Volume 45 Issue 1
Jan.  2024
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Weimin QIAN, Liangju CAO, Yu JIANG, Dan PU, Fengting MU, Yongsheng PAN. Effect of Photo-activated Disinfection as An Adjunctive Therapy in the Treatment of Chronic Periodontitis[J]. Journal of Kunming Medical University, 2024, 45(1): 136-142. doi: 10.12259/j.issn.2095-610X.S20240123
Citation: Weimin QIAN, Liangju CAO, Yu JIANG, Dan PU, Fengting MU, Yongsheng PAN. Effect of Photo-activated Disinfection as An Adjunctive Therapy in the Treatment of Chronic Periodontitis[J]. Journal of Kunming Medical University, 2024, 45(1): 136-142. doi: 10.12259/j.issn.2095-610X.S20240123

Effect of Photo-activated Disinfection as An Adjunctive Therapy in the Treatment of Chronic Periodontitis

doi: 10.12259/j.issn.2095-610X.S20240123
  • Received Date: 2023-11-10
    Available Online: 2024-01-09
  • Publish Date: 2024-01-25
  •   Objective  To evaluate the effect of photo-activated disinfection(PAD) as a kind of adjuvant treatment on moderate to severe chronic periodontitis.   Methods  21 patients with the chronic periodontitis(totally 218 selected sites) were randomly enrolled and divided into group A( minocycline hydrochloride), group B(PAD) , group C(PAD + minocycline hydrochloride ), and group D(no adjunctive therapy) for the adjunctive treatment after receiving the scaling and root planing(SRP). Periodontal indexs as probing depth(PD), bleeding on probing(BOP) and clinical attachment loss(CAL) were examined at the baseline , 6 and 12 weeks after the treatment. Meanwhile, periodontal pathogens as Porphyromonas gingivalis(Pg) and Tannerella forsythia(Tf) from subgingival plaque of group A, B and C were detected by Real-time PCR.   Results  Compared with the baseline, the periodontal inflammations of all groups were improved signiffcantly at 6 and 12 weeks after the treatment(P < 0.001), and group A, group B and group C were better than group D(P < 0.001), group C was better than group A(P < 0.001); Furthermore, the concentration of Pg and Tf was decreased significantly(P < 0.001), and there was no difference among the three groups with adjunctive therapy.   Conclussion  As the adjunctive treatment of SRP, PAD could achieve the same and even better effect than minocycline hydrochloride ointment.
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  • [1]
    孟焕新. 中华口腔医学会牙周病学专业委员会. 重度牙周炎诊断标准及特殊人群牙周病治疗原则的中国专家共识[J]. 中华口腔医学杂志,2017,52(2):67-71. doi: 10.3760/cma.j.issn.1002-0098.2017.02.002
    [2]
    欧阳翔英. 关于重度牙周炎的诊断标准[J]. 中华口腔医学杂志,2017,52(2):72-74. doi: 10.3760/cma.j.issn.1002-0098.2017.02.003
    [3]
    Lopez M, Passarelli P , Marra M, et al. Photodynamic therapy (PDT) in non-surgical treatment of period ontitis[J]. J Biol Reg Homeosag, 2020, 34(5 Suppl 3): 67-78.
    [4]
    Gholami L,Shahabi S,Jazaeri M. Clinical applications of antimicrobial photodynamic therapy in dentistry[J]. Front Microbiol,2023,10(5):3389.
    [5]
    Cionca N,Giannopoulou C,Ugolotti G,et al. Microbiologic testing and outcomes of full mouth scaling and root planing with or without amoxicillin/metronidazole in chronic periodontitis[J]. J Periodontol,2010,81(1):15-23. doi: 10.1902/jop.2009.090390
    [6]
    胡淑澄, 束 蓉, 宋忠臣, 等, 光化合技术辅助治疗慢性牙周炎的临床效果[J]. 上海交通大学学报, 2017, 37 (5): 621-626.
    [7]
    Deutsch E. The declaration of Helinski revised by the World Medical Organisation, Edinburgh 2000[J].Law Rev, 2001, 32(3):633.
    [8]
    Ashimoto A,Chen C,Bakker I,et a1. Polymerase chain reaction detection of 8 putative periodontal pathogens in subgingival plaque of gingivitis and advanced periodontitis lesions[J]. Oral Microbiollmmunol,1996,11(4):266-273.
    [9]
    Nonnenmacher C,Dalpke A,Roehon J,et a1. Real—time polymerase chain reaction for detection and quantification of bacteria inperiodontal patients[J]. J Periodontol,2005,76(9):1542-1549. doi: 10.1902/jop.2005.76.9.1542
    [10]
    Qi M,Li X,Sun X,et al. Novel nanotechnology and near-infrared photodynamic therapy to kill periodontitis-related biofilm pathogens and protect the periodontium[J]. Dent Mater,2019,35(11):1665-1681. doi: 10.1016/j.dental.2019.08.115
    [11]
    Muzzi L,Rotundo R,Cairo F,et al. Periodontic-endodontic lesions: Diagnostic and therapeutic indications[J]. Minerva Stomato,2002,51(1/2):41-48.
    [12]
    Donohoe C,Senge M,Arnaut L,et al. Cell death in photodynamic therapy: From oxidative stress to anti - tumor immunity[J]. Biochim Biophys Acta Rev Cancer,2019,1872(2):188308. doi: 10.1016/j.bbcan.2019.07.003
    [13]
    尹馨,任秀云. 光动力疗法在牙周炎治疗领域的应用研究进展[J]. 口腔疾病防治,2021,29(8):562-566.
    [14]
    Su X,Zhuang D,Zhang Y,et al. Influence of photodynamic therapy on the periodontitis -induced bone resorption in rat[J]. Lasers Med Sci,2021,36(3):675-680. doi: 10.1007/s10103-020-03126-8
    [15]
    Giannelli M,Pini A,Formigli L,et al. Comparative in vitro study among the effects of different laser and LED irradiation protocols and conventional chlorhexidine treatment for deactivation of bacterial lipopolysaccharide adherent to titanium surface[J]. Photomedicine Laser Surg,2011,29(8):573-580. doi: 10.1089/pho.2010.2958
    [16]
    Yoshida A,Sasaki H,Toyama T,et al. Antimicrobial effect of blue light using porphyromonas gingivalis pigment[J]. Scientific Reports,2017,5225(7):2045-2322.
    [17]
    Petelin M,Perkie K,Seme K,et a1. Effect of repeated adjunctive antimicrobial photodynamic therapy on subgingival pefiodontal pathogens in the treatment of chronic periodontitis[J]. Lasers Med Sci,2015,30(6):1647-1656. doi: 10.1007/s10103-014-1632-2
    [18]
    葛琳华,束蓉. 光动力疗法对慢性牙周炎龈下牙周致病菌的影响[J]. 临床口腔医学杂志,2008,24(12):740-743. doi: 10.3969/j.issn.1003-1634.2008.12.013
    [19]
    Sigusch B,Engelbrecht M,Volpel A,et a1. Full-mouth antimicrobial photodynamic therapy in fusobacterium nucleatum-infected periodontitis patients[J]. J Periodontol,2010,81(7):975-981. doi: 10.1902/jop.2010.090246
    [20]
    Meimandi M,Talebi A,Esmaeil N,et al. The effect of photodynamic therapy in the treatment of chronic periodontitis: A review of literature[J]. Lasers Med Sci,2017,8(Suppl 1):S7-S11. doi: 10.15171/jlms.2017.s2
    [21]
    O'Neill,Hope C,Wilson M. Oral bacteria in multi-species biofilms can be killed by red light in the presence of toluidine blue[J]. Lasers Surg Med,2002,31(2):86-90. doi: 10.1002/lsm.10087
    [22]
    Sgolastra F,Petrucci A,Severino M,et al. Adjunctive photodynamic therapy to non-surgical treatment of chronic periodontitis: A systematic review and meta-analysis[J]. J Clin Periodontol,2013,40(5):514-526. doi: 10.1111/jcpe.12094
    [23]
    Azaripour A,Dittrich S,Van Noorden C,et al. Efficacy of photodynamic therapy as adjunct treatment of chronic periodontitis: A systematic review and meta-analysis[J]. Lasers Med Sci,2018,33(2):407-423. doi: 10.1007/s10103-017-2383-7
    [24]
    Ge L,Shu R,Li Y,et a1. Adjunctive effect of photodynamic therapy to scaling and root planing in the treatment of chronic periodontitis[J]. Photomed Laser Surg,2011,29(1):33-37. doi: 10.1089/pho.2009.2727
    [25]
    Paula Eduardo C,Freitas P,Esteves-Oliveira M,et al,Laser phototherapy in the treatment of periodontal disease. A review[J]. Lasers Med Sci,2010,25(6):781-792. doi: 10.1007/s10103-010-0812-y
    [26]
    Hu XQ,Huang YY,Wang Y,et al. Antimicrobial photodynamic therapy to control clinically relevant biofilm infections[J]. Front Microbiol,2018,9(1):1299.
    [27]
    Gambarini G, Plptino G, Grande N, et al. In vitro evaluation of the cytotoxicity of FotoSanTM light-activated disinfection on human fibrablasts[J]. Med Sci Monit, 2011, 17(3): MT 21-25.
    [28]
    Abrahamse H,Hamblin M. New photosensitizers for photodynamic therapy[J]. Biochem J,2016,473(4):347-364. doi: 10.1042/BJ20150942
    [29]
    El Yazami H,Zeinoun T,Bou Saba S,et al. Pulp temperature increase during photo-activated disinfection (PAD) of periodontal pockets: An in vitro study[J]. Lasers Med Sci,2010,25(5):655-659. doi: 10.1007/s10103-009-0686-z
    [30]
    Liang H,Xu J,Liu Y,et al. Optimization of hydrogel containing toluidine blue O for photo dynamic therapy by response surface methodology[J]. Journal of Photochemistry & Photobiology,2017,173(8):389-396.
    [31]
    孟焕新. 牙周病学[M]. 第5版, 北京: 人民卫生出版社, 2020: 275-277.
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