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- This topic has 1 reply, 2 voices, and was last updated 07/11/2010 at 5:41 pm by sushantpatel_doc.
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04/11/2010 at 12:00 pm #9705tirathOfflineRegistered On: 31/10/2009Topics: 353Replies: 226Has thanked: 0 timesBeen thanked: 0 times
Researchers induced periodontal disease into 120 rats, then divided them into four groups. One group was not treated, one group received low-level laser therapy, one group had methylene blue applied to its teeth and the fourth received a combination of methylene-blue and low-intensity-laser treatment (“photodynamic therapy”).
• Methylene blue is a photosensitizer, meaning that it increases the sensitivity of an organism to light. It has mild microbe-killing properties, and this capacity increases when it is exposed to light.
• After five days, researchers found significantly less bone loss in the rats receiving photodynamic therapy than in those receiving no treatment, but no significant difference between photodynamic therapy and the other treatments.
• After 15 days, rats receiving photodynamic treatment had significantly less bone loss than those in the no-treatment and laser-only groups, but no difference from the methylene-blue-only group. After 30 days, there was no significant difference between any of the four groups.
• Quote: “This is an exciting finding. Photodynamic therapy could prove to be a preferable alternative to antibiotic therapy.” – Dr. Preston D. Miller, Jr., president of the American Academy of Periodontology
07/11/2010 at 5:41 pm #14382sushantpatel_docOfflineRegistered On: 30/11/2009Topics: 510Replies: 666Has thanked: 0 timesBeen thanked: 0 timesPhotodynamic therapy (PDT), also known as photoradiation therapy, phototherapy, or photochemo-therapy, involves the use of a photoactive dye (photosensitizer) that is activated by exposure to light of a specific wavelength in the presence of oxygen. The transfer of energy from the activated photosensitizer to available oxygen results in the formation of toxic oxygen species, such as singlet oxygen and free radicals. These very reactive chemical species can damage proteins, lipids, nucleic acids, and other cellular components. Applications of PDT in dentistry are growing rapidly: the treatment of oral cancer, bacterial and fungal infection therapies, and the photodynamic diagnosis (PDD) of the malignant transformation of oral lesions. PDT has shown potential in the treatment of oral leukoplakia, oral lichen planus, and head and neck cancer. Photodynamic antimicrobial chemotherapy (PACT) has been efficacious in the treatment of bacterial, fungal, parasitic, and viral infections. The absence of genotoxic and mutagenic effects of PDT is an important factor for long-term safety during treatment. PDT also represents a novel therapeutic approach in the management of oral biofilms. Disruption of plaque structure has important consequences for homeostasis within the biofilm. Studies are now leading toward selective photosensitizers, since killing the entire flora leaves patients open to opportunistic infections. Dentists deal with oral infections on a regular basis. The oral cavity is especially suitable for PACT, because it is relatively accessible to illumination.
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