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  4. Photobiomodulation—Underlying Mechanism and Clinical Applications

Photobiomodulation—Underlying Mechanism and Clinical Applications

Journal of Clinical Medicine, 2020 · DOI: 10.3390/jcm9061724 · Published: June 3, 2020

Regenerative MedicineRehabilitation

Simple Explanation

Laser therapy, especially photobiomodulation (PBM), is gaining traction in medicine and dentistry for its ability to enhance tissue repair. PBM involves using low-level lasers to stimulate cells and tissues, modulating their behavior to accelerate healing processes. PBM can induce cell proliferation and enhance stem cell differentiation. This non-invasive method also provides pain relief and reduces inflammation, promoting overall tissue repair. PBM has shown promise in treating various conditions, including diabetes, brain injury, spinal cord damage, dermatological issues, oral irritation, and different dental applications.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    Photobiomodulation enhances tissue repair by modulating cell behavior, promoting cell proliferation, and enhancing stem cell differentiation.
  • 2
    PBM's effectiveness depends on parameters like light source, wavelength, energy density, pulse structure, and application duration.
  • 3
    PBM affects cellular processes by interacting with mitochondrial chromophores, increasing ATP production, and modulating ROS levels, influencing cell differentiation, proliferation, and migration.

Research Summary

This study explores the application of laser therapy in medicine and dentistry, focusing on its mechanism of action on cells, especially stem cells, and repair mechanisms. Laser irradiation induces a photobiomodulatory (PBM) effect on cells and tissues, modulating cell behaviors and enhancing tissue repair processes. PBM, also known as low-level laser therapy (LLLT), induces cell proliferation and enhances stem cell differentiation, contributing to pain relief and reducing inflammation.

Practical Implications

Enhanced Tissue Regeneration

PBM can be used to accelerate the healing of wounds, bone fractures, and other tissue damage, leading to faster recovery times and improved patient outcomes.

Improved Treatment of Chronic Diseases

PBM shows promise in managing chronic conditions like diabetes, neural diseases, and dermatological issues, offering a non-invasive approach to alleviate symptoms and improve quality of life.

Advancements in Dental Procedures

PBM can be integrated into various dental treatments to enhance implant stability, reduce post-operative discomfort, and improve the healing of oral lesions, leading to more effective and comfortable dental care.

Study Limitations

  • 1
    Lack of standardized treatment protocols due to incomplete understanding of cellular mechanisms.
  • 2
    Difficulty in replicating studies due to variations in laser parameters.
  • 3
    Limited research on the long-term effects and optimal application of PBM.

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