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不同模式的光动力消毒对牙龈卟啉单胞菌的比较:一项体外研究。

Comparison of different modes of photo-activated disinfection against Porphyromonas gingivalis: An in vitro study.

机构信息

Radiation Sciences Research Center, Laser Research Center in Medical Sciences, AJA University of Medical Sciences, Tehran, Iran; International Network for Photo Medicine and Photo Dynamic Therapy (INPMPDT), Universal Scientific Education and Research Network (USERN), Tehran, Iran.

Laser Research Center of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Photodiagnosis Photodyn Ther. 2020 Dec;32:101951. doi: 10.1016/j.pdpdt.2020.101951. Epub 2020 Aug 17.

Abstract

BACKGROUND

Porphyromonas gingivalis (P. gingivalis), a Gram-negative periodontal pathogen, is frequently detected in subgingival plaques in patients with chronic periodontitis. Considering the insufficient results achieved by the current antimicrobial approaches, this study aimed to compare the susceptibility of P. gingivalis to the different modes of photo-activated disinfection in planktonic culture.

METHODS

Cultures of P. gingivalis were assigned into three main groups of photothermal disinfection with 810 nm laser in continuous mode + EmunDo® (indocyanine green based photosensitizer), 808 nm laser in pulse mode + Perio green® (indocyanine green based photosensitizer); and antibacterial photodynamic therapy with 662 nm laser + Radachlorin® photosensitizer. Then, the bacterial viability was determined by serial dilution method by counting the number of colonies forming units. The results were analyzed by one-way analysis of variance and Tukey test (p < 0.05).

RESULTS

All three groups showed significant reduction in the viability of P. gingivalis (p < 0.001). However; this reduction was significantly higher in photothermal therapy with EmunDo®.

CONCLUSIONS

Both methods of photodynamic and photothermal therapy were successful in Significant eradication of P. gingivalis. Although, photothermal approach was more efficient with EmunDo® in combination with 810 nm laser irradiation.

摘要

背景

牙龈卟啉单胞菌(P. gingivalis)是一种革兰氏阴性牙周病原体,常存在于慢性牙周炎患者的龈下菌斑中。鉴于目前抗菌方法的效果不尽如人意,本研究旨在比较不同光激活消毒方式对浮游培养中牙龈卟啉单胞菌的敏感性。

方法

将牙龈卟啉单胞菌培养物分为三组,分别为:810nm 激光连续模式+EmunDo®(吲哚菁绿基光敏剂)的光热消毒、808nm 激光脉冲模式+Perio green®(吲哚菁绿基光敏剂)的光动力疗法和 662nm 激光+Radachlorin®光敏剂的抗菌光动力疗法。然后,通过菌落形成单位计数的连续稀释法来确定细菌的存活能力。采用单因素方差分析和 Tukey 检验进行数据分析(p<0.05)。

结果

三组均显著降低了牙龈卟啉单胞菌的存活能力(p<0.001)。然而,EmunDo®光热疗法的降低效果更为显著。

结论

光动力和光热疗法均能成功地消除牙龈卟啉单胞菌。虽然,EmunDo®联合 810nm 激光照射的光热法更为有效。

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