Introduction <p>The stimulatory effects of laser Biostimulation on immediate implant clinical wound healing and radiographic bone quality analysis is with insufficient evidence.</p> Aim <p>To evaluate the effect of low-level diode laser as a biostimulatory bolster for immediate implants in maxillary premolars.</p> Materials and methods <p>The study was conducted as a double-blinded randomized clinical trial on 20 patients with unrestorable maxillary premolars with a Type I socket. Patients were divided into two groups, where those who received immediate implant with laser biostimulation were assigned to the study group, while a sham laser application was used in the control group. Implant stability was appraised using radiofrequency analysis. Radiographic evaluation was conducted using an immediate post-operative and after 4-months tomographic scans.</p> Results <p>Implant stability analysis showed a significant difference in the reported secondary stability values in the irradiated group. The healing index quantitative assessment of wound healing, reported significantly higher scores compared to the control group at all follow-up points. Radiographic bone density and labial plate thickness showed statistically insignificant differences.</p> Conclusion <p>The overall success rate, secondary implant stability, and radiographic performance were comparable to those of the control group. These findings suggest that the biostimulatory effects of the laser are limited in the long term, offering no significant additional benefits over conventional methods.</p>

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Effect of diode laser biostimulation on implant stability, post-surgical inflammation, and bone healing in immediate implant in the maxillary premolars. A randomized double-blind trial

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月14日

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  • Basma Ashraf Kassem,
  • Saeeda Mahmoud Osman,
  • Yehia El-Mahallawy

摘要

Introduction

The stimulatory effects of laser Biostimulation on immediate implant clinical wound healing and radiographic bone quality analysis is with insufficient evidence.

Aim

To evaluate the effect of low-level diode laser as a biostimulatory bolster for immediate implants in maxillary premolars.

Materials and methods

The study was conducted as a double-blinded randomized clinical trial on 20 patients with unrestorable maxillary premolars with a Type I socket. Patients were divided into two groups, where those who received immediate implant with laser biostimulation were assigned to the study group, while a sham laser application was used in the control group. Implant stability was appraised using radiofrequency analysis. Radiographic evaluation was conducted using an immediate post-operative and after 4-months tomographic scans.

Results

Implant stability analysis showed a significant difference in the reported secondary stability values in the irradiated group. The healing index quantitative assessment of wound healing, reported significantly higher scores compared to the control group at all follow-up points. Radiographic bone density and labial plate thickness showed statistically insignificant differences.

Conclusion

The overall success rate, secondary implant stability, and radiographic performance were comparable to those of the control group. These findings suggest that the biostimulatory effects of the laser are limited in the long term, offering no significant additional benefits over conventional methods.