Comparative in vitro study of intracanal Enterococcus faecalis reduction using photosensitizers in aPDT

Aim: To compare Enterococcus faecalis reduction after antimicrobial photodynamic therapy (aPDT) used with methylene blue, toluidine blue, tannin, and curcumin as photosensitizers, an adjunct to endodontic chemomechanical preparation (CMP) in root canals of human teeth. Methods: A total of 120 single...

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Main Authors: Maria Cleide Azevedo Braz, André Hayato Saguchi, Eduardo Akisue, Adriana de Oliveira Lira, Sidnea Aparecida Freitas Paiva, Aldo Brugnera Junior, Mary Caroline Skelton Macedo, André Luiz da Costa Michelotto, Ângela Toshie Araki
Format: Article
Language:English
Published: Universidade Estadual de Campinas 2021-08-01
Series:Brazilian Journal of Oral Sciences
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Online Access:https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8664034
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author Maria Cleide Azevedo Braz
André Hayato Saguchi
Eduardo Akisue
Adriana de Oliveira Lira
Sidnea Aparecida Freitas Paiva
Aldo Brugnera Junior
Mary Caroline Skelton Macedo
André Luiz da Costa Michelotto
Ângela Toshie Araki
author_facet Maria Cleide Azevedo Braz
André Hayato Saguchi
Eduardo Akisue
Adriana de Oliveira Lira
Sidnea Aparecida Freitas Paiva
Aldo Brugnera Junior
Mary Caroline Skelton Macedo
André Luiz da Costa Michelotto
Ângela Toshie Araki
author_sort Maria Cleide Azevedo Braz
collection DOAJ
description Aim: To compare Enterococcus faecalis reduction after antimicrobial photodynamic therapy (aPDT) used with methylene blue, toluidine blue, tannin, and curcumin as photosensitizers, an adjunct to endodontic chemomechanical preparation (CMP) in root canals of human teeth. Methods: A total of 120 single-rooted teeth were divided into 6 groups (n  =  20): G1- CMP and 2.5% sodium hypochlorite (NaOCl); G2- CMP and saline solution; G3- CMP, 2.5% NaOCl, and aPDT with 0.005% methylene blue; G4- CMP, 2.5% NaOCl, and aPDT with 0.005% toluidine blue; G5- CMP, 2.5% NaOCl, and aPDT with 0.005% tannin; and G6- CMP, 2.5% NaOCl, and aPDT with 0.005% curcumin. A portable semiconductor laser was used (660  nm, 100  mW, 1.8  J, 180s) in groups 1, 2, 3, 4, 5, and a blue LED light-curing (420-480  nm, 1200 mV/cm2 ) in G6. For all groups, a 5 min pre-irradiation time was applied. Samples were collected before (initial collection), immediately after (intermediate collection) and 7 days after CMP (final collection) for colony-forming unit (CFU) counting. The Kruskal-Wallis test and analysis of variance (ANOVA) were performed (p < 0.05; 95% confidence interval). Results: In between-group comparisons, there was no significant difference observed in the number of CFUs at the initial (p >< 0.001) and final collections (p >< 0.001) for G2 and G3. In within-group comparisons, the number of CFUs showed a decreasing trend in G4 (p = 0.007) and G5 (p = 0.001). Conclusion: Photosensitizers promoted E. faecalis reduction, with better results for tannin and curcumin. Alternative photosensitizers should be the focus of further studies.>< 0.05; 95% confidence interval). Results: In between-group comparisons, there was no significant difference observed in the number of CFUs at the initial (p < 0.001) and final collections (p >< 0.001) for G2 and G3. In within-group comparisons, the number of CFUs showed a decreasing trend in G4 (p = 0.007) and G5 (p = 0.001). Conclusion: Photosensitizers promoted E. faecalis reduction, with better results for tannin and curcumin. Alternative photosensitizers should be the focus of further studies.><  0.001) and final collections (p < 0.001) for G2 and G3. In within-group comparisons, the number of CFUs showed a decreasing trend in G4 (p = 0.007) and G5 (p = 0.001). Conclusion: Photosensitizers promoted E. faecalis reduction, with better results for tannin and curcumin. Alternative photosensitizers should be the focus of further studies>< 0.001) for G2 and G3. In within-group comparisons, the number of CFUs showed a decreasing trend in G4 (p = 0.007) and G5 (p = 0.001). Conclusion: Photosensitizers promoted E. faecalis reduction, with better results for tannin and curcumin. Alternative photosensitizers should be the focus of further studies.
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spelling doaj.art-8c7405f9f3ce4b519e21950c960a087c2022-12-21T23:22:36ZengUniversidade Estadual de CampinasBrazilian Journal of Oral Sciences1677-32252021-08-01200010.20396/bjos.v20i00.8664034Comparative in vitro study of intracanal Enterococcus faecalis reduction using photosensitizers in aPDTMaria Cleide Azevedo Braz0André Hayato Saguchi1Eduardo Akisue2Adriana de Oliveira Lira3Sidnea Aparecida Freitas Paiva4Aldo Brugnera Junior5Mary Caroline Skelton Macedo6André Luiz da Costa Michelotto7Ângela Toshie Araki8Federal University of PatosCruzeiro do Sul UniversitySanta Cecilia UniversityCruzeiro do Sul UniversityCruzeiro do Sul UniversityCamilo Castelo Branco UniversityUniversity of São PauloFederal University of ParanáCruzeiro do Sul UniversityAim: To compare Enterococcus faecalis reduction after antimicrobial photodynamic therapy (aPDT) used with methylene blue, toluidine blue, tannin, and curcumin as photosensitizers, an adjunct to endodontic chemomechanical preparation (CMP) in root canals of human teeth. Methods: A total of 120 single-rooted teeth were divided into 6 groups (n  =  20): G1- CMP and 2.5% sodium hypochlorite (NaOCl); G2- CMP and saline solution; G3- CMP, 2.5% NaOCl, and aPDT with 0.005% methylene blue; G4- CMP, 2.5% NaOCl, and aPDT with 0.005% toluidine blue; G5- CMP, 2.5% NaOCl, and aPDT with 0.005% tannin; and G6- CMP, 2.5% NaOCl, and aPDT with 0.005% curcumin. A portable semiconductor laser was used (660  nm, 100  mW, 1.8  J, 180s) in groups 1, 2, 3, 4, 5, and a blue LED light-curing (420-480  nm, 1200 mV/cm2 ) in G6. For all groups, a 5 min pre-irradiation time was applied. Samples were collected before (initial collection), immediately after (intermediate collection) and 7 days after CMP (final collection) for colony-forming unit (CFU) counting. The Kruskal-Wallis test and analysis of variance (ANOVA) were performed (p < 0.05; 95% confidence interval). Results: In between-group comparisons, there was no significant difference observed in the number of CFUs at the initial (p >< 0.001) and final collections (p >< 0.001) for G2 and G3. In within-group comparisons, the number of CFUs showed a decreasing trend in G4 (p = 0.007) and G5 (p = 0.001). Conclusion: Photosensitizers promoted E. faecalis reduction, with better results for tannin and curcumin. Alternative photosensitizers should be the focus of further studies.>< 0.05; 95% confidence interval). Results: In between-group comparisons, there was no significant difference observed in the number of CFUs at the initial (p < 0.001) and final collections (p >< 0.001) for G2 and G3. In within-group comparisons, the number of CFUs showed a decreasing trend in G4 (p = 0.007) and G5 (p = 0.001). Conclusion: Photosensitizers promoted E. faecalis reduction, with better results for tannin and curcumin. Alternative photosensitizers should be the focus of further studies.><  0.001) and final collections (p < 0.001) for G2 and G3. In within-group comparisons, the number of CFUs showed a decreasing trend in G4 (p = 0.007) and G5 (p = 0.001). Conclusion: Photosensitizers promoted E. faecalis reduction, with better results for tannin and curcumin. Alternative photosensitizers should be the focus of further studies>< 0.001) for G2 and G3. In within-group comparisons, the number of CFUs showed a decreasing trend in G4 (p = 0.007) and G5 (p = 0.001). Conclusion: Photosensitizers promoted E. faecalis reduction, with better results for tannin and curcumin. Alternative photosensitizers should be the focus of further studies.https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8664034PhotodynamicEndodonticsPhotosensitizing agentsCurcuminTannins
spellingShingle Maria Cleide Azevedo Braz
André Hayato Saguchi
Eduardo Akisue
Adriana de Oliveira Lira
Sidnea Aparecida Freitas Paiva
Aldo Brugnera Junior
Mary Caroline Skelton Macedo
André Luiz da Costa Michelotto
Ângela Toshie Araki
Comparative in vitro study of intracanal Enterococcus faecalis reduction using photosensitizers in aPDT
Brazilian Journal of Oral Sciences
Photodynamic
Endodontics
Photosensitizing agents
Curcumin
Tannins
title Comparative in vitro study of intracanal Enterococcus faecalis reduction using photosensitizers in aPDT
title_full Comparative in vitro study of intracanal Enterococcus faecalis reduction using photosensitizers in aPDT
title_fullStr Comparative in vitro study of intracanal Enterococcus faecalis reduction using photosensitizers in aPDT
title_full_unstemmed Comparative in vitro study of intracanal Enterococcus faecalis reduction using photosensitizers in aPDT
title_short Comparative in vitro study of intracanal Enterococcus faecalis reduction using photosensitizers in aPDT
title_sort comparative in vitro study of intracanal enterococcus faecalis reduction using photosensitizers in apdt
topic Photodynamic
Endodontics
Photosensitizing agents
Curcumin
Tannins
url https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8664034
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