PMID- 31319164 OWN - NLM STAT- MEDLINE DCOM- 20200210 LR - 20200210 IS - 1873-1597 (Electronic) IS - 1572-1000 (Linking) VI - 27 DP - 2019 Sep TI - Comparison of different laser-based photochemical systems for periodontal treatment. PG - 433-439 LID - S1572-1000(19)30047-X [pii] LID - 10.1016/j.pdpdt.2019.06.009 [doi] AB - PURPOSE: The main aim in periodontitis treatment is to remove supragingival and subgingival biofilm. Mechanical treatment to eliminate pathogenic bacteria is limited by morphological conditions on the root surface. This study assessed the antibacterial effectiveness of different laser-based photochemical systems, particularly a novel curcumin-based option. METHODS: Ninety-one titanium bars were inoculated with an artificial biofilm of common pathogenic periodontal bacteria and inserted into an artificial periodontal pocket model. The following groups (n = 13) were tested: 1, curcumin solution plus SLB laser irradiation (C + L; 445 nm, 0.6 W, 25% duty cycle, 100 Hz, 10 s); 2, curcumin solution (Cur); 3, dimethyl sulfoxide solution (DMSO); 4, SiroLaser Blue (SLB) - laser irradiation (445 nm, 0.6 W, 25% duty cycle, 100 Hz, 10 s); 5, antimicrobial photodynamic therapy (aPDT); 6, antimicrobial photothermal therapy (aPTT); 7, control. The samples were stored in Eppendorf tubes and analyzed microbiologically using quantitative real-time polymerase chain reaction (PCR). The main parameter for analyzing group differences was the total bacterial load. Statistical analysis was performed with nonparametric methods. RESULTS: Statistically significant reductions in bacterial count were observed in all experimental groups (p < 0.05). The mean percentage reductions were as follows: SLB, 95.03%; aPDT, 83.91%; DMSO, 95.69%; C + L, 97.15%. No statistically significant differences in bacteria reduction were observed for laser alone (SLB), DMSO, or curcumin with or without additional laser irradiation. CONCLUSIONS: The greatest antibacterial efficacy was observed in samples treated with aPTT. Using curcumin as a photosensitizing agent for 445 nm laser irradiation did not result in improved antibacterial effectiveness in comparison with laser alone. CI - Copyright (c) 2019 Elsevier B.V. All rights reserved. FAU - Bocher, Sarah AU - Bocher S AD - Department of Operative Dentistry, Periodontology and Preventive Dentistry, RWTH Aachen University, Germany; Department of Operative Dentistry and Endodontology, University of Marburg, Georg-Voigt-Strasse 3, 35039 Marburg, Germany. FAU - Wenzler, Johannes-Simon AU - Wenzler JS AD - Department of Operative Dentistry, Periodontology and Preventive Dentistry, RWTH Aachen University, Germany. FAU - Falk, Wolfgang AU - Falk W AD - Oro-Dental Microbiology, Kiel, Germany. FAU - Braun, Andreas AU - Braun A AD - Department of Operative Dentistry, Periodontology and Preventive Dentistry, RWTH Aachen University, Germany. Electronic address: anbraun@ukaachen.de. LA - eng PT - Journal Article DEP - 20190715 PL - Netherlands TA - Photodiagnosis Photodyn Ther JT - Photodiagnosis and photodynamic therapy JID - 101226123 RN - 0 (Photosensitizing Agents) RN - IT942ZTH98 (Curcumin) RN - IX6J1063HV (Indocyanine Green) RN - T42P99266K (Methylene Blue) RN - YOW8V9698H (Dimethyl Sulfoxide) SB - IM MH - Biofilms/*drug effects MH - Curcumin/*therapeutic use MH - Dimethyl Sulfoxide/therapeutic use MH - Humans MH - Hyperthermia, Induced/*methods MH - Indocyanine Green/therapeutic use MH - Lasers, Semiconductor MH - Methylene Blue/therapeutic use MH - Periodontal Pocket/*drug therapy MH - Photochemotherapy/*methods MH - Photosensitizing Agents/*therapeutic use MH - Real-Time Polymerase Chain Reaction OTO - NOTNLM OT - Antimicrobial photodynamic therapy (aPDT) OT - Antimicrobial photothermal therapy (aPTT) OT - Curcumin OT - Indocyanine green (ICG) OT - Laser irradiation OT - Methylene blue EDAT- 2019/07/19 06:00 MHDA- 2020/02/11 06:00 CRDT- 2019/07/19 06:00 PHST- 2019/03/25 00:00 [received] PHST- 2019/06/08 00:00 [revised] PHST- 2019/06/14 00:00 [accepted] PHST- 2019/07/19 06:00 [pubmed] PHST- 2020/02/11 06:00 [medline] PHST- 2019/07/19 06:00 [entrez] AID - S1572-1000(19)30047-X [pii] AID - 10.1016/j.pdpdt.2019.06.009 [doi] PST - ppublish SO - Photodiagnosis Photodyn Ther. 2019 Sep;27:433-439. doi: 10.1016/j.pdpdt.2019.06.009. Epub 2019 Jul 15.