Review Article

Photodynamic Antimicrobial Chemotherapy for Root Canal System Asepsis: A Narrative Literature Review

Table 5

Studies compilation: laser, photosensitizer, and fiber applied.

Study type Year AuthorLaserPhotosensitizerPDT outcomes
Wavelength (nm)Diameter of fiber (m)
Working length (WL)
EL
Power of output (mW)Power of density (mW/cm2)Energy fluence (J/cm2)TypeConcentration (g/mL)+

In vitro, 16 studies2002Seal et al. [63]632.8Without fiber  
Light at the orifice of the access cavity
3542.9, 63.3, 85.7, 214.3, 428.6TBO12.5, 25, 50, 100
2006Silva Garcez et al. [57]685365 
WL-1 mm 
Helicoidal movements, from apical to cervical
50 AZpaste0.01% AZ paste+
2007Garcez et al. [34]660200 
WL 
Spiral movements, from apical to cervical
405, 10, 20 e 40PEI/e6NS+
2008George and Kishen [59, 103]664400 
NS 
NS
3063.69MB1, 5, 10, 15, 20, 25 M+
2009Meire et al. [64]635400 
WL 
IV: static spherical tip in the centre of the liquid 
EV: 70% of the light radially as a cylinder uniformly and 30% at the tip; moved up and down in the canal
100TBO12.7 mg mL−1
Souza et al. [65]660300 
NS 
Spiral movements from apical to cervical
40MB/TBO15/15
2011Nagayoshi et al. [62]805400 
WL 
NS
5000Indocyanine green12. mg mL−1
2011Nunes et al. [66]
Study with and without fiber
660Without fiber  
Handpiece placed in root canal orifice 
216 
WL 
Spiral movements from apical to cervical
90300MB100
Poggio et al. [67]628500 
WL-3 mm 
Endotip guide to the apical parts
TBO100
Rios et al. [68]628NS 
WL-2/3 mm 
NS
TBONS
2012Cheng et al. [69]Nd:YAG  
1064 nm]
Nd:YAG
200 
WL-1 
Spiral movement
MB50
Er:YAG  
2940 nm]
Er:YAG
300 
Orifice of root canal 
NS
Er,Cr:YSGG  
2780 nm]
Er,Cr:YSGG
415 
WL-1 
NS
Diode  
660 nm]
Diode
2000 
WL-3 mm 
NS
Vaziri et al. [70]625Without fiber20012TBO15
Pileggi et al. [60]380–50010.4 mm 
Light source 20 mm away from the bacteria 
NS
450108Eosin-Y 
RB 
Curcumin
BS] 
All 1 M 
Biofilms
Eosin-Y 
100 M 
RB/curcumin 
10 M
+
2014Bumb et al. [61]910NS 
WL-2 mm 
Circular movements, from apical to cervical
1000MB25 mg mL−1+
2015Gergova et al. [71]660200 
WL 
Helicoidal traction movements, from apical to cervical
100TBO0.1 mg mL−1
2015Wang et al. [72]670400 
NS 
NS
50MB60 M

In vivo, 6 studies2006Bonsor et al. [35, 73]633Flexible hollow tube 
WL-4 mm 
Moved up and down about 3 mm at 20 s
100TBO12.7 mg mL−1+
Bonsor et al. [35, 73]633Flexible emitter tip 
WL-4 mm 
Moved up and down about 3 mm at 20 s
100TBONS+
2008Garcez et al. [58]660300 
WL 
Spiral movements, from apical to cervical
40PEI/e660 mol L−1+
2010Garcez et al. [74]660200 
WL-1 mm 
Spiral movements
40PEI/e6≈19+
2013Prabhakar et al. [75] 
Deciduous teeth
660Without fiber308.6MB50+
2014Jurič et al. [76]660450 
WL 
Static
100Phenothiazinium chloride+

Ex vivo, 7 studies2009Lim et al. [77]660400 
Root canal orifice 
Static
30MB100 M
2011Ng et al. [78]665250 
10 mm 
360°
10030MB50 g mL−1+
Stojicic et al. [5]660NS 
BS] 
Long optical fiber with a diameter 0.4 mm 
Biofilm
Conical frustum tip with the end diameter of 5 mm
NS
40MB[BS] 15 mol L−1
Biofilm 100 mol L−1
+
Bago et al. [79]660320 
WL 
Spiral movements, from apical to cervical
100Phenothiazine chloride/TBO10 mg mL−1/155+
2013Hecker et al. [80]635Without fiber200TBONS
2014Muhammad et al. [82]650300 
WL 
Moved all along the canals
20TBO15 g mL−1
Xhevdet et al. [81]660NS 
WL 
Light at the tip and from the lateral sides
100100Phenothiazine chloride10 mg mL−1