Photodynamic treatment of endodontic polymicrobial infection in vitro.
We investigated the photodynamic effects of methylene blue on multispecies root canal biofilms comprising Actinomyces israelii, Fusobacterium nucleatum subspecies nucleatum, Porphyromonas gingivalis, and Prevotella intermedia in experimentally infected root canals of extracted human teeth in vitro. The 4 test microorganisms were detected in root canals by using DNA probes. Scanning electron microscopy showed the presence of biofilms in root canals before therapy. Root canal systems were incubated with methylene blue (25 microg/mL) for 10 minutes followed by exposure to red light at 665 nm with an energy fluence of 30 J/cm(2). Light was delivered from a diode laser via a 250-microm diameter polymethyl methacrylate optical fiber that uniformly distributed light over 360 degrees. Photodynamic therapy (PDT) achieved up to 80% reduction of colony-forming unit counts. We concluded that PDT can be an effective adjunct to standard endodontic antimicrobial treatment when the PDT parameters are optimized.
Fimple
Jacob Lee
JL
Division of Endodontics, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Fontana
Carla Raquel
CR
Foschi
Federico
F
Ruggiero
Karriann
K
Song
Xiaoqing
X
Pagonis
Tom C
TC
Tanner
Anne C R
AC
Kent
Ralph
R
Doukas
Apostolos G
AG
Stashenko
Philip P
PP
Soukos
Nikolaos S
NS
D001421:Bacteria, Anaerobic / Q000187:drug effects; D001424:Bacterial Infections / Q000188:drug therapy*; D018441:Biofilms / Q000187:drug effects; D015169:Colony Count, Microbial; D004269:DNA, Bacterial / Q000032:analysis; D003786:Dental Pulp Cavity / Q000382:microbiology*; D003790:Dental Pulp Necrosis / Q000188:drug therapy / Q000382:microbiology; D004791:Enzyme Inhibitors / Q000627:therapeutic use*; D006801:Humans; D054023:Lasers, Semiconductor / Q000627:therapeutic use*; D016014:Linear Models; D008751:Methylene Blue / Q000494:pharmacology / Q000627:therapeutic use*; D018613:Microscopy, Confocal; D008855:Microscopy, Electron, Scanning; D010778:Photochemotherapy
D004269:DNA, Bacterial; D004791:Enzyme Inhibitors; D008751:Methylene Blue