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Effects of Sub-Lethal Doses of Photo-Activated Disinfection Against Porphyromonas Gingivalis for Pharmaceutical Treatment of Periodontal-Endodontic Lesions Publisher Pubmed



Pourhajibagher M1, 2, 3 ; Chiniforush N2 ; Raoofian R4, 5 ; Ghorbanzadeh R6 ; Shahabi S7 ; Bahador A1, 2, 3
Authors
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Authors Affiliations
  1. 1. Department of Microbiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Laser Research Center of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
  5. 5. Innovative Research Center, Islamic Azad University, Mashhad Branch, Mashhad, Iran
  6. 6. Private Practice, Tehran, Iran
  7. 7. Dental Biomaterials Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

Source: Photodiagnosis and Photodynamic Therapy Published:2016


Abstract

Background Microorganisms treated by photo-activated disinfection (PAD) in combined periodontal-endodontic (perio-endo) lesions would be exposed to sub-lethal doses of PAD (sPAD). This study evaluated the effect of sPAD using toluidine blue O (TBO) in combination with diode laser irradiation on the growth and biofilm-formation ability of Porphyromonas gingivalis as an endo-periodontal pathogen. Methods The antibacterial and antibiofilm potential of sPAD against P. gingivalis was analyzed at sub-lethal doses of TBO and irradiation time of diode laser on a colony-forming unit and crystal violet assays, respectively. Results TBO-mediated PAD, using 6.25–100 μg/mL at a fluency of 171.87 J/cm2 and 12.5–100 μg/mL at a fluency of 137.5 J/cm2, showed a significant dose-dependent reduction in P. gingivalis growth when compared to the control. TBO-mediated PAD showed a significantly inhibitory effect on biofilm formation in P. gingivalis than TBO-PAD at sub-lethal levels. Conclusion High doses of sPAD revealed antibacterial and antibiofilm potential activity, whereas lower doses of sPAD had conflicting results. Therefore, when PAD is prescribed in combined perio-endo lesions treatment, the dose of PAD used in vivo should be taken into account. © 2016 Elsevier B.V.
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