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Donnermeyer D, Dust PC, Schäfer E, Bürklein S. Comparative Analysis of Irrigation Techniques for Cleaning Efficiency in Isthmus Structures. J Endod 2024; 50:644-650.e1. [PMID: 38382735 DOI: 10.1016/j.joen.2024.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 02/06/2024] [Accepted: 02/12/2024] [Indexed: 02/23/2024]
Abstract
INTRODUCTION This study aimed to evaluate the removal of a biofilm-mimicking hydrogel from isthmus structures in a simulated complex root canal system consisting of 2 curved root canals by Laser-activated irrigation (LAI, AdvErl Evo, Morita) and mechanical activation techniques. METHODS A 3D-printed root canal model with 2 parallel root canals (60°-curvature, radius 5 mm, dimension 25/.06) with a total length of 20 mm connected via isthmuses (2.5 × 0.4 × 0.2 mm) at 5 mm and 8 mm from the apical endpoint and with lateral canals (diameter 0.2 mm) in all directions at 2, 5, and 8 mm from the apex was filled with a colored biofilm-mimicking hydrogel. Irrigation protocols under continuous irrigation with distilled water (3 × 20s per root canal; 3 ml/20s; n = 20) included conventional needle irrigation (=NI); manual agitation (=MA, gutta-percha point 25/.06); EndoActivator (=SAI-EA, 25/.04); EDDY (=SAI-E, 25/.04); ultrasonically-activated irrigation (=UAI) and LAI (Er:YAG-laser; P400FL tip at canal entrance; 25pps, 50 mJ, 300μs). Removal of the hydrogel was determined as a percentage via standardized photos through a microscope. Statistical analysis was performed using Kruskal-Wallis and Conover tests (P = .05). RESULTS Laser-activated irrigation (LAI) was associated with the greatest removal of hydrogel from the entire root canal system (P < .05), followed by SAI-E. No significant differences were reported for the coronal isthmus between LAI, SAI-E, NI, and MA (P > .05), but inferior results for SAI-EA and UAI (P < .05). In the apical isthmus, all techniques outperformed UAI (P < .05), with LAI, SAI-E, and NI showing the best results (P < .05). CONCLUSIONS Laser-activated irrigation (LAI) was superior to other irrigation techniques in the entire root canal system. SAI-E and NI performed comparable to LAI in the isthmuses.
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Affiliation(s)
- David Donnermeyer
- Department of Periodontology and Operative Dentistry, University of Münster, Münster, Germany
| | - Patricia Claire Dust
- Department of Periodontology and Operative Dentistry, University of Münster, Münster, Germany
| | - Edgar Schäfer
- Central Interdisciplinary Ambulance in the School of Dentistry, University of Münster, Münster, Germany
| | - Sebastian Bürklein
- Central Interdisciplinary Ambulance in the School of Dentistry, University of Münster, Münster, Germany.
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Terlep S, Dogsa I, Pajk F, Stopar D. Biofilm Removal from In Vitro Narrow Geometries Using Single and Dual Pulse Er:YAG Laser Photoacoustic Irrigation. Microorganisms 2023; 11:2102. [PMID: 37630662 PMCID: PMC10459327 DOI: 10.3390/microorganisms11082102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 07/26/2023] [Accepted: 08/10/2023] [Indexed: 08/27/2023] Open
Abstract
The disinfection and removal of biofilm from titanium dental implants remains a great challenge in oral medicine. Here we present results of novel photoacoustic irrigation laser modalities for biofilm removal in model geometries mimicking the peri-implant pocket. The efficacy of single pulse (Er:YAG-SSP) and dual pulse (Er:YAG-AutoSWEEPS) photoacoustic irrigation modalities were determined for Enterococcus faecalis biofilm decontamination from titanium surfaces in narrow cylindrical and square gap geometries. The density of bacteria as well as the number of live bacteria were determined prior and after different photoacoustic treatments. Both SSP and AutoSWEEPS photoacoustic irrigation techniques removed at least 92% of biofilm bacteria during the 10 s photoacoustic treatment. The effectiveness of cleaning was better in the narrow square gap geometry compared to the cylindrical geometry. The dual pulse Er:YAG-AutoSWEEPS photoacoustic irrigation showed better results compared to SSP modality. No chemical adjuvants were needed to boost the effectiveness of the photoacoustic irrigation in the saline solution. The results imply that photoacoustic irrigation is an efficient cleaning method for debridement and decontamination in narrow geometries and should be considered as a new therapeutic option for the treatment of peri-implant diseases.
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Affiliation(s)
- Saša Terlep
- Fotona d.o.o., Stegne 7, 1000 Ljubljana, Slovenia;
| | - Iztok Dogsa
- Department of Microbiology, Biotechnical Faculty, University of Ljubljana, Jamnikarjeva 101, 1000 Ljubljana, Slovenia;
| | - Franja Pajk
- LA&HA—Laser and Health Academy, Stegne 3, 1000 Ljubljana, Slovenia;
| | - David Stopar
- Department of Microbiology, Biotechnical Faculty, University of Ljubljana, Jamnikarjeva 101, 1000 Ljubljana, Slovenia;
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3
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Badami V, Akarapu S, Kethineni H, Mittapalli SP, Bala KR, Fatima SF. Efficacy of Laser-Activated Irrigation Versus Ultrasonic-Activated Irrigation: A Systematic Review. Cureus 2023; 15:e36352. [PMID: 37082501 PMCID: PMC10111875 DOI: 10.7759/cureus.36352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/19/2023] [Indexed: 03/21/2023] Open
Abstract
This study aimed to conduct a systematic review and critical analysis of the evidence pertaining to the efficacy of laser-activated irrigation (LAI) versus ultrasonic-activated irrigation (UAI) in mature permanent teeth. A comprehensive literature search was performed using PubMed and Google Scholar. Additionally, a hand search was performed to identify relevant studies related to UAI and LAI. The search covered all articles published from January 1997 to December 2021. The identified studies were screened for eligibility using the inclusion and exclusion criteria. The included articles were then subjected to data extraction and analysis. The search yielded 1,637 results. Of these, 23 articles were included in this systematic review. All included articles were assessed for the outcomes of antimicrobial efficacy, smear layer, and dentin debris removal. The majority of the articles reported the superiority of LAI over UAI. Within the confines of this systematic review, the current evidence mandates that LAI has superior efficacy over UAI in the elimination of microorganisms, dentin debris, and smear layer from the root canal system.
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Jiao M, Zhang Y, Gao Z, Song W, Yu X, Xu H, Pan K. Bactericidal Efficacy of Photon-Induced Photoacoustic Streaming-Erbium:Yttrium-Aluminum-Garnet Laser Combined with Irrigation Solution on Enterococcus faecalis in Curved Root Canals: An In Vitro Study. Photobiomodul Photomed Laser Surg 2022; 40:499-506. [PMID: 35867120 DOI: 10.1089/photob.2022.0009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Objective: This experiment aimed to study the bactericidal effect of photon-induced photoacoustic streaming (PIPS)-erbium:yttrium-aluminum-garnet (Er:YAG) laser on Enterococcus faecalis in curved root canals. Materials and methods: Sixty-two molars with moderately curved roots (10°-20°) and 62 molars with severely curved roots (25°-40°; one root was selected in each tooth) were assigned to group A and group B, respectively. A curved root canal model with E. faecalis infection was established. Four samples were used for sterility test, and 20 samples were used for testing if the modeling was valid. The remaining 100 samples were randomly divided into 5 subgroups (A1/A2/A3/A4/A5 and B1/B2/B3/B4/B5, n = 10) and treated as follows: A1/B1: PIPS-Er:YAG laser +5.25% sodium hypochlorite (NaOCl); A2/B2: passive ultrasonic irrigation +5.25% NaOCl; A3/B3: PIPS-Er:YAG laser+normal saline (NS); A4/B4: two-hole root canal irrigator +5.25% NaOCl; A5/B5: two-hole root canal irrigator+NS. After treatment, bacterial culture counts and scanning electron microscopic (SEM) observations were carried out for each subgroup, and the bacterial clearance rate of each subgroup was calculated. SPSS 23 software package was used for statistical analysis of the data, and a single-factor analysis of variance was used to compare the subgroups. Results: The bacterial clearance rate in group A was higher than that in group B; however, in each group, A or B, there were significant differences between the subgroups (p < 0.001) except for subgroups 1 and 2 (p > 0.05). SEM revealed that the antibacterial and smear layer removal effect of root canal in subgroups 1 and 2 was better than that in subgroups 3, 4, and 5. Conclusions: PIPS-Er:YAG can significantly enhance the bactericidal effect of NaOCl on E. faecalis in moderately and severely curved root canals.
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Affiliation(s)
- Mengyu Jiao
- Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.,School of Stomatology of Qingdao University, Qingdao, Shandong, China
| | - Yan Zhang
- Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.,School of Stomatology of Qingdao University, Qingdao, Shandong, China.,Department of Stomatology, Linyi People's Hospital, Linyi, Shandong, China
| | - Zhenliang Gao
- Department of Clinical Laboratory, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China
| | - Wenbin Song
- Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.,School of Stomatology of Qingdao University, Qingdao, Shandong, China
| | - Xinbo Yu
- Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.,School of Stomatology of Qingdao University, Qingdao, Shandong, China
| | - Haiping Xu
- Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.,School of Stomatology of Qingdao University, Qingdao, Shandong, China
| | - Keqing Pan
- Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.,School of Stomatology of Qingdao University, Qingdao, Shandong, China
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Yargici VH, Kaptan RF. Evaluation of Debris Removal Efficacy of Conventional Syringe, Irrisafe, XP-endo Finisher File, and Photon-Induced Photoacoustic-Streaming Methods in Teeth with Artificial Internal Resorption Using Two Different Methodologies. Photobiomodul Photomed Laser Surg 2022; 40:25-32. [DOI: 10.1089/photob.2021.0132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- Vahide Hazal Yargici
- Department of Endodontics, Yeditepe University Dentistry Faculty, İstanbul, Turkey
| | - Rabia Figen Kaptan
- Department of Endodontics, Yeditepe University Dentistry Faculty, İstanbul, Turkey
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Adeyemi I, Meribout M, Khezzar L. Recent developments, challenges, and prospects of ultrasound-assisted oil technologies. ULTRASONICS SONOCHEMISTRY 2022; 82:105902. [PMID: 34974390 PMCID: PMC8799749 DOI: 10.1016/j.ultsonch.2021.105902] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/21/2021] [Revised: 12/25/2021] [Accepted: 12/27/2021] [Indexed: 06/14/2023]
Abstract
There has been consistent drive towards research and innovation in oil production technologies in order to achieve improved effectiveness and efficiency in their operation. This drive has resulted in breakthrough in technologies such as the application of ultrasound (US) in demulsification and enhanced oil recovery (EOR), and usage of high-volume hydraulic fracturing and special horizontal well for shale oil and gas extraction. These can be observed in the increment in the number of commercial oil technologies such as EOR projects that rose from 237 in 1996 to 375 in 2017. This sustained expansion in EOR resulted in their total oil production rising from 1.5 million barrels per day in 2005 to 2.3 million barrels per day in 2020. And this is predicted to increase to about 4.7 million barrels per day in 2040, which represent about 4% of total production. Consequently, in this review, the developments in the utilization of US either as standalone or integrated with other technologies in EOR and dehydration of water in oil emulsions were analyzed. The studies include the optimization of fluid and US properties in EOR and demulsification. Reports on the treatment of formation damage resulting from inorganic salts, organic scales, drilling fluid plugs, condensate, paraffin wax and colloidal particle with US-assisted EOR were also highlighted. Moreover, the mechanisms were examined in order to gain insightful understanding and to aid research investigations in these areas. Technologies such as US assisted green demulsification, high intensity focused ultrasound, and potential pathways in field studies were assessed for their feasibilities. It is essential to evaluate these technologies due to the significant accrued benefits in them. The usage of green demulsifiers such as deep eutectic solvents, ionic liquids and bio-demulsifiers has promising future outlook and US could enhance their technical advancement. HiFU has been applied successfully in clinical research and developments in this area can potentiality improve demulsification and interfacial studies (fluid-fluid and solid-fluid interactions). As regards field studies, there is need to increase actual well investigations because present reports have few on-site measurements with most studies being in laboratory scale. Furthermore, there is need for more detailed modeling of these technologies as it would assist in conserving resources, saving research time and fast-tracking oil production. Additional evaluative studies of conditions such as the usage of Raschig rings, crude oil salinity and high temperature which have improved demulsification of crude oil emulsions should be pursued.
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Affiliation(s)
- Idowu Adeyemi
- Department of Mechanical Engineering, Khalifa University of Science and Technology, P.O. Box 127788, Abu Dhabi, United Arab Emirates
| | - Mahmoud Meribout
- Department of Electrical Engineering and Computer Science, Khalifa University of Science and Technology, P.O. Box 127788, Abu Dhabi, United Arab Emirates.
| | - Lyes Khezzar
- Ecole Nationale Polytechnique de Constantine, Constantine, Algeria
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Karveli A, Tzoutzas IG, Raptis PI, Tzanakakis EGC, Farmakis ETR, Helmis CG. Air Quality in a Dental Clinic during Er:YAG Laser Usage for Cavity Preparation on Human Teeth-An Ex-Vivo Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182010920. [PMID: 34682658 PMCID: PMC8535664 DOI: 10.3390/ijerph182010920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/18/2021] [Revised: 10/12/2021] [Accepted: 10/12/2021] [Indexed: 12/02/2022]
Abstract
Chemical air pollution in dental clinics consists of the emission of gases and particulate matter (PM), both generated by dental equipment and tooth tissues. One basic application of Erbium Laser devices is cavity preparation on human teeth due to its strong affinity to water and hydroxyapatite. The objective of this study was the evaluation of indoor air quality during the application of an Er:YAG laser, as a dentin removal instrument, in a Dental Clinic. Particulate Matter (PM) was measured using the standard method of EN legislation. In order to measure total Volatile Organic compounds (VOCs), a portable monitor was used. In the first experiment, PM10 and PM2.5 concentrations were increased by approximately 10 and 15 times, respectively. From the second experiment it can be concluded that neither of the measured particle concentrations exceeded the recommended indoor limit values while windows were open, although laser influence was still detectable. Within the limitations applied herein, it was found that Er:YAG laser activity for hard dental tissue removal was associated with high PM and TVOCs concentration values in the working environment, under insufficient or no ventilation. Physical ventilation in the aforementioned setting proved to be an important key factor in improving air quality, as both PM and TVOCs concentrations decreased significantly.
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Affiliation(s)
| | - Ioannis G. Tzoutzas
- Department of Operative Dentistry, School of Dentistry, National and Kapodistrian University of Athens, 11527 Athens, Greece; (I.G.T.); (E.-G.C.T.)
| | | | - Emmanouil-George C. Tzanakakis
- Department of Operative Dentistry, School of Dentistry, National and Kapodistrian University of Athens, 11527 Athens, Greece; (I.G.T.); (E.-G.C.T.)
| | - Eleftherios Terry R. Farmakis
- Department of Endodontics, School of Dentistry, National and Kapodistrian University of Athens, 11527 Athens, Greece
- Correspondence:
| | - Constantinos G. Helmis
- Division of Applied Physics, Department of Physics, University of Athens, 11527 Athens, Greece;
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8
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Terlep S, Hympanova M, Dogsa I, Pajk F, Stopar D. Photoacoustic removal of Enterococcus faecalis biofilms from titanium surface with an Er:YAG laser using super short pulses. Lasers Med Sci 2021; 37:381-390. [PMID: 33619682 DOI: 10.1007/s10103-021-03265-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 01/31/2021] [Indexed: 11/25/2022]
Abstract
Biofilms that grow on implant surfaces pose a great risk and challenge for the dental implant survival. In this work, we have applied Er:YAG photoacoustic irrigation using super short pulses (Er:YAG-SSP) to remove biofilms from the titanium surfaces in the non-contact mode. Mature Enterococcus faecalis biofilms were treated with saline solution, chlorhexidine, and hydrogen peroxide, or photoacoustically with Er:YAG-SSP for 10 or 60 s. The number of total and viable bacteria as well as biofilm surface coverage was determined prior and after different treatments. Er:YAG-SSP photoacoustic treatment significantly increases the biofilm removal rate compared to saline or chemically treated biofilms. Up to 92% of biofilm-covered surface can be cleaned in non-contact mode during 10 s without the use of abrasives or chemicals. In addition, Er:YAG-SSP photoacoustic irrigation significantly decreases the number of viable bacteria that remained on the titanium surface. Within the limitations of the present in vitro model, the ER:YAG-SSP seems to constitute an efficient therapeutic option for quick debridement and decontamination of titanium implants without using abrasives or chemicals.
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Affiliation(s)
- Saša Terlep
- Fotona d.o.o., Stegne 7, 1000, Ljubljana, Slovenia
| | - Michaela Hympanova
- Biomedical Research Centre, University Hospital Hradec Kralove, Sokolska 581, 500 05, Hradec Kralove, Czech Republic
- Department of Epidemiology, Faculty of Military Health Sciences, University of Defence in Brno, Trebesska 1575, 500 05, Hradec Kralove, Czech Republic
| | - Iztok Dogsa
- Biotechnical Faculty, University of Ljubljana, Jamnikarjeva 101, 1000, Ljubljana, Slovenia
| | - Franja Pajk
- Fotona d.o.o., Stegne 7, 1000, Ljubljana, Slovenia
| | - David Stopar
- Biotechnical Faculty, University of Ljubljana, Jamnikarjeva 101, 1000, Ljubljana, Slovenia.
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Lukač M, Olivi G, Constantin M, Lukač N, Jezeršek M. Determination of Optimal Separation Times for Dual-Pulse SWEEPS Laser-Assisted Irrigation in Different Endodontic Access Cavities. Lasers Surg Med 2020; 53:998-1004. [PMID: 33259683 PMCID: PMC8451836 DOI: 10.1002/lsm.23357] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 10/05/2020] [Accepted: 11/07/2020] [Indexed: 12/31/2022]
Abstract
Background and Objectives The purpose of this ex vivo study is to investigate whether it is possible to pre‐determine and set the optimal separation times for the SWEEPS Er:YAG laser pulses pair during laser‐assisted irrigation of endodontic root canals based on known lateral dimensions of the endodontic access cavities of different types of teeth. Study Design/Materials and Methods As the optimal SWEEPS laser pulse pair separation for enhanced shockwave generation depends on the life‐cycle of a single‐pulse bubble, measurements of the oscillation time TB of the Er:YAG laser‐generated bubble were made in 23 different endodontic access cavities of different types of teeth progressively widened in three different steps, into larger cavities, for a total of 69 cavities of different shapes and sizes. Different fiber‐tip geometries (flat and radial), laser pulse energies (10 mJ and 20 mJ) and depth of fiber‐tip insertion (2 mm and 4 mm) were also investigated. The obtained data were then analyzed using the reported relationship between the bubble oscillation time and the diameter of a cylindrically shaped cavity. Results A good fit to the relation analogue for ideal cylindrical cavities was found by taking the characteristic diameter of the access cavity to be represented by the cavity diameter either in the mesiodistal (Dmin) or buccolingual (Dmax) direction, or alternatively by the average of the two diameters (Dave). The best fit was obtained for Dmin (R2 = 0.73) followed in order by Dave (R2 = 0.71) and Dmax (R2 = 0.63). Conclusion In spite of the endodontic cavities being non‐cylindrical and of varied shape and size, the bubble oscillation time TB and the corresponding optimal SWEEPS separation time can be well predicted using a single characteristic dimension of the access cavity. This finding enables a simple and practical method for determining optimal conditions for shock wave generation and enhanced photodynamic streaming in differently shaped and sized root canals, leading to improved treatment efficacy and safety of root canal irrigation. Lasers Surg. Med. 2020. © 2020 The Authors. Lasers in Surgery and Medicine published by Wiley Periodicals LLC
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Affiliation(s)
- Matjaž Lukač
- Department of Complex Matter, Jozef Stefan Institute, Jamova cesta 39, 1000, Ljubljana, Slovenia
| | - Giovanni Olivi
- Master Laser Dentistry, Catholic University of Sacred Hearth-Rome, Largo Francesco Vito, 1, 00168, Rome, Italy
| | - Mihnea Constantin
- Master Laser Dentistry, Catholic University of Sacred Hearth-Rome, Largo Francesco Vito, 1, 00168, Rome, Italy
| | - Nejc Lukač
- Faculty of Mechanical Engineering, University of Ljubljana, Aškerčeva 6, 1000, Ljubljana, Slovenia
| | - Matija Jezeršek
- Faculty of Mechanical Engineering, University of Ljubljana, Aškerčeva 6, 1000, Ljubljana, Slovenia
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Hympanova M, Terlep S, Markova A, Prchal L, Dogsa I, Pulkrabkova L, Benkova M, Marek J, Stopar D. The Antibacterial Effects of New N-Alkylpyridinium Salts on Planktonic and Biofilm Bacteria. Front Microbiol 2020; 11:573951. [PMID: 33193183 PMCID: PMC7606276 DOI: 10.3389/fmicb.2020.573951] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 09/28/2020] [Indexed: 12/03/2022] Open
Abstract
An increasing microbial resistance to known antibiotics raises a demand for new antimicrobials. In this study the antimicrobial properties of a series of new N-Alkylpyridinium quaternary ammonium compounds (QACs) with varying alkyl chain lengths were evaluated for several nosocomial pathogens. The chemical identities of the new QACs were determined by NMR, LC-MS, and HRMS. All the planktonic bacteria tested were susceptible to the new QACs as evaluated by MIC and MBC assays. The antimicrobial effect was most pronounced against Staphylococcus aureus clinical isolates. Live/dead staining CLSM was used to test the effectiveness of the QACs in biofilms. The effectiveness was up to 10-fold lower than in the plankton. When QACs were used as irrigants in Er:YAG – SSP photoacoustic steaming, their effectiveness significantly increased. The combined use of irrigants and photoacoustic streaming increased biofilm removal from the surface and increased the killing rate of the cells remaining on the surface. This may allow for a shorter chemical exposure time and lower dosage of QACs used in applications. The results demonstrate that the new QACs have potential to be applied as antibacterial compounds effective against planktonic and biofilm bacteria as well as irrigants in removal of difficult-to-reach biofilms.
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Affiliation(s)
- Michaela Hympanova
- Biomedical Research Centre, University Hospital Hradec Kralove, Hradec Kralove, Czechia.,Department of Epidemiology, Faculty of Military Health Sciences, University of Defence in Brno, Brno, Czechia
| | | | - Aneta Markova
- Biomedical Research Centre, University Hospital Hradec Kralove, Hradec Kralove, Czechia.,Department of Toxicology and Military Pharmacy, Faculty of Military Health Sciences, University of Defence in Brno, Brno, Czechia
| | - Lukáš Prchal
- Biomedical Research Centre, University Hospital Hradec Kralove, Hradec Kralove, Czechia
| | - Iztok Dogsa
- Department of Microbiology, Biotechnical Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Lenka Pulkrabkova
- Biomedical Research Centre, University Hospital Hradec Kralove, Hradec Kralove, Czechia.,Department of Toxicology and Military Pharmacy, Faculty of Military Health Sciences, University of Defence in Brno, Brno, Czechia
| | - Marketa Benkova
- Biomedical Research Centre, University Hospital Hradec Kralove, Hradec Kralove, Czechia
| | - Jan Marek
- Biomedical Research Centre, University Hospital Hradec Kralove, Hradec Kralove, Czechia.,Department of Epidemiology, Faculty of Military Health Sciences, University of Defence in Brno, Brno, Czechia
| | - David Stopar
- Department of Microbiology, Biotechnical Faculty, University of Ljubljana, Ljubljana, Slovenia
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