In vitro efficacy of photodynamic therapy with toluidine blue for decontamination of resorbable membranes inoculated with Streptococcus mutans

Objectives: This study assessed the efficacy of antimicrobial photodynamic therapy (aPDT) with toluidine blue (TB) for decontamination of resorbable membranes inoculated with Streptococcus mutans (S. mutans). Materials and Methods: In this in vitro study, Mucoderm and Jason resorbable membranes were...

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Bibliographic Details
Main Authors: Ardavan Etemadi, Sepideh Zonoozi, Maryam Shad, Nasim Chiniforush
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Photodiagnosis and Photodynamic Therapy
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Online Access:http://www.sciencedirect.com/science/article/pii/S1572100025000675
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Summary:Objectives: This study assessed the efficacy of antimicrobial photodynamic therapy (aPDT) with toluidine blue (TB) for decontamination of resorbable membranes inoculated with Streptococcus mutans (S. mutans). Materials and Methods: In this in vitro study, Mucoderm and Jason resorbable membranes were cut into 15 pieces each, and were inoculated with S. mutans at 105 colony forming units (CFUs)/mL concentration. The membranes were subsequently assigned to 3 subgroups each (n = 5), for decontamination with TB (100 µg/mL) activated by 635 nm laser (60 s) as the experimental group (aPDT), 0.12 % chlorhexidine (CHX) as the positive control, and phosphate buffered saline (PBS) as the negative control. Changes in colony count after the interventions were calculated. Data were analyzed by the Kruskal-Wallis and Dunn's tests (alpha=0.05). Results: In both membrane types, the difference in colony count was significant among the three subgroups (P = 0.002). The lowest colony count was noted in the CHX subgroup, and the highest was recorded in the PBS subgroup. aPDT caused a significant reduction in colony count compared with the negative control group (P = 0.002). Significant differences were found between all three groups in pairwise comparisons (P < 0.05). The efficacy of aPDT was not significantly different for decontamination of the two membrane types (P = 635). Conclusion: aPDT with 635 nm diode laser and TB had optimal efficacy (although inferior to CHX) for decontamination of both Jason and Mucoderm resorbable membranes inoculated with S. mutans.
ISSN:1572-1000