Abstract
The aim of this study was to histologically and histometrically evaluate the influence of repeated adjunctive antimicrobial photodynamic therapy (aPDT) on bone loss (BL) in furcation areas in rats. Periodontitis was induced by placing a ligature around the mandibular molar in 75 rats. The animals were divided into five groups: the SS group was treated with saline solution (SS); the SRP group received scaling and root planing (SRP); the aPDT1 group received SRP as well as toluidine blue (TBO) and low-level laser therapy (LLLT; InGaAlP, 660 nm; 4.94 J/cm2/point) postoperatively at 0 h; the aPDT2 group received SRP as well as TBO and LLLT postoperatively at 0, 24, 28, and 72 h; and the aPDT3 group received SRP, TBO, and LLLT postoperatively at 0, 48, 96, and 144 h. The area of BL in the furcation region of the molar was histometrically analyzed. Data were analyzed statistically (P < 0.05). Animals treated with a single episode of aPDT showed less BL at days 7 and 30 than those who received only SRP treatment. No significant differences were found among the aPDT groups (P > 0.05). Repeated aPDT did not improve BL reduction when compared to a single episode of aPDT.
Similar content being viewed by others
References
Schenkein HA (2006) Host responses in maintaining periodontal health and determining periodontal disease. Periodontol 2000 2000(40):77–93
Aoki A, Sasaki KM, Watanabe H, Ishikawa I (2004) Lasers in nonsurgical periodontal therapy. Periodontol 2000 36:59–97
Kaldahl WB, Kalkwarf KL, Patil KD (1993) A review of longitudinal studies that compared periodontal therapies. J Periodontol 64:243–253
Bhatti M, MacRobert A, Meghji S, Henderson B, Wilson M (1997) Effect of dosimetric and physiological factors on the lethal photosensitization of Porphyromonas gingivalis in vitro. Photochem Photobiol 65:1026–1031
Wilson M (2004) Lethal photosensitization of oral bacteria and its potential application in the photodynamic therapy of oral infections. Photochem Photobiol Sci 3:412–418
Kömerick N, Nakanishi H, Macrobert AJ, Henderson B, Speight P, Wilson M (2003) In vivo killing of Porphyromonas gingivalis by toluidine blue-mediated photosensitization in an animal model. Antimicrob Agents Chemother 47:932–940
Wilson M, Dohson J, Sarkar S (1993) Sensitization of periodontopathogenic bacteria to killing by light from a low-power laser. Oral Microbiol Immunol 8:182–187
Dougherty TJ, Gomer CJ, Henderson BW, Jori G, Kessel D, Korbelik M, Moan J, Peng Q (1998) Photodynamic therapy. J Natl Cancer Inst 90:889–905
Huang Z (2005) A review of progress in clinical photodynamic therapy. Technol Cancer Res Treat 4:283–293
Qin YL, Luan XL, Bi LJ, Sheng YQ, Zhou CN, Zhang ZG (2008) Comparison of toluidine blue-mediated photodynamic therapy and conventional scaling treatment for periodontitis in rats. J Periodontol Res 43:162–167
de Almeida JM, Theodoro LH, Bosco AF, Nagata MJ, Oshiiwa M, Garcia VG (2007) Influence of photodynamic therapy on the development of ligature-induced periodontitis in rats. J Periodontol 78:566–575
de Almeida JM, Theodoro LH, Bosco AF, Nagata MJ, Oshiiwa M, Garcia VG (2008) In vivo effect of photodynamic therapy on periodontal bone loss in dental furcations. J Periodontol 79:1081–1088
de Almeida JM, Theodoro LH, Bosco AF, Nagata MJ, Bonfante S, Garcia VG (2008) Treatment of experimental periodontal disease by photodynamic therapy in rats with diabetes. J Periodontol 79:2156–2165
Fernandes LA, de Almeida JM, Theodoro LH, Bosco AF, Nagata MJ, Martins TM, Okamoto T, Garcia VG (2009) Treatment of experimental periodontal disease by photodynamic therapy in immunosuppressed rats. J Clin Periodontol 36:219–228
Christodoulides N, Nikolidakis D, Chondros P, Becker J, Schwarz F, Rossler R, Sculean A (2008) Photodynamic therapy as an adjunct to non-surgical periodontal treatment: a randomized, controlled clinical trial. J Periodontol 79:1638–1644
Theodoro LH, Silva SP, Pires JR, Soares GH, Pontes AE, Zuza EP, Spolidório DM, de Toledo BE, Garcia VG (2011) Clinical and microbiological effects of photodynamic therapy associated with nonsurgical periodontal treatment. A 6-month follow-up. Lasers Med Sci Jun 18. [Epub ahead of print] doi:10.1007/s10103-011-0942
Sigusch BW, Engelbrecht M, Völpel A, Holletschke A, Pfister W, Schütze J (2010) Full-mouth antimicrobial photodynamic therapy in Fusobacterium nucleatum-infected periodontitis patients. J Periodontol 81:975–981
Andersen R, Loebel N, Hammond D, Wilson M (2007) Treatment of periodontal disease by photodisinfection compared to scaling and root planing. J Clin Dent 18:34–38
Braun A, Dehn C, Krause F, Jepsen S (2008) Short-term clinical effects of adjunctive antimicrobial photodynamic therapy in periodontal treatment: a randomized clinical trial. J Clin Periodontol 35:877–884
Chondros P, Nikolidakis D, Christodoulides N, Rossler R, Gutknecht N, Sculean A (2009) Photodynamic therapy as adjunct to non-surgical periodontal treatment in patients on periodontal maintenance: a randomized controlled clinical trial. Lasers Med Sci 24:681–688
Lulic M, Leiggener Görög I, Salvi GE, Ramseier CA, Mattheos N, Lang NP (2009) One-year outcomes of repeated adjunctive photodynamic therapy during periodontal maintenance: a proof-of-principle randomized-controlled clinical trial. J Clin Periodontol 36:661–666
Kreisler M, Christoffers AB, Willershausen B, D’hoedt B (2003) Effect of low-level GaAlAs laser irradiation on the proliferation rate of human periodontal ligament fibroblasts: an in vitro study. J Clin Periodontol 30:353–358
Loevschall H, Arenholt-Bindslev D (1994) Effect of low level diode laser irradiation of human oral mucosa fibroblasts in vitro. Lasers Surg Med 14:347–354
Pourzarandian A, Watanabe H, Ruwanpura SM, Aoki A, Ishikawa I (2005) Effect of low-level Er:YAG laser irradiation on cultured human gingival fibroblasts. J Periodontol 76:187–193
Yu W, Naim JO, Lanzafame RJ (1994) The effect of laser irradiation on the release of bFGF from 3T3 fibroblasts. Photochem Photobiol 59:167–170
Pereira AN, Eduardo C de P, Matson E, Marques MM (2002) Effect of low-power laser irradiation on cell growth and procollagen synthesis of cultured fibroblasts. Lasers Surg Med 31:263–267
Lubart R, Wollman Y, Friedmann H, Rochkind S, Laulicht I (1992) Effects of visible and near-infrared lasers on cell cultures. J Photochem Photobiol B 12:305–310
Karu TI (1990) Effects of visible radiation on cultured cells. Photochem Photobiol 52:1089–1098
Yilmaz S, Kuru B, Kuru L, Noyan U, Argun D, Kadir T (2002) Effect of gallium arsenide diode laser on human periodontal disease: a microbiological and clinical study. Lasers Surg Med 30:60–66
Sigusch BW, Pfitzner A, Albrecht V, Glockmann E (2005) Efficacy of photodynamic therapy on inflammatory signs and two selected periodontopathogenic species in a beagle dog model. J Periodontol 76:1100–1105
Shibli JA, Martins MC, Theodoro LH, Lotufo RF, Garcia VG, Marcantonio EJ (2003) Lethal photosensitization in microbiological treatment of ligature-induced periimplantitis: a preliminary study in dogs. J Oral Sci 45:17–23
Wainwright M (1998) Photodynamic antimicrobial chemotherapy (PACT). J Antimicrob Chemother 42:13–28
Okada H, Murakami S (1998) Cytokine expression in periodontal health and disease. Crit Rev Oral Biol Med 9:248–266
Biagini G, Checchi L, Miccoli MC, Vasi V, Castaldini C (1988) Root curettage and gingival repair in periodontitis. J Periodontol 59:124–129
Wood S, Nattress B, Kirkham J, Shore R, Brookes S, Griffiths J, Robinson C (1999) An in vitro study of use of photodynamic therapy for the treatment of natural oral plaque biofilms formed in vivo. J Photochem Photobiol B 50:1–7
Tanaka M, Hanioka T, Takaya K, Shizukuishi S (1998) Association of oxygen tension in human periodontal pockets with gingival inflammation. J Periodontol 69:1127–1130
Garcia VG, de Lima MA, Okamoto T, Milanezi LA, Junior EC, Fernandes LA, de Almeida JM, Theodoro LH (2010) Effect of photodynamic therapy on the healing of cutaneous third-degree-burn: histological study in rats. Lasers Med Sci 25:221–228
Karu T (1989) Photobiology of low-power laser effects. Health Phys 56:691–704
Schaffer M, Bonel H, Sroka R, Schaffer PM, Busch M, Reiser M, Duhmke E (2000) Effects of 780 nm diode laser irradiation on blood microcirculation: preliminary findings on time-dependent T1-weighted contrast-enhanced magnetic resonance imaging (MRI). J Photochem Photobiol B 54:55–60
Konopka K, Goslinski T (2007) Photodynamic therapy in dentistry. J Dent Res 86:694–707
Sibata CH, Colussi VC, Oleinick NL, Kinsella TJ (2000) Photodynamic therapy: a new concept in medical treatment. Braz J Med Biol Res 33:869–880
Raghavendra M, Koregol A, Bhola S (2009) Photodynamic therapy: a targeted therapy in periodontics. Aust Dent J 54(1 Suppl):S102–S109
Kalarová H, Ditrichová D, Wagner J (1999) Penetration of the laser light into the skin in vitro. Lasers Surg Med 24:231–235
Yamammoto Y, Kono T, Kotani H, Kasai S, Mito M (1996) Effect of low-power laser irradiation on procollagen synthesis in human fibroblasts. J Clin Laser Med Surg 14:129–132
Karu T (2003) Low-power laser therapy. In: Karu T (ed) Biomedical Photonics Handbook. CRC Press, Boca Raton, pp 1–24
Maisch T (2007) Anti-microbial photodynamic therapy: useful in the future? Lasers Med Sci 22:83–91
Acknowledgments
This study was conducted at the Department of Periodontology, Araçatuba Dental School, State University of São Paulo (UNESP) Araçatuba, São Paulo, Brazil. Mariéllen Longo received a scholarship from the São Paulo State Foundation for Research (FAPESP 2008/10821-3).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Garcia, V.G., Longo, M., Fernandes, L.A. et al. Treatment of experimental periodontitis in rats using repeated adjunctive antimicrobial photodynamic therapy. Lasers Med Sci 28, 143–150 (2013). https://doi.org/10.1007/s10103-012-1099-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10103-012-1099-y