Radiographic and antimicrobial evaluation of enterococcus Faecalis and Actinomyces Israelii micro-organisms after photodynamic therapy (aPDT)

• Published in: Photodiagnosis and photodynamic therapy 2021-09, Vol.35, p.102433-102433, Article 102433
• Main Authors: Moreira, Suellen de Azevedo, Nunes, Juliana Barbosa, Colombo, Fábio Antônio, Fonseca, Natália da Silva Martins, Viola, Naiana Viana
• Format: Article
• Language: English
• Subjects: Dental pulp necrosis; Enterococcus faecalis; Phototherapy
• ISSN: 1572-1000; 1873-1597
• DOI: 10.1016/j.pdpdt.2021.102433

•aPDT did not prove superior to conventional techniques.•The group with aPDT application was similar to the group without aPDT.•More studies are needed to define the effectiveness of aPDT.•The work pointed out relevant methodological issues.•Molecular methods may not be the best to detect bacteria immediately after treatment. This study evaluated the action of Antimicrobial Photodynamic Therapy (aPDT) on Enterococcus faecalis and Actinomyces israelii. Samples were taken from the root canal system, at different stages of treatment and bacteria were identified through qPCR. Fifty teeth (incisors, canines, and premolars) with pulp necrosis and periapical lesion diagnosis were randomly selected and divided into 2 groups: Group 1 (G1) - Endodontic Therapy with Mechanical Chemical Preparation (MPQ) and intracanal medication; Group 2 (G2) - Endodontic therapy with MPQ, intracanal medication, and 2 applications of aPDT. APDT was performed with application of 0.005% methylene blue, wavelength of 660 nm, and 90 seconds. Follow-up was performed with an initial x-ray and an x-ray 60 days after the end of treatment. The radiographs were scored evaluated by two examiners to classify periapical repair: total repair, partial repair, doubtful repair, or no repair. Enterococcus faecalis was found more frequently in G1 than G2. Actinomyces israelii was found equally in G1 and G2. Evaluation of the two bacteria between collections 1, 2 and 3, showed that there was no difference, both in G1 and in G2. There was association between the variables group and repair classification in radiographs evaluation. APDT did not promote better results in endodontic treatment, being similar to conventional treatment. However, this study pointed out that molecular methods may not be efficient in detecting bacteria after treatment, and colony-forming units may complement, being an effective quantifying method. Therefore, new studies must be carried out to show the possible effectiveness of aPDT.