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Study of effects of Photodynamic Antimicrobial Chemotherapy on Streptococcus mutans

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Author(s):
Thiago Cruvinel da Silva
Total Authors: 1
Document type: Doctoral Thesis
Press: Bauru.
Institution: Universidade de São Paulo (USP). Faculdade de Odontologia de Bauru (FOB/SDB)
Defense date:
Examining board members:
Maria Aparecida de Andrade Moreira Machado; Marilia Afonso Rabelo Buzalaf; Ana Paula Campanelli; Alberto Carlos Botazzo Delbem; Fábio Correia Sampaio
Advisor: Maria Aparecida de Andrade Moreira Machado
Abstract

The present study aimed (1) to assess the effects of different parameters of Photodynamic Antimicrobial Chemotherapy (PACT) on the viability of planktonic cells and biofilm of S. mutans UA159, (2) to test the effectiveness of a biofilm model in evaluating the demineralization process, (3) to assess the influence of PACT on the control of demineralization process mediated by S. mutans biofilm growth on dentin discs, and (4) to measure the ability of PACT in promoting cellular stress on S. mutans UA159 knockout vicK gene. PACT procedures were performed by association between a photosensitizer (Photogem®) and a visible red LED (Biotable®, 630 nm, 50 mW/cm2) as light source. Viability of bacterial cells was determined by two distinct methods: resazurin assay (phase 1) and Colony Forming Unit (CFU) counts (phases 1, 2, and 3). Transversal microradiography and calcium release analysis by atomic absorption spectrometry were chosen to analyze mineral content profile (%vol), integrated mineral loss (IML, %vol x m), lesion depth (LD, m), and concentration of calcium release in culture media (mg/dL). Fluorescence intensity levels, which were modulated by expression of Green Fluorescent Protein-reporter (GFP) after cellular stress, were measured by flow cytometer. A dose-dependent effect on the reduction of viability of planktonic cells and biofilm of S. mutans was observed after application of different parameters of PACT (one-way ANOVA, Games-Howell, p<0.05). 0.25 mg/mL Photogem® plus 150 J/cm2 LED decreased in nearly 3.9 log10 the viability of S. mutans biofilm. Progression of demineralization process was correlated with the time (24 h IML: 1905±391 vol% x m, LD: 69.9±12,2 m; 48 h - IML: 3529±886 vol% x m, LD: 114.2±24.6 m; 72 h - IML: 4186±1099 vol% x m, LD: 146.1±20.1 m). Integrated mineral loss, lesion depth and concentration of calcium release were controlled for 24 h by the following associations: 0.25 mg/mL Photogem® plus 75 J/cm2 LED, and 0.25 mg/mL Photogem® plus 150 J/cm2 LED, in comparison to control group (one-way ANOVA, Games-Howell, p<0.05). Different treatments (0.0025% H2O2, 0.005% H2O2, 0.00625% Photogem®, 0.0125% Photogem®, 4.5 J/cm2 LED, 0.00625% Photogem® plus 4.5 J/cm2 LED, and 0.0125% Photogem® plus 4.5 J/cm2 LED) increased significantly the fluorescence levels emitted by S. mutans, when compared with levels of the control group (demi water) (one-way ANOVA, Games-Howell, p<0.05). However, significant statistical differences were not observed among treatment groups. Therefore, PACT was able to decrease the viability of planktonic cells and biofilm of S. mutans UA159, as well as controlling the demineralization process mediated by bacteria for 24 h. Moreover, according to present methods, PACT may modulate cellular stress similar to hydrogen peroxide. (AU)

FAPESP's process: 08/06969-5 - EFFECTS OF PHOTODYNAMIC THERAPY ON STREPTOCOCCUS MUTANS
Grantee:Thiago Cruvinel da Silva
Support Opportunities: Scholarships in Brazil - Doctorate