Efficacy of 5% Aminolaevulinic Acid and Red Light on <i>Enterococcus faecalis</i> in Infected Root Canals

Background: In this ex vivo study, the aim was to evaluate the effects of ALAD and red light on <i>Enterococcus faecalis</i> in infected root canals using a special intracanal fiber. Methods: A total of 70 extracted, single-rooted teeth were used. The teeth were decoronated at the length...

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Main Authors: Teocrito Carlesi, Tatiane Cristina Dotta, Tania Vanessa Pierfelice, Emira D’Amico, Stefania Lepore, Domenico Tripodi, Adriano Piattelli, Simonetta D’Ercole, Morena Petrini
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Gels
Subjects:
Online Access:https://www.mdpi.com/2310-2861/9/2/125
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author Teocrito Carlesi
Tatiane Cristina Dotta
Tania Vanessa Pierfelice
Emira D’Amico
Stefania Lepore
Domenico Tripodi
Adriano Piattelli
Simonetta D’Ercole
Morena Petrini
author_facet Teocrito Carlesi
Tatiane Cristina Dotta
Tania Vanessa Pierfelice
Emira D’Amico
Stefania Lepore
Domenico Tripodi
Adriano Piattelli
Simonetta D’Ercole
Morena Petrini
author_sort Teocrito Carlesi
collection DOAJ
description Background: In this ex vivo study, the aim was to evaluate the effects of ALAD and red light on <i>Enterococcus faecalis</i> in infected root canals using a special intracanal fiber. Methods: A total of 70 extracted, single-rooted teeth were used. The teeth were decoronated at the length of the roots to approximately 15 mm and then instrumented. The apical foramen was sealed by composite resin, and the root canals were infected with a pure culture of <i>E. faecalis</i> ATCC 29212 for eight days at 37 °C. Following the contamination period, the roots were divided into seven groups, including the positive and negative control groups, and treated as follows: ALAD 45 min; red light activation 7 min; ALAD 45 min and red-light activation 7 min; sodium hypochlorite 2.5% 15 min; sodium hypochlorite 1% 15 min. The samples were taken by three sterile paper points, transferred to tubes containing 1 mL of PBS, and immediately processed for the number of colony-forming units and the cell viability by using live/dead. Results: The best treatment is obtained with 2.5% NaOCl. Except for ALAD + red light vs. 1% NaOCl, a statistically significant difference is recorded for all treatments. The combination of 2.5% NaOCl and ALAD + 7 min irradiation produces an evident killing effect on the <i>E. faecalis</i> cells. On the other hand, 1% NaOCl is ineffective for the viability action, with 25% of dead cells stained in red. Conclusions: This ex vivo study shows that ALAD gel with light irradiation is an efficacious protocol that exerts a potent antibacterial activity against <i>E. faecalis</i> in infected root canals.
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spelling doaj.art-bde2a2a988384928971d88955fc7b3b52023-11-16T20:39:34ZengMDPI AGGels2310-28612023-02-019212510.3390/gels9020125Efficacy of 5% Aminolaevulinic Acid and Red Light on <i>Enterococcus faecalis</i> in Infected Root CanalsTeocrito Carlesi0Tatiane Cristina Dotta1Tania Vanessa Pierfelice2Emira D’Amico3Stefania Lepore4Domenico Tripodi5Adriano Piattelli6Simonetta D’Ercole7Morena Petrini8Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, 66100 Chieti, ItalyDepartment of Dental Materials and Prosthodontics, School of Dentistry of Ribeirão Preto, University of São Paulo, Sao Paulo 14040-904, BrazilDepartment of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, 66100 Chieti, ItalyDepartment of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, 66100 Chieti, ItalyDepartment of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, 66100 Chieti, ItalyDepartment of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, 66100 Chieti, ItalySchool of Dentistry, Saint Camillus International University for Health Sciences (Unicamillus), 00131 Rome, ItalyDepartment of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, 66100 Chieti, ItalyDepartment of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, 66100 Chieti, ItalyBackground: In this ex vivo study, the aim was to evaluate the effects of ALAD and red light on <i>Enterococcus faecalis</i> in infected root canals using a special intracanal fiber. Methods: A total of 70 extracted, single-rooted teeth were used. The teeth were decoronated at the length of the roots to approximately 15 mm and then instrumented. The apical foramen was sealed by composite resin, and the root canals were infected with a pure culture of <i>E. faecalis</i> ATCC 29212 for eight days at 37 °C. Following the contamination period, the roots were divided into seven groups, including the positive and negative control groups, and treated as follows: ALAD 45 min; red light activation 7 min; ALAD 45 min and red-light activation 7 min; sodium hypochlorite 2.5% 15 min; sodium hypochlorite 1% 15 min. The samples were taken by three sterile paper points, transferred to tubes containing 1 mL of PBS, and immediately processed for the number of colony-forming units and the cell viability by using live/dead. Results: The best treatment is obtained with 2.5% NaOCl. Except for ALAD + red light vs. 1% NaOCl, a statistically significant difference is recorded for all treatments. The combination of 2.5% NaOCl and ALAD + 7 min irradiation produces an evident killing effect on the <i>E. faecalis</i> cells. On the other hand, 1% NaOCl is ineffective for the viability action, with 25% of dead cells stained in red. Conclusions: This ex vivo study shows that ALAD gel with light irradiation is an efficacious protocol that exerts a potent antibacterial activity against <i>E. faecalis</i> in infected root canals.https://www.mdpi.com/2310-2861/9/2/1255-aminolevulinic acidendodonticsphotodynamic therapyred light<i>Enterococcus faecalis</i>
spellingShingle Teocrito Carlesi
Tatiane Cristina Dotta
Tania Vanessa Pierfelice
Emira D’Amico
Stefania Lepore
Domenico Tripodi
Adriano Piattelli
Simonetta D’Ercole
Morena Petrini
Efficacy of 5% Aminolaevulinic Acid and Red Light on <i>Enterococcus faecalis</i> in Infected Root Canals
Gels
5-aminolevulinic acid
endodontics
photodynamic therapy
red light
<i>Enterococcus faecalis</i>
title Efficacy of 5% Aminolaevulinic Acid and Red Light on <i>Enterococcus faecalis</i> in Infected Root Canals
title_full Efficacy of 5% Aminolaevulinic Acid and Red Light on <i>Enterococcus faecalis</i> in Infected Root Canals
title_fullStr Efficacy of 5% Aminolaevulinic Acid and Red Light on <i>Enterococcus faecalis</i> in Infected Root Canals
title_full_unstemmed Efficacy of 5% Aminolaevulinic Acid and Red Light on <i>Enterococcus faecalis</i> in Infected Root Canals
title_short Efficacy of 5% Aminolaevulinic Acid and Red Light on <i>Enterococcus faecalis</i> in Infected Root Canals
title_sort efficacy of 5 aminolaevulinic acid and red light on i enterococcus faecalis i in infected root canals
topic 5-aminolevulinic acid
endodontics
photodynamic therapy
red light
<i>Enterococcus faecalis</i>
url https://www.mdpi.com/2310-2861/9/2/125
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