研究目的
To assess the feasibility of transgingival laser irradiation during an antibacterial photodynamic therapy (aPDT) procedure, testing the hypothesis that transgingival laser irradiation is possible for subgingival antimicrobial photodynamic therapy.
研究成果
This study indicates that transgingival irradiation may be suitable for antimicrobial photodynamic therapy, since power transmission through the gingival tissue was observed in all specimens. However, the decrease in laser power caused by both the soft tissue and the photosensitizer needs to be taken into account.
研究不足
The decrease in laser power caused by both the soft tissue and the photosensitizer needs to be taken into account. Laser power, the thickness of the soft tissue, application time, blood circulation, pigmentation of mucosa and blood, secretion and dye residue may be important in assessing the impact of transgingival laser irradiation and activation of the photosensitizer dye.
1:Experimental Design and Method Selection:
Four diode laser settings were assessed for transgingival irradiation: 120 mW, 80 mW, 60 mW, and 40 mW. Fifteen soft-tissue pieces from a pig’s lower jaw were prepared. The specimens’ thickness was measured and transgingival laser irradiation was performed. A digital power meter measured laser power on the other side of the tissue. The power outcome after staining of the nonbuccal aspect of the tissue with photosensitizer dye was assessed similarly.
2:Sample Selection and Data Sources:
Fifteen slices of gingival soft tissue from the lower jaw of a domestic pig were prepared and had their mean thickness verified.
3:List of Experimental Equipment and Materials:
Diode laser devices from the same model with different power settings, digital power meter, thermal power sensor, photosensitizer dye based on phenothiazine chloride.
4:Experimental Procedures and Operational Workflow:
Laser irradiation was performed at three points from the buccal aspect, using the fiber optics belonging to each laser. The laser power transmitted was measured on the opposite side of the soft tissue using a digital power meter.
5:Data Analysis Methods:
The normal distribution of the values was assessed using the Shapiro–Wilk test. Values were analyzed statistically using a nonparametric test (Friedman) and Wilcoxon pairwise comparison.
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