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Morozova NS, Kozlitina IA, Makarov VI, Loschenov VB, Grinin VM, Ivanov SY, Kashtanova MS. Optical spectral diagnostics of the oxygenation level in periodontal tissues and photodynamic therapy using methylene blue in children with cerebral palsy. Front Public Health 2023; 11:961066. [PMID: 36794072 PMCID: PMC9922788 DOI: 10.3389/fpubh.2023.961066] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 01/13/2023] [Indexed: 01/31/2023] Open
Abstract
Dental diseases occur in children with cerebral palsy three times higher than in healthy children. Low values of the unstimulated salivation rate (<0.3 ml per minute), pH and buffer capacity, changes in enzyme activity and sialic acid concentration, as well as increased saliva osmolarity and total protein concentration, which indicates impaired hydration, are the factors in the development of a gingiva disease in case of cerebral palsy. This leads to increased bacterial agglutination and the formation of acquired pellicle and biofilm, leading to the formation of dental plaque. There is a tendency toward an increase in the concentration of hemoglobin and a decrease in the degree of hemoglobin oxygenation, as well as an increase in the generation of reactive oxygen and nitrogen species. Photodynamic therapy (PDT) with the use of photosensitizer methylene blue improves blood circulation and the degree of oxygenation in periodontal tissues, as well as eliminates a bacterial biofilm. Analysis of back diffuse reflection spectra makes it possible to conduct non-invasive monitoring determine tissue areas with a low level of hemoglobin oxygenation for precision photodynamic exposure. Aim To improve the effectiveness of phototheranostics methods using, namely PDT with simultaneous optical-spectral control, for the treatment of gingivitis in children with complex dental and somatic status (cerebral palsy). Methods The study involved 15 children (6-18 y.o.) with various forms of cerebral palsy, in particular, spastic diplegia and atonic-astatic form and with gingivitis. The degree of hemoglobin oxygenation was measured in tissues before PDT and on the 12th day. PDT was performed using laser radiation (λ = 660 nm) with a power density of 150 mW/cm2 with a five-minute application of 0.01% MB. The total light dose was 45 ± 15 J/cm2. For statistical evaluation of the results, a paired Student's t-test was used. Results The paper presents the results of phototheranostics using methylene blue in children with cerebral palsy. An increase in the level of hemoglobin oxygenation from 50 to 67% (p < 0.001) and a decrease in blood volume in the microcirculatory bed of periodontal tissues were shown. Conclusion Photodynamic therapy methods with application of methylene blue make it possible to assess the state of the gingival mucosa tissue diseases objectively in real time, and to provide effective targeted therapy for gingivitis in children with cerebral palsy. There is a prospect that they can become widely used clinical methods.
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Affiliation(s)
- Natalia S Morozova
- Department of Pediatric Dentistry and Orthodontics, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Iuliia A Kozlitina
- Department of Pediatric Dentistry and Orthodontics, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Vladimir I Makarov
- Laser Biospectroscopy Laboratory, Prokhorov General Physics Institute of the Russian Academy of Sciences, Moscow, Russia.,Department of Laser Micro-, Nano- and Biotechnologies, Institute for Physics and Engineering in Biomedicine, National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), Moscow, Russia
| | - Victor B Loschenov
- Department of Laser Micro-, Nano- and Biotechnologies, Institute for Physics and Engineering in Biomedicine, National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), Moscow, Russia.,Laboratory of Laser Biospectroscopy, Prokhorov General Physics Institute of the Russian Academy of Sciences, Moscow, Russia
| | - Vasiliy M Grinin
- Department of Maxillofacial Surgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Sergey Yu Ivanov
- Department of Maxillofacial Surgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.,Department of Maxillofacial Surgery, The Peoples' Friendship University of Russia, Moscow, Russia
| | - Maria S Kashtanova
- Department of Pediatric Dentistry and Orthodontics, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
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Garcia de Carvalho G, Pacheco Mateo R, Costa E Silva R, Maquera Huacho PM, de Souza Rastelli AN, de Oliveira KT, Chierici Marcantonio RA, Zandim-Barcelos DL, Palomari Spolidorio DM. Chlorin-based photosensitizer under blue or red-light irradiation against multi-species biofilms related to periodontitis. Photodiagnosis Photodyn Ther 2022; 41:103219. [PMID: 36473689 DOI: 10.1016/j.pdpdt.2022.103219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 10/17/2022] [Accepted: 11/29/2022] [Indexed: 12/12/2022]
Abstract
In our previous study, Chlorin-e6 (Ce6) demonstrated a significant reduction of microorganisms' viability against single-species biofilm related to periodontitis once irradiated by red light (660 nm). Also, higher bacteria elimination was observed under blue light (450 nm) irradiation. However, the use of blue light irradiation of Ce6 for antimicrobial administration is poorly explored. This study evaluated the effect of chlorin-e6-mediated antimicrobial photodynamic therapy (aPDT) using different wavelengths (450 or 660 nm) against multi-species biofilms related to periodontitis. Streptococcus oralis, Fusobacterium nucleatum, Porphyromonas gingivalis, and Aggregatibacter actinomycetemcomitans composed the mature biofilm developed under proper conditions for five days. aPDT was performed using different concentrations of Ce6 (100 and 200 μM), wavelengths (450 or 660 nm), and comparisons were made after qPCR assay and confocal laser scanning microscopy (CLSM) analysis. The greatest bacterial elimination was observed in the groups where Ce6 was used with blue light, for S. orallis (2.05 Log10 GeQ mL-1, p < 0.0001) and P. gingivalis (1.4 Log10 GeQ mL-1, p < 0.0001), aPDT with red light showed significant bacteria reduction only for S. orallis. aPDT with blue light demonstrated statistically higher elimination in comparison with aPDT with red light. The aPDT did not show a statistically significant effect when tested against A. actinomycetemcomitans and F. nucleatum (p=0.776 and 0.988, respectively). The aPDT using blue light showed a promising higher photobiological effect, encouraging researchers to consider it in the irradiation of Ce6 for further investigations.
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Affiliation(s)
- Gabriel Garcia de Carvalho
- Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Rua Humaitá, 1680, Araraquara, SP 14801-903, Brazil
| | - Rafaela Pacheco Mateo
- Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Rua Humaitá, 1680, Araraquara, SP 14801-903, Brazil
| | - Rodrigo Costa E Silva
- Department of Chemistry, Federal University of São Carlos (UFSCar), São Carlos, SP 13565-905, Brazil
| | - Patricia Milagros Maquera Huacho
- Department of Physiology and Pathology, School of Dentistry, São Paulo State University (UNESP), Rua Humaitá, 1680, Araraquara, SP 14801-903, Brazil
| | - Alessandra Nara de Souza Rastelli
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Rua Humaitá, 1680, Araraquara, SP 14801-903, Brazil
| | - Kleber Thiago de Oliveira
- Department of Chemistry, Federal University of São Carlos (UFSCar), São Carlos, SP 13565-905, Brazil
| | | | - Daniela Leal Zandim-Barcelos
- Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Rua Humaitá, 1680, Araraquara, SP 14801-903, Brazil
| | - Denise Madalena Palomari Spolidorio
- Department of Physiology and Pathology, School of Dentistry, São Paulo State University (UNESP), Rua Humaitá, 1680, Araraquara, SP 14801-903, Brazil.
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A meta-analysis on the association between obstructive sleep apnea and periodontitis. Sleep Breath 2022; 27:641-649. [DOI: 10.1007/s11325-022-02668-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Revised: 05/20/2022] [Accepted: 06/14/2022] [Indexed: 11/26/2022]
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Farage MA, Cambron T, Liu KZ. Visible-Near Infrared Spectroscopic Assessment of Urogenital Tissue in Premenopausal and Postmenopausal Women. CLINICAL MEDICINE INSIGHTS. WOMEN'S HEALTH 2018; 11:1179562X17749608. [PMID: 29344000 PMCID: PMC5761901 DOI: 10.1177/1179562x17749608] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2017] [Accepted: 11/20/2017] [Indexed: 12/25/2022]
Abstract
BACKGROUND A clinical study was conducted to evaluate the feasibility of using visible and near-infrared (NIR) spectroscopy as a potential noninvasive measure of genital skin health in premenopausal and postmenopausal women. METHODS A total of 45 female subjects (aged 21-70 years), all of whom gave fully informed consent to participate, were enrolled in the study and assigned to 1 of 3 groups: 15 premenopausal (Pre-M), 15 postmenopausal receiving hormone replacement therapy (Post-M HRT), and 15 postmenopausal receiving no form of hormone replacement therapy (Post-M non-HRT). Spectral measurements were taken at the vaginal mucosa, and spectral data were evaluated for the erythema index (EI), hemoglobin index (HI), bilirubin/β-carotene, and melanin. The color index (CI; calculated as the ratio of absorbance at 480 nm/540 nm) was also determined. Results were compared with previously published results on biomarkers and physical characteristic of genital tissue measured on the same groups of women. RESULTS Spectral measurements from the Post-M Non-HRT subjects indicated a significant reduction in HI compared with the Pre-M group (P = .0003) and to the Post-M HRT group (P < .0001). Similarly, EI was reduced in the Post-M Non-HRT (P < .0001 and P = .0041 for the Pre-M and Post-M HRT groups, respectively). In contrast, the Post-M Non-HRT subjects exhibited a significant increase in β-carotene compared with the Pre-M subjects (P = .0098). Bilirubin and melanin were not significantly affected. The Post-M Non-HRT group exhibited a significant increase in CI, indicating a shift away from the hemoglobin absorption region (510-620 nm wavelength) and toward the bilirubin/β-carotene absorption region (450-490 nm wavelength). This change was significant when compared with both the Pre-M group (P < .0001) and the Post-M HRT group (P = .0048). The changes in spectral measurements were consistent with previously reported changes in physical parameters (vaginal atrophy, increased pH, decreased skin temperature) and with decreased concentrations of the biomarkers histamine and histidine. CONCLUSIONS Hemodynamic spectral characteristics differ in postmenopausal vaginal tissue compared with tissue in premenopausal women, with decreased absorbance in the hemoglobin absorption region (510-620 nm wavelength) and an increased absorbance in the bilirubin/β-carotene absorption region (450-490 nm wavelength). A change in absorbance in the visible and NIR wavelengths is a promising, additional measure of genital skin health related to menopause and vulvovaginal atrophy.
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Affiliation(s)
- Miranda A Farage
- Corporate Function R&D, The Procter & Gamble Company, Cincinnati, OH, USA
- Corporate Function R&D, The Procter & Gamble Company, Mason, OH, USA
| | - Tom Cambron
- Corporate Function R&D, The Procter & Gamble Company, Cincinnati, OH, USA
- Corporate Function R&D, The Procter & Gamble Company, Mason, OH, USA
| | - Kan-Zhi Liu
- Institute for Biodiagnostics, National Research Council of Canada, Winnipeg, MB, Canada
- Department of Oral Biology, University of Manitoba, Winnipeg, MB, Canada
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Gajendrareddy PK, Junges R, Cygan G, Zhao Y, Marucha PT, Engeland CG. Increased oxygen exposure alters collagen expression and tissue architecture during ligature-induced periodontitis. J Periodontal Res 2016; 52:644-649. [PMID: 27573480 DOI: 10.1111/jre.12408] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/24/2016] [Indexed: 01/04/2023]
Abstract
BACKGROUND AND OBJECTIVE The aim of this study was to evaluate the effects of increased oxygen availability on gene expression and on collagen deposition/maturation in the periodontium following disease. MATERIAL AND METHODS Male Wistar rats had ligatures placed around their molars to induce periodontal disease, and a subset of animals underwent hyperbaric oxygen (HBO) treatment for 2 h twice per day. At 15 and 28 d, tissue gene expression of COL1A1, transforming growth factor-β1 and alkaline phosphatase was determined; other histological samples were stained with Picrosirius red to evaluate levels of collagen deposition, maturation and thickness. RESULTS In animals that underwent HBO treatment, type I collagen expression was higher and collagen deposition, maturation and thickness were more robust. Reduced mRNA levels of transforming growth factor-beta1 and alkaline phosphatase in HBO-treated rats on day 28 suggested that a quicker resolution in both soft tissue and bone remodeling occurred following oxygen treatment. No differences in inflammation were observed between groups. CONCLUSIONS The extracellular matrix regenerated more quickly in the HBO-treated group as evidenced by higher collagen expression, deposition and maturation.
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Affiliation(s)
- P K Gajendrareddy
- Department of Periodontics, College of Dentistry, University of Illinois at Chicago, Chicago, IL, USA.,Center for Wound Healing and Tissue Regeneration, College of Dentistry, University of Illinois at Chicago, Chicago, IL, USA
| | - R Junges
- Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.,Faculty of Dentistry, Department of Oral Biology, University of Oslo, Oslo, Norway
| | - G Cygan
- Department of Oral and Maxillofacial Surgery, West Virginia University, Morgantown, WV, USA
| | - Y Zhao
- Department of Periodontics, College of Dentistry, University of Illinois at Chicago, Chicago, IL, USA.,Center for Wound Healing and Tissue Regeneration, College of Dentistry, University of Illinois at Chicago, Chicago, IL, USA
| | - P T Marucha
- Center for Wound Healing and Tissue Regeneration, College of Dentistry, University of Illinois at Chicago, Chicago, IL, USA.,School of Dentistry, Oregon Health and Science University, Portland, OR, USA
| | - C G Engeland
- Center for Wound Healing and Tissue Regeneration, College of Dentistry, University of Illinois at Chicago, Chicago, IL, USA.,Department of Biobehavioral Health, The Pennsylvania State University, University Park, PA, USA.,College of Nursing, The Pennsylvania State University, University Park, PA, USA
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