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Hoshyari N, Mesgarani A, Sheikhi MM, Goli H, Nataj AH, Chiniforush N. Comparison of Antimicrobial Effects of 445 and 970 nm Diode Laser Irradiation with Photodynamic Therapy and Triple Antibiotic Paste on Enterococcus faecalis in the Root Canal: an In Vitro Study. MAEDICA 2024; 19:57-65. [PMID: 38736929 PMCID: PMC11079734 DOI: 10.26574/maedica.2024.19.11.57] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/14/2024]
Abstract
Background and aim: Colonization of residual organisms in the root canal are major causes of root canal treatment failure. Therefore, the effective removal of organisms during root canal cleaning stages is of great importance. In this study, we aimed to investigate and compare the antimicrobial effects of several methods including high power laser irradiation, photodynamic therapy and triple antibiotic paste (TAP) on Enterococcus faecalis in the root canal. Materials and methods: For the present laboratory study, 80 anterior single canal teeth were randomly divided into seven experimental groups (970 nm diode laser irradiation, 445 nm diode laser irradiation, 660 nm photodynamic therapy with doxycycline as a photosensitizer, TAP, 970 nm diode laser combined with TAP, 445 nm diode laser combined with TAP and sodium hypochlorite groups), each containing 10 teeth, and two positive and negative control groups, each containing five teeth. Afterwards, an E. faecalis suspension was prepared and injected into the root canals of all groups (except the negative control group), and after using the desired lasers or drugs and incubating for the necessary time, the grown colonies were counted and significance level of less than 0.05 was considered. Results:Among seven experimental groups, in those that included triple antibiotic paste (TAP, 970 nm diode laser with TAP, and 445 nm diode laser with TAP groups), no bacteria grew, while the 970 nm and 445 nm diode laser groups had the highest bacterial growth. Statistically, all studied groups were effective, and the results showed a statistically significant difference between groups (P value < 0.05). Conclusion: The findings of the present study show that all of the above-mentioned methods were effective enough for bacterial reduction. Triple antibiotic paste was proved to achieve complete bacterial elimination. Photodynamic therapy with doxycycline as a photosensitizer was shown to provide significant results of bacterial reduction and diode laser irradiation at both wavelengths (970 nm and 445 nm) were also reported to have antibacterial effect, although slightly lower than the previous methods.
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Affiliation(s)
- Narjes Hoshyari
- Department of Endodontics, School of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
| | - Abbas Mesgarani
- Department of Endodontics, School of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
| | | | - Hamidreza Goli
- Department of Medical Bacteriology and Virology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Abolfazl Hossein Nataj
- Department of Biostatics and Epidemiology, School of Health, Mazandaran University of Medical Sciences, Sari, Iran
| | - Nasim Chiniforush
- Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy
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Afrasiabi S, Partoazar A, Chiniforush N. In vitro study of nanoliposomes containing curcumin and doxycycline for enhanced antimicrobial photodynamic therapy against Aggregatibacter actinomycetemcomitans. Sci Rep 2023; 13:11552. [PMID: 37464015 DOI: 10.1038/s41598-023-38812-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Accepted: 07/15/2023] [Indexed: 07/20/2023] Open
Abstract
The excessive inappropriate use of systemic antibiotics has contributed to the emergence of antibiotic-resistant pathogens, which pose a significant risk to the success of treatment. This study has approached this problem by developing doxycycline-loaded liposome doped with curcumin (NL-Cur+Dox) for combination antibacterial therapy against Aggregatibacter actinomycetemcomitans. The characterization of formulation revealed encapsulation of both drugs in NL-Cur+Dox with an average size of 239 nm and sustained release behavior. Transmission electron microscopy analysis confirmed the vesicular-shaped nanocarriers without any aggregation or crystallization. The cytotoxic and hemolytic activities of NL-Cur+Dox were evaluated. The anti-biofilm and anti-metabolic effects of NL-Cur+Dox -mediated antimicrobial photodynamic therapy (aPDT) were examined. The data indicated that NL-Cur+Dox -mediated aPDT led to a significant reduction of biofilm (82.7%, p = 0.003) and metabolic activity (75%, p < 0.001) of A. actinomycetemcomitans compared to the control. NL-Cur+Dox had no significant cytotoxicity to human gingival fibroblast cells under selected conditions (p = 0.074). In addition, the hemolytic activity of NL-Cur+Dox were negligible (< 5%). These findings demonstrate the potential application of such potent formulations in reducing one of the main bacteria causing periodontitis where the NL-Cur+Dox could be exploited to achieve an improved phototherapeutic efficiency.
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Affiliation(s)
- Shima Afrasiabi
- Laser Research Center of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Alireza Partoazar
- Experimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Nasim Chiniforush
- Laser Research Center of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
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Astuti SD, Sulistyo A, Setiawatie EM, Khasanah M, Purnobasuki H, Arifianto D, Susilo Y, Alamsyah KA, Suhariningsih, Syahrom A. An in-vivo study of photobiomodulation using 403 nm and 649 nm diode lasers for molar tooth extraction wound healing in wistar rats. Odontology 2021; 110:240-253. [PMID: 34491461 PMCID: PMC8930861 DOI: 10.1007/s10266-021-00653-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Accepted: 08/23/2021] [Indexed: 11/24/2022]
Abstract
Purpose This study aims to examine the effects of red 649 nm 4 J/cm2 and blue 403 nm 8 J/cm2 diode laser treatment for post-extraction wounded healing in rats through histopathological and immunohistochemical analysis. Methods Samples of 54 Wistar rats were divided into six groups: C- control group without treatment; C + wounded group without treatment; TB wound group with Povidone-iodine treatment; TD wounded group with doxycycline treatment; TLB wounded group with 403 nm diode laser treatment; and TLR wounded group with 649 nm diode laser treatment. Mandibular samples were observed for the number of lymphocytes and fibroblasts cells, new blood vessels formation, Interleukin 1β, and Collagen 1α expression level. Results Based on the histopathological test results, red laser diode treatment significantly increased the number of lymphocyte, fibroblast cells and the formation of new blood vessels. Meanwhile, immunohistochemical tests showed an increase in the expression of the Colagen-1α protein which plays a role in the formation of collagen for new tissues formation after damage, as well as a decrease in Interleukin-1β expression level. Blue laser is also able to show a positive effect on wound healing even though its penetration level into the tissue is lower compared to red laser. Conclusion The red diode laser 649 nm has been shown to accelerate the process of proliferation in wound healing post molar extraction based on histopathological and immunohistochemical test results.
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Affiliation(s)
- Suryani Dyah Astuti
- Department of Physics, Faculty of Science and Technology, Universitas Airlangga, Surabaya, Indonesia, 60115. .,Biomedical Engineering Master Program, Faculty of Science and Technology, Universitas Airlangga, Surabaya, Indonesia, 60115. .,Biophysics and Medical Physics Research Group, Faculty of Sciences and Technology, Universitas Airlangga, Surabaya, 60115, Indonesia.
| | - Age Sulistyo
- Biomedical Engineering Master Program, Faculty of Science and Technology, Universitas Airlangga, Surabaya, Indonesia, 60115
| | | | - Miratul Khasanah
- Department of Chemistry, Faculty of Science and Technology, Universitas Airlangga, Surabaya, Indonesia, 60115
| | - Hery Purnobasuki
- Department of Biology, Faculty of Science and Technology, Universitas Airlangga, Surabaya, Indonesia, 60115
| | - Deny Arifianto
- Faculty of Voccasional, Universitas Airlangga, Surabaya, Indonesia, 60115
| | - Yunus Susilo
- Faculty of Engineering, Universitas Dr Soetomo, Surabaya, Indonesia, 60118
| | - Kartika Anggraini Alamsyah
- Biomedical Engineering Master Program, Faculty of Science and Technology, Universitas Airlangga, Surabaya, Indonesia, 60115
| | - Suhariningsih
- Department of Physics, Faculty of Science and Technology, Universitas Airlangga, Surabaya, Indonesia, 60115.,Biophysics and Medical Physics Research Group, Faculty of Sciences and Technology, Universitas Airlangga, Surabaya, 60115, Indonesia
| | - Ardiyansyah Syahrom
- Department of Applied Mechanics and Design, Faculty of Mechanical Engineering, Universiti Teknologi Malaysia, 81310, Johor Bahru, Malaysia
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Astuti SD, Utomo IB, Setiawatie EM, Khasanah M, Purnobasuki H, Arifianto D, Alamsyah KA. Combination effect of laser diode for photodynamic therapy with doxycycline on a wistar rat model of periodontitis. BMC Oral Health 2021; 21:80. [PMID: 33607998 PMCID: PMC7893773 DOI: 10.1186/s12903-021-01435-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Accepted: 02/09/2021] [Indexed: 11/16/2022] Open
Abstract
Background Periodontitis is a chronic inflammatory disease characterized by progressive damage on the structure of tooth-supporting tissues. The aim of the study is determining the combination photodynamic effect of diode laser 405 nm treatments and the administration of doxycycline 0.1% within 1, 3, 5, and 7 days on a Wistar rat model of periodontitis. Methods Samples were induced with Porphyromonas gingivalis ATCC33277 to allow periodontitis development and were treated with combination of doxycycline and laser diode, then statistical analysis was carried out (One-Way ANOVA test and the post-hoc Duncan test; Kruskal–Wallis test and Mann–Whitney follow-up test for non-parametric data). Samples were divided into five groups, laser exposure used was 405-nm diode laser with energy density of 8 J/cm2. The expression level of histomorphometric was calculated by measuring the number of macrophages, lymphocytes, fibroblasts and the distance between the CEJ-AV. Results The results showed that the combination treatment of doxycycline and laser exposure yielded immunomodulatory effects. The expression level of fibroblast and the distance between CEJ-AV bone showed that the combination of doxycycline and laser therapy exerted healing effect in rat models of periodontitis on day 5 and 7. Conclusion The combination of doxycycline 0.1% and diode laser therapy provides a healing effect in rats models of periodontitis.
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Affiliation(s)
- Suryani Dyah Astuti
- Department of Physics, Faculty of Science and Technology, Universitas Airlangga, Mulyorejo Street, Campus C Universitas Airlangga, Surabaya, 60115, Indonesia. .,Biomedical Engineering Master Program, Faculty of Science and Technology, Universitas Airlangga, Surabaya, 60115, Indonesia. .,Biophysics and Medical Physics Research Group, Faculty of Sciences and Technology, Universitas Airlangga, Surabaya, 60115, Indonesia.
| | - Irawan Budi Utomo
- Biomedical Engineering Master Program, Faculty of Science and Technology, Universitas Airlangga, Surabaya, 60115, Indonesia
| | | | - Miratul Khasanah
- Department of Chemistry, Faculty of Science and Technology, Universitas Airlangga, Surabaya, 60115, Indonesia
| | - Hery Purnobasuki
- Department of Biology, Faculty of Science and Technology, Universitas Airlangga, Surabaya, 60115, Indonesia
| | - Deny Arifianto
- Faculty of Voccasional, Universitas Airlangga, Surabaya, 60115, Indonesia
| | - Kartika Anggraini Alamsyah
- Biomedical Engineering Master Program, Faculty of Science and Technology, Universitas Airlangga, Surabaya, 60115, Indonesia
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Astuti SD, Victory VS, Mahmud AF, Putra AP, Winarni D. The effects of laser diode treatment on liver dysfunction of Mus musculus due to carbofuran exposure: An in vivo study. J Adv Vet Anim Res 2019; 6:499-505. [PMID: 31819878 PMCID: PMC6882707 DOI: 10.5455/javar.2019.f374] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2019] [Revised: 09/25/2019] [Accepted: 09/25/2019] [Indexed: 01/06/2023] Open
Abstract
Objective: The aim of this study is to determine the effect of laser diode as an alternative treatment on liver dysfunction (in vivo study) that is caused by carbofuran using male mice (Mus musculus) strain Balb/C. Materials and Methods: The samples were divided into three groups, namely, Group C–L– (control group, no treatment), Group C+L– (only treated by carbofuran treatment), and Group C+L+ (treatment group, treated by carbofuran and laser-puncture) with five replications each. After being treated, each liver slice of samples was observed using microscope to get the histology result and then scored. Results: Carbofuran contamination can lead to inflammation of cells and necrosis. The histology results and the scoring test showed that the liver cells repair with the energy dose of laser diode at 0.5 and 1.0 Joule. Conclusion: The optimum energy dose in this study was 1.0 Joule which had the closest score of inflammatory cells and necrosis to normal liver cells.
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Affiliation(s)
- Suryani Dyah Astuti
- Department of Physics, Faculty of Science and Technology, Universitas Airlangga, Surabaya, East Java 60115, Indonesia
| | - Vivi Sumanti Victory
- Department of Physics, Faculty of Science and Technology, Universitas Airlangga, Surabaya, East Java 60115, Indonesia
| | - Amalia Fitriana Mahmud
- Biomedical Engineering Study Program, Department of Physics, Faculty of Science and Technology, Universitas Airlangga, Surabaya, East Java 60115, Indonesia
| | - Alfian Pramudita Putra
- Biomedical Engineering Study Program, Department of Physics, Faculty of Science and Technology, Universitas Airlangga, Surabaya, East Java 60115, Indonesia
| | - Dwi Winarni
- Department of Biology, Faculty of Science and Technology, Universitas Airlangga, Surabaya, East Java, 60115, Indonesia
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