The Evaluation of SWEEPS Plus Antimicrobial Photodynamic Therapy with Indocyanine Green in Eliminating <i>Enterococcus faecalis</i> Biofilm from Infected Root Canals: An In Vitro Study

Objectives: This study aimed to assess the efficacy of shockwave-enhanced emission photoacoustic streaming (SWEEPS) plus antimicrobial photodynamic therapy (aPDT) using indocyanine green (ICG) for the elimination of <i>Enterococcus faecalis</i> biofilm from infected root canals. Material...

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Main Authors: Golriz Rostami, Shima Afrasiabi, Stefano Benedicenti, Antonio Signore, Nasim Chiniforush
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/7/1850
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author Golriz Rostami
Shima Afrasiabi
Stefano Benedicenti
Antonio Signore
Nasim Chiniforush
author_facet Golriz Rostami
Shima Afrasiabi
Stefano Benedicenti
Antonio Signore
Nasim Chiniforush
author_sort Golriz Rostami
collection DOAJ
description Objectives: This study aimed to assess the efficacy of shockwave-enhanced emission photoacoustic streaming (SWEEPS) plus antimicrobial photodynamic therapy (aPDT) using indocyanine green (ICG) for the elimination of <i>Enterococcus faecalis</i> biofilm from infected root canals. Materials and Methods: thirty sound human single-canal teeth were chosen and standardized to have 12 mm of root length. The root canals were shaped and prepared by means of ProTaper rotary files. After sterilization of the teeth, the canals were inoculated with <i>E. faecalis</i> for 2 weeks. The teeth were then randomly divided into six groups (n = five) of control, ICG, ICG + 808 nm diode laser, ICG + SWEEPS, ICG + 808 nm diode laser + SWEEPS, and 5.25% sodium hypochlorite (NaOCl). Following treatment, the number of colony-forming units (CFUs)/mL were calculated for each group. Statistical analysis was carried out using one-way ANOVA. For multiple comparisons, Tukey’s test was used as the post hoc test. Results: NaOCl alone showed the highest efficacy (<i>p</i> < 0.001). The ICG + 808 nm diode laser + SWEEPS group displayed significantly lower amounts of bacteria than either the ICG + 808 nm diode laser or SWEEPS (<i>p</i> < 0.001). There was a statistically significant difference detected between the ICG + 808 nm diode laser and ICG + SWEEPS (<i>p</i> = 0.035). Conclusions: SWEEPS can effectively increase the photosensitizer distribution in the root canal space, and its application along with irrigants can bring about promising results.
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spelling doaj.art-9162363968f14d22b1ae76d0ed548dcf2023-11-18T18:25:52ZengMDPI AGBiomedicines2227-90592023-06-01117185010.3390/biomedicines11071850The Evaluation of SWEEPS Plus Antimicrobial Photodynamic Therapy with Indocyanine Green in Eliminating <i>Enterococcus faecalis</i> Biofilm from Infected Root Canals: An In Vitro StudyGolriz Rostami0Shima Afrasiabi1Stefano Benedicenti2Antonio Signore3Nasim Chiniforush4Laser Research Center of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran 1441987566, IranLaser Research Center of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran 1441987566, IranDepartment of Surgical Sciences and Integrated Diagnostics, University of Genoa, Viale Benedetto XV 6, 16132 Genoa, ItalyTherapeutic Dentistry Department, Institute of Dentistry, I.M. Sechenov First Moscow State Medical University, Trubetskaya Str., 8, b. 2, 119992 Moscow, RussiaDepartment of Surgical Sciences and Integrated Diagnostics, University of Genoa, Viale Benedetto XV 6, 16132 Genoa, ItalyObjectives: This study aimed to assess the efficacy of shockwave-enhanced emission photoacoustic streaming (SWEEPS) plus antimicrobial photodynamic therapy (aPDT) using indocyanine green (ICG) for the elimination of <i>Enterococcus faecalis</i> biofilm from infected root canals. Materials and Methods: thirty sound human single-canal teeth were chosen and standardized to have 12 mm of root length. The root canals were shaped and prepared by means of ProTaper rotary files. After sterilization of the teeth, the canals were inoculated with <i>E. faecalis</i> for 2 weeks. The teeth were then randomly divided into six groups (n = five) of control, ICG, ICG + 808 nm diode laser, ICG + SWEEPS, ICG + 808 nm diode laser + SWEEPS, and 5.25% sodium hypochlorite (NaOCl). Following treatment, the number of colony-forming units (CFUs)/mL were calculated for each group. Statistical analysis was carried out using one-way ANOVA. For multiple comparisons, Tukey’s test was used as the post hoc test. Results: NaOCl alone showed the highest efficacy (<i>p</i> < 0.001). The ICG + 808 nm diode laser + SWEEPS group displayed significantly lower amounts of bacteria than either the ICG + 808 nm diode laser or SWEEPS (<i>p</i> < 0.001). There was a statistically significant difference detected between the ICG + 808 nm diode laser and ICG + SWEEPS (<i>p</i> = 0.035). Conclusions: SWEEPS can effectively increase the photosensitizer distribution in the root canal space, and its application along with irrigants can bring about promising results.https://www.mdpi.com/2227-9059/11/7/1850antimicrobial photodynamic therapybiofilmsdisinfectionEr:YAG laser<i>Enterococcus faecalis</i>indocyanine green
spellingShingle Golriz Rostami
Shima Afrasiabi
Stefano Benedicenti
Antonio Signore
Nasim Chiniforush
The Evaluation of SWEEPS Plus Antimicrobial Photodynamic Therapy with Indocyanine Green in Eliminating <i>Enterococcus faecalis</i> Biofilm from Infected Root Canals: An In Vitro Study
Biomedicines
antimicrobial photodynamic therapy
biofilms
disinfection
Er:YAG laser
<i>Enterococcus faecalis</i>
indocyanine green
title The Evaluation of SWEEPS Plus Antimicrobial Photodynamic Therapy with Indocyanine Green in Eliminating <i>Enterococcus faecalis</i> Biofilm from Infected Root Canals: An In Vitro Study
title_full The Evaluation of SWEEPS Plus Antimicrobial Photodynamic Therapy with Indocyanine Green in Eliminating <i>Enterococcus faecalis</i> Biofilm from Infected Root Canals: An In Vitro Study
title_fullStr The Evaluation of SWEEPS Plus Antimicrobial Photodynamic Therapy with Indocyanine Green in Eliminating <i>Enterococcus faecalis</i> Biofilm from Infected Root Canals: An In Vitro Study
title_full_unstemmed The Evaluation of SWEEPS Plus Antimicrobial Photodynamic Therapy with Indocyanine Green in Eliminating <i>Enterococcus faecalis</i> Biofilm from Infected Root Canals: An In Vitro Study
title_short The Evaluation of SWEEPS Plus Antimicrobial Photodynamic Therapy with Indocyanine Green in Eliminating <i>Enterococcus faecalis</i> Biofilm from Infected Root Canals: An In Vitro Study
title_sort evaluation of sweeps plus antimicrobial photodynamic therapy with indocyanine green in eliminating i enterococcus faecalis i biofilm from infected root canals an in vitro study
topic antimicrobial photodynamic therapy
biofilms
disinfection
Er:YAG laser
<i>Enterococcus faecalis</i>
indocyanine green
url https://www.mdpi.com/2227-9059/11/7/1850
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