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铒-钇铝石榴石激光对单菌种念珠菌生物膜消毒效果的评估:系统评价

Evaluation of the Disinfection Efficacy of Er-YAG Laser Light on Single-Species Candida Biofilms: Systematic Review.

作者信息

Dembicka-Mączka Diana, Gryka-Deszczyńska Magdalena, Sitkiewicz Jacek, Makara Aleksander, Fiegler-Rudol Jakub, Wiench Rafał

机构信息

Dental Office-Artistic Smile Studio, 61/1 Krakowska Street, 33-100 Tarnów, Poland.

Dentalove Clinic Ltd., 19 Borzymowska Street, 03-565 Warsaw, Poland.

出版信息

Microorganisms. 2025 Apr 19;13(4):942. doi: 10.3390/microorganisms13040942.

Abstract

The relevance of the current study is to increase the resistance of fungal biofilms to traditional disinfection methods. The aim of the study was to determine how effectively Er:YAG laser light inhibits single-species Candida biofilms. The study involved a systematic review of 57 scientific publications (2015-2024) selected according to specific criteria, followed by an assessment of quantitative and qualitative indicators of colony-forming unit reduction. The results show that under optimal parameters (power 1.5-3.9 W and duration 60-90 s), the Er:YAG laser can reduce the number of viable cells by an average of 70-90%, and when combined with sodium hypochlorite or chlorhexidine solutions, this figure can exceed 90%. Separate in vitro tests show that and require higher power or longer exposure to achieve a similar effect, while the use of the Er:YAG laser on titanium and dental surfaces minimizes damage to the substrate and effectively removes the biofilm matrix. In addition, laser treatment accelerates tissue regeneration and helps reduce the number of cases of reinfection, which is confirmed by the positive dynamics in clinical practice. Data analysis using confocal microscopy and microbiological seeding indicates a significant disruption of the biofilm structure and increased permeability to antimycotics after laser exposure. Er:YAG laser disinfection method is promising in counteracting fungal biofilms, especially for surfaces with a high risk of microbial colonization. The practical value lies in the possibility of developing standard protocols for the clinical use of the laser, which will increase the effectiveness of treatment and prevention of Candidal lesions.

摘要

本研究的意义在于提高真菌生物膜对传统消毒方法的抵抗力。该研究的目的是确定铒:钇铝石榴石(Er:YAG)激光对单菌种念珠菌生物膜的抑制效果。该研究包括对根据特定标准挑选出的57篇科学出版物(2015 - 2024年)进行系统综述,随后评估菌落形成单位减少的定量和定性指标。结果表明,在最佳参数(功率1.5 - 3.9瓦,持续时间60 - 90秒)下,Er:YAG激光可使活细胞数量平均减少70% - 90%,当与次氯酸钠或洗必泰溶液联合使用时,这一数字可超过90%。单独的体外测试表明,[此处原文缺失部分内容]需要更高的功率或更长的照射时间才能达到类似效果,而在钛和牙齿表面使用Er:YAG激光可将对底物的损伤降至最低,并有效去除生物膜基质。此外,激光治疗可加速组织再生,并有助于减少再次感染的病例数量,这在临床实践中的积极动态变化中得到了证实。使用共聚焦显微镜和微生物接种进行的数据分析表明,激光照射后生物膜结构受到显著破坏,对抗真菌药物的通透性增加。Er:YAG激光消毒方法在对抗真菌生物膜方面具有前景,特别是对于微生物定植风险高的表面。实际价值在于有可能制定激光临床使用的标准方案,这将提高念珠菌病病变治疗和预防的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/12029142/39793c0f12df/microorganisms-13-00942-g001.jpg

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