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Could a chelant improve the effect of curcumin-mediated photodynamic antimicrobial chemotherapy against dental intact biofilms?

DOI:10.1007/s10103-018-02708-x 期刊:Lasers in Medical Science 出版年份:2019 更新时间:2025-09-23 15:23:52
摘要: To our knowledge, there is still no evidence in relation to the combination of curcumin with chelants to improve the effects of antimicrobial photodynamic therapy (aPDT) on complex dental caries biofilms. Therefore, the aim of this study was to evaluate the antimicrobial effect of curcumin-ethylenediaminetetraacetic acid (EDTA)-mediated aPDT on the vitality of intact biofilms of dentin caries microcosms. Biofilms were grown on glass slabs in McBain medium plus 1% sucrose in microaerophily at 37 °C for 5 days. Then, biofilms were treated with associations of 600 μmol L?1 curcumin combined or not with 1% EDTA and 37.5 or 75 J cm?2 LED (455 nm). The vitality was determined by a confocal laser scanning microscopy (CLSM) after staining biofilms with a mixture of 2.5 g L?1 fluorescein diacetate and 0.25 g L?1 ethidium bromide. Statistical analysis was conducted by Kruskal-Wallis and post hoc Dunn’s test (P < 0.05). Three treatments were able to reduce the vitality of overall biofilms: curcumin + 75 J cm?2 LED, curcumin-EDTA + 37.5 J cm?2 LED, and curcumin-EDTA + 75 J cm?2 LED. Also, the vitality of inner layers of biofilms was significantly reduced only after the combination of aPDT with EDTA. Therefore, the association of curcumin and EDTA improved the antimicrobial effect of aPDT on dentin caries microcosms, considering the application of lower light densities and deeper layers of biofilms.
作者: Daniela Alejandra Cusicanqui Méndez,Veridiana Lopes Rizzato,Giuliana Campos Chaves Lamarque,Evandro José Dionisio,Marília Afonso Rabelo Buzalaf,Daniela Rios,Maria Aparecida Andrade Moreira Machado,Thiago Cruvinel
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To evaluate the antimicrobial effect of curcumin-ethylenediaminetetraacetic acid (EDTA)-mediated antimicrobial photodynamic therapy (aPDT) on the vitality of intact biofilms of dentin caries microcosms.

The combination of curcumin and EDTA enhances the antimicrobial effect of aPDT on dentin caries microcosms, particularly with lower light densities and in deeper biofilm layers, rejecting the null hypotheses that it has no effect on vitality.

The study used non-fluorescent glass slabs instead of dentin to avoid interference in CLSM, which may not fully replicate natural dental conditions. The LED light source had low power, leading to long irradiation times that are not clinically feasible; high-power LEDs could overcome this. The biofilm model may not capture all aspects of in vivo biofilms, and the sample size was small (n=4 per group).

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