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Photodynamic inactivation of microorganisms present on complete dentures. A clinical investigation

Photodynamic disinfection of complete dentures

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Abstract

The aim of this study was to evaluate the effectiveness of photodynamic therapy (PDT) for the disinfection of complete dentures. Biofilm samples were collected from dentures of 60 denture users who were randomly divided into four experimental groups (n = 15 each): subjects whose maxillary dentures were sprayed with 50 and 100 mg/l of Photogem® suspension (groups P50S and P100S) and patients whose maxillary dentures were treated with 50 and 100 mg/l of Photogem® gel (groups P50G and P100G). Dentures with photosensitizers were left in the dark for 30 min (pre-irradiation time) and then irradiated with blue LED light at 37.5 J/cm2 (26 min). Denture samples were taken with sterile cotton swab before (left side surfaces) and after (right side surfaces) PDT. All microbial material was diluted and plated on selective media for Candida spp., Staphylococcus mutans spp., streptococci and a non-selective media. After incubation (48 h/37°C), the number of colony-forming units (cfu/ml) was counted. Microorganisms grown on selective media were identified using biochemical methods before and after PDT. The data were submitted to McNemar and Kruskal–Wallis tests (α = 0.05). No growth after PDT was observed in 60, 53, 47, and 40% of dentures from P100G, P50G, P100S, and P50S groups, respectively. When evidence of microorganisms’ growth was observed, PDT regimens eliminated over 90% of microorganisms on dentures. This clinical study showed that PDT was effective for disinfecting dentures.

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References

  1. Asad T, Watkinson AC, Huggett R (1992) The effect of disinfection procedures on flexural properties of denture base acrylic resins. J Prosthet Dent 68:191–195

    Article  PubMed  CAS  Google Scholar 

  2. Baena-Monroy T, Moreno-Maldonado V, Franco-Martínez F, Aldape-Barrios B, Quindós G, Sánchez-Vargas LO (2005) Candida albicans, Staphylococcus aureus and Streptococcus mutans colonization in patients wearing dental prosthesis. Med Oral Patol Oral Cir Bucal 10:E27–E29

    PubMed  Google Scholar 

  3. Bliss JM, Bigelow CE, Foster TH, Haidaris CG (2004) Susceptibility of Candida species to photodynamic effects of Photofrin. Antimicrob Agents Chemother 48:2000–2006

    Article  PubMed  CAS  Google Scholar 

  4. Brow SB, Brown EA, Walker I (2004) The present and the future role of photodynamic therapy in cancer treatment. Lancet Oncol 5:497–508

    Article  Google Scholar 

  5. Chabrier-Roselló Y, Foster TH, Pérez-Nazario N, Mitra S, Haidaris CG (2005) Sensitivity of Candida albicans germ tubes and biofilms to Photofrin-mediated phototoxicity. Antimicrob Agents Chemother 49:4288–4295

    Article  PubMed  Google Scholar 

  6. Chandra J, Kuhn DM, Mukherjee PK, Hoyer LL, McCormick T, Ghannoum MA (2001) Biofilm formation by the fungal pathogen Candida albicans: development, architecture, and drug resistance. J Bacteriol 183:5385–5394

    Article  PubMed  CAS  Google Scholar 

  7. Costerton JW, Lewandowski Z, Caldwell DE, Korber DR, Lappin-Scott HM (1995) Microbial biofilms. Annu Rev Microbiol 49:711–745

    Article  PubMed  CAS  Google Scholar 

  8. Demidova TN, Hamblin MR (2005) Effect of cell-photosensitizer binding and cell density on microbial photoinactivation. Antimicrob Agents Chemother 49:2329–2335

    Article  PubMed  CAS  Google Scholar 

  9. de Oliveira RR, Novaes AB Jr, Garlet GP, de Souza RF, Taba M Jr, Sato S, de Souza SL, Palioto DB, Grisi MF, Feres M (2010) The effect of a single episode of antimicrobial photodynamic therapy in the treatment of experimental periodontitis. Microbiological profile and cytokine pattern in the dog mandible. Lasers Med Sci. doi:10.1007/s10103-010-0864-z

  10. de Paula EC, de Freitas PM, Esteves-Oliveira M, Aranha AC, Ramalho KM, Simões A, Bello-Silva MS, Tunér J (2010) Laser phototherapy in the treatment of periodontal disease. A review. Lasers Med Sci 25(6):781–792

    Article  Google Scholar 

  11. Dörtbudak O, Haas R, Bernhart T, Mailath-Pokorny G (2001) Lethal photosensitization for decontamination of implant surfaces in the treatment of peri-implantitis. Clin Oral Implants Res 12:104–108

    Article  PubMed  Google Scholar 

  12. Dovigo LN, Pavarina AC, de Oliveira Mima EG, Vergani CE, Giampaolo ET, Bagnato VS (2011) Fungicidal effect of photodynamic therapy against fluconazoleresistant Candida albicans and Candida glabrata. Mycoses 54:123–30

    Google Scholar 

  13. Gaillot O, Wetsch M, Fortineau N, Berche P (2000) Evaluation of CHROMagar Staph. aureus, a new chromogenic medium, for isolation and presumptive identification of Staphylococcus aureus from human clinical specimens. J Clin Microbiol 38:1587–1591

    PubMed  CAS  Google Scholar 

  14. Giusti JS, Santos-Pinto L, Pizzolito AC, Helmerson K, Carvalho-Filho E, Kurachi C et al (2008) Antimicrobial photodynamic action on dentin using a light-emitting diode light source. Photomed Laser Surg 26:281–287

    Article  PubMed  Google Scholar 

  15. Glass RT, Bullard JW, Hadley CS, Mix EW, Conrad RS (2001) Partial spectrum of microorganisms found in dentures and possible disease implications. J Am Osteopath Assoc 101:92–94

    PubMed  CAS  Google Scholar 

  16. Gois MM, Kurachi C, Santana EJ, Mima EG, Spolidório DM, Pelino JE et al (2010) Susceptibility of Staphylococcus aureus to porphyrin-mediated photodynamic antimicrobial chemotherapy: an in vitro study. Lasers Med Sci 25(3):391–395

    Article  PubMed  Google Scholar 

  17. Gomes BPFA, Ferraz CCR, Zaia AA, Souza-Filho FJ (1999) Variations in the susceptibility of selected microorganisms to endodontic irrigants (BES Spring Meeting Abstract). J Endod 25:299

    Article  Google Scholar 

  18. Hamblin MR, Hasan T (2004) Photodynamic therapy: a new antimicrobial approach to infectious disease? Photochem Photobiol Sci 3:436–450

    Article  PubMed  CAS  Google Scholar 

  19. Hardie JM (1986) Oral streptococci. In: Bergey DH (ed) Bergey’s manual of systematic bacteriology. Williams & Wilkins, Baltimore, pp 1054–1563

    Google Scholar 

  20. Henderson B, Dougherty TJ (1992) How does the photodynamic therapy work? Photochem Photobiol 55:145–157

    Article  PubMed  CAS  Google Scholar 

  21. Kuznetsova NA, Makarov DA, Kaliya OL, Vorozhtsov GN (2007) Photosensitized oxidation by dioxygen as the base for drinking water disinfection. J Hazard Mater 146:487–491

    Article  PubMed  CAS  Google Scholar 

  22. Mennel S, Barbazetto I, Meyer CH, Peter S, Stur M (2007) Ocular photodynamic therapy-standard applications and new indications (part 1). Review of the literature and personal experience. Ophthalmologica 221:216–226

    Article  PubMed  Google Scholar 

  23. Nikawa H, Hamada T, Yamamoto T (1998) Denture plaque-past and recent concerns. J Dent 26:299–304

    Article  PubMed  CAS  Google Scholar 

  24. Paolantonio M, Perinetti G, D'Ercole S, Graziani F, Catamo G, Sammartino G et al (2008) Internal decontamination of dental implants: an in vivo randomized microbiologic 6-month trial on the effects of a chlorhexidine gel. J Periodontol 79:1419–1425

    Article  PubMed  CAS  Google Scholar 

  25. Paulino TP, Ribeiro KF, Thedei G Jr, Tedesco AC, Ciancaglini P (2005) Use of hand-held photopolymerizer to photoinactivate Streptococcus mutans. Arch Oral Biol 50:353–359

    Article  PubMed  Google Scholar 

  26. Pfaller MA, Houston A, Coffmann S (1996) Application of CHROMagar Candida for rapid screening of clinical specimens for Candida albicans, Candida tropicalis, Candida krusei, and Candida (Torulopsis) glabrata. J Clin Microbiol 34:58–61

    PubMed  CAS  Google Scholar 

  27. Powell GL, Runnells RD, Saxon BA, Whisenant BK (1990) The presence and identification of organisms transmitted to dental laboratories. J Prosthet Dent 64:235–237

    Article  PubMed  CAS  Google Scholar 

  28. Ribeiro DG, Pavarina AC, Dovigo LN, Spolidorio DM, Giampaolo ET, Vergani CE (2009) Denture disinfection by microwave irradiation: a randomized clinical study. J Dent 37:666–672

    Article  PubMed  Google Scholar 

  29. Sandven P (1990) Laboratory identification and sensitivity testing of yeast isolates. Acta Odontol Scand 48:27–36

    Article  PubMed  CAS  Google Scholar 

  30. Sarkar S, Wilson M (1993) Lethal photosensitization of bacteria in subgingival plaque from patients with chronic periodontitis. J Periodontal Res 28:204–210

    Article  PubMed  CAS  Google Scholar 

  31. Sharma M, Visai L, Bragheri F, Cristiani I, Gupta PK, Speziale P (2008) Toluidine blue-mediated photodynamic effects on staphylococcal biofilms. Antimicrob Agents Chemother 52:299–305

    Article  PubMed  CAS  Google Scholar 

  32. Shen C, Javid NS, Colaizzi FA (1989) The effect of glutaraldehyde base disinfectants on denture base resins. J Prosthet Dent 61:583–589

    Article  PubMed  CAS  Google Scholar 

  33. Soares BM, da Silva DL, Sousa GR, Amorim JC, de Resende MA, Pinotti M et al (2009) In vitro photodynamic inactivation of Candida spp. growth and adhesion to buccal epithelial cells. J Photochem Photobiol B 94:65–70

    Article  PubMed  CAS  Google Scholar 

  34. Souza RC, Junqueira JC, Rossoni RD, Pereira CA, Munin E, Jorge AO (2010) Comparison of the photodynamic fungicidal efficacy of methylene blue, toluidine blue, malachite green and low-power laser irradiation alone against Candida albicans. Lasers Med Sci 25(3):385–389

    Article  PubMed  Google Scholar 

  35. Sumi Y, Kagami H, Ohtsuka Y, Kakinoki Y, Haruguchi Y, Miyamoto H (2003) High correlation between the bacterial species in denture plaque and pharyngeal microflora. Gerodontology 20:84–87

    Article  PubMed  Google Scholar 

  36. Tegos GP, Anbe M, Yang C, Demidova TN, Satti M, Mroz P et al (2006) Protease-stable polycationic photosensitizer conjugates between polyethyleneimine and chlorine(e6) for broad-spectrum antimicrobial photoinactivation. Antimicrob Agents Chemother 50:1402–1410

    Article  PubMed  CAS  Google Scholar 

  37. Vanden Abbeele A, De Meel H, Ahariz M, Perraudin JP, Beyer I, Courtois P (2008) Denture contamination by yeasts in the elderly. Gerodontology 25:222–228

    Article  PubMed  Google Scholar 

  38. Vianna ME, Gomes BPFA, Berber VB, Zaia AA, Ferraz CCR, Souza-Filho FJ (2004) In vitro evaluation of the antimicrobial activity of chlorhexidine and sodium hypochlorite. Oral Surg Oral Med Oral Pathol 97:79–84

    Google Scholar 

  39. Wainwright M (1998) Photodynamic antimicrobial chemotherapy (PACT). J Antimicrob Chemother 42:13–28

    Article  PubMed  CAS  Google Scholar 

  40. Wainwright M (2004) Photoinactivation of viruses. Photochem Photobiol Sci 3:406–411

    Article  PubMed  CAS  Google Scholar 

  41. Wainwright M, Mohr H, Walker WH (2007) Phenothiazinium derivatives for pathogen inactivation in blood products. J Photochem Photobiol B 86:45–58

    Article  PubMed  CAS  Google Scholar 

  42. Walsh LJ (2003) The current status of laser applications in dentistry. Aust Dent J 48:146–155

    Article  PubMed  CAS  Google Scholar 

  43. Zanin IC, Gonçalves RB, Junior AB, Hope CK, Pratten J (2005) Susceptibility of Streptococcus mutans biofilms to photodynamic therapy: an in vitro study. J Antimicrob Chemother 56:324–330

    Article  PubMed  CAS  Google Scholar 

  44. Zarb GA, Mackay HF (1980) The partially edentulous patient. I. The biologic price of prosthodontic intervention. Aust Dent J 25:63–68

    Article  PubMed  CAS  Google Scholar 

  45. Zeina B, Greenman J, Purcell WM, Das B (2001) Killing of cutaneous microbial species by photodynamic therapy. Br J Dermatol 144:274–278

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This research was supported by São Paulo Council of Research (FAPESP Grant No. 2005/02192-8).

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The authors declare that they have no conflicts of interest.

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Correspondence to Ana Cláudia Pavarina.

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Ribeiro, D.G., Pavarina, A.C., Dovigo, L.N. et al. Photodynamic inactivation of microorganisms present on complete dentures. A clinical investigation. Lasers Med Sci 27, 161–168 (2012). https://doi.org/10.1007/s10103-011-0912-3

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  • DOI: https://doi.org/10.1007/s10103-011-0912-3

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