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光动力疗法在口腔疾病治疗中的发展

Development of photodynamic therapy in treating oral diseases.

作者信息

Wang Ling, Chen Qiang, Liu Dan

机构信息

Department of Stomatology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region (Hospital.C.T.), Chengdu, Sichuan, China.

Department of Stomatology, The Traditional Chinese Medicine Hospital of Longquanyi, Chengdu, Sichuan, China.

出版信息

Front Oral Health. 2025 Jan 15;5:1506407. doi: 10.3389/froh.2024.1506407. eCollection 2024.

Abstract

The morbidity of oral disorders, including gingivitis, caries, endodontic-periodontal diseases, and oral cancer, is relatively high globally. Pathogenic cells are the root cause of many oral disorders, and oral therapies depend on eradicating them. Photodynamic therapy (PDT) has been established as a potential and non-invasive local adjuvant treatment for oral disorders. PDT consists of three essential components: photosensitizer (PS), a light source with a certain wavelength, and oxygen dissolved in the cells. These three components can interact to cause damage to proteins, lipids, nucleic acids, and other biological components within diseased tissues. Herein, we aimed to provide a detailed understanding of PDT and how it can treat oral diseases. Concerns about PDT and potential remedies are also a factor. PDT has been shown in numerous clinical studies to be an efficient supplementary therapy that can reduce pathogenic cells. The PDT has great potential for dental applications, including treating bacterial and fungal infections during root canal therapy and preventing oral cancer, potentially malignant disorders, periodontitis, dental caries, and peri-implant disorders. Although PDT has been promoted as having significant potential and utility in dentistry, more clinical research must be conducted before being used broadly.

摘要

包括牙龈炎、龋齿、牙髓-牙周疾病和口腔癌在内的口腔疾病在全球的发病率相对较高。致病细胞是许多口腔疾病的根本原因,口腔治疗依赖于根除这些细胞。光动力疗法(PDT)已被确立为一种针对口腔疾病的潜在非侵入性局部辅助治疗方法。PDT由三个基本成分组成:光敏剂(PS)、特定波长的光源以及溶解在细胞中的氧气。这三个成分相互作用可对患病组织内的蛋白质、脂质、核酸和其他生物成分造成损伤。在此,我们旨在详细了解PDT及其如何治疗口腔疾病。对PDT的担忧和潜在补救措施也是一个因素。众多临床研究表明,PDT是一种有效的辅助治疗方法,可减少致病细胞。PDT在牙科应用方面具有巨大潜力,包括在根管治疗期间治疗细菌和真菌感染以及预防口腔癌、潜在恶性疾病、牙周炎、龋齿和种植体周围疾病。尽管PDT在牙科领域已被宣传具有巨大潜力和实用性,但在广泛应用之前还必须进行更多的临床研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b130/11777028/a8cabe6ed52d/froh-05-1506407-g001.jpg

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