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Antimicrobial Photodynamic Therapy as a Strategy to Arrest Enamel Demineralization: A Short-Term Study on Incipient Caries in a Rat Model

Authors

  • Alessandra Baptista,

    1. Centro de Lasers e Aplicações – Instituto de Pesquisas Energéticas e Nucleares IPEN-CNEN/SP, São Paulo, SP, Brasil
    2. Mestrado Profissional em Laser em Odontologia – IPEN-CNEN/SP, São Paulo, SP, Brasil
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  • Ilka T. Kato,

    1. Centro de Lasers e Aplicações – Instituto de Pesquisas Energéticas e Nucleares IPEN-CNEN/SP, São Paulo, SP, Brasil
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  • Renato A. Prates,

    1. Centro de Lasers e Aplicações – Instituto de Pesquisas Energéticas e Nucleares IPEN-CNEN/SP, São Paulo, SP, Brasil
    2. Mestrado Profissional em Laser em Odontologia – IPEN-CNEN/SP, São Paulo, SP, Brasil
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  • Luis C. Suzuki,

    1. Centro de Lasers e Aplicações – Instituto de Pesquisas Energéticas e Nucleares IPEN-CNEN/SP, São Paulo, SP, Brasil
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  • Marcus P. Raele,

    1. Centro de Lasers e Aplicações – Instituto de Pesquisas Energéticas e Nucleares IPEN-CNEN/SP, São Paulo, SP, Brasil
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  • Anderson Z. Freitas,

    1. Centro de Lasers e Aplicações – Instituto de Pesquisas Energéticas e Nucleares IPEN-CNEN/SP, São Paulo, SP, Brasil
    2. Mestrado Profissional em Laser em Odontologia – IPEN-CNEN/SP, São Paulo, SP, Brasil
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  • Martha S. Ribeiro

    Corresponding author
    1. Centro de Lasers e Aplicações – Instituto de Pesquisas Energéticas e Nucleares IPEN-CNEN/SP, São Paulo, SP, Brasil
    2. Mestrado Profissional em Laser em Odontologia – IPEN-CNEN/SP, São Paulo, SP, Brasil
      *Corresponding author email: marthasr@usp.br (Martha S. Ribeiro)
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  • This paper is part of the Symposium-in-Print on “Antimicrobial Photodynamic Therapy and Photoinactivation.”

*Corresponding author email: marthasr@usp.br (Martha S. Ribeiro)

Abstract

In this study we developed a rat model of incipient caries to investigate the short-term effects of antimicrobial photodynamic therapy (aPDT) on oral microbiota regulation and demineralization arrestment. Twenty-nine male rats were submitted to caries induction. Early carious lesion was confirmed by optical coherence tomography (OCT) 5 days after experiment beginning in five animals. The remaining animals (n = 24) were randomly divided into two groups: control (n = 12), animals were untreated; and aPDT (n = 12), animals were treated with 100 μM of methylene blue for 5 min and irradiated by a light emitting diode at λ = 645 ± 30 nm, fluence rate of 480 mW cm−2 and exposure time of 3 min. Bacterial burden was evaluated before, immediately after, 3, 7 and 10 days following treatment, and total number of microaerophilic bacteria was counted. OCT was also used to quantify teeth demineralization. A significant bacterial decrease of about 1.6 log was observed immediately after aPDT. Besides, bacterial load in aPDT group remained lower than control until 10 days post-treatment (P < 0.05) and variation of optical attenuation coefficient before and after aPDT was 15%, corroborating to caries arrestment. Put together, these findings suggest that aPDT was competent to reduce cariogenic bacteria and to avoid further mineral loss.

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