Review Article

Antimicrobial Photodynamic Therapy and Dental Plaque: A Systematic Review of the Literature

Table 2

Summary of data reported in selected articles addressing effectiveness of antimicrobial PDT on potentially cariogenic biofilm.

Authors and year of publicationSamplePhotosensitizing
agent
Light sourceMicroorganisms/biofilmApplication protocol Outcome

Wilson et al., 1995 [19]Natural dental biofilm; 10 volunteers; prereduced Calgon Ringer’s solutionAlPcS2
TB
GaAlAs
laser 660 nm (11 mW)
HeNe laser 632.8 nm (7.3 mW)
Streptococci 60 s and 180 sHeNe/TB combination was more effective at reducing viable microorganisms

Wilson et al., 1996 [20]Synthesized biofilm in 4 days; single species; HA discsAlPcS2 GaAlAs laser 660 nmS. sanguinis 0.8 J (4.1 J/cm2)Reduction in viable microorganisms

Wood et al., 1999 [21]Natural dental biofilm in 7 days; 8 volunteers; devices were attached to surface of maxillary first or second molars PPCTungsten white bulb
600–700 nm
(400 w; 22.5 mW/cm2)
Natural human dental biofilm
(species not listed)
30 minutesReduction in viable microorganisms

O’Neill et al., 2002 [22]Biofilm formed from human saliva from 10 volunteers; multispecies biofilms grown on discs prepared from cellulose nitrate membrane filters for 24 h TB HeNe laser 632 nm
(35 mW)
Streptococci 15 minutes
(31.5 J; 81.9 J/cm2)
Reduction in viable microorganisms

Zanin et al., 2005 [16]Synthesized biofilm in 3, 7, and 10 days; HA discs; single speciesTBHeNe laser 632.8 nm
(32 mW)
LED 620–660 nm
S. mutans 5 (49 J/cm2), 15
(147 J/cm2) and 30
(294 J/cm2) minutes
LED/TB on biofilm for 3 (147 J/or 294 J/cm2) and 7 days
(49 J/cm2 or 294 J/cm2)
For 10 days, no difference between HeNe and LED

Wood et al., 2006 [23]Synthesized biofilms in 48, 120, 168, 216, and 288 hours; steel discs; single species ER
MB
Photofrin
Tungsten white light 40 W (ER—22.7 mW/cm2, 500–550 nm; MB and Photofrin—22.5 mW/cm2,
600–650 nm)
S. mutans 15 minutes of irradiationReduction in viable microorganisms
Greater effectiveness with ER

Zanin et al., 2006 [24]Synthesized biofilm in 3, 5, and 7 days; single species; bovine enamel discsTBO Red LED 620–660 nm (32 mW)S. mutans, S. sobrinus, S. sanguinis 7 minutes of irradiation 85.7 J/cm−2Reduction in viable microorganisms

Müller et al., 2007 [25]Synthesized biofilm in 64.5 h; multispecies; bovine enamel discsMBGasiform ozone and laser 665 nm (75 mW)S. sobrinus, S. oralis 60 s of irradiationNo reduction in viable microorganisms

Steinberg et al., 2008 [26]Synthesized biofilm in 24 h; single species; microplatesH2O2Blue xenon lamp
400–500 nm
S. mutans 30 s of irradiation (34 J/cm2) 60 s (68 J/cm2)Reduction in viable microorganisms

Lima et al., 2009 [27]Natural dental biofilm for 7 days; 20 volunteers; palatal devices containing slabs of human dentinTBLED 620–660 nmStreptococci, Lactobacilli 5 minutes of irradiation
(47 J/cm−2) and
10 minutes
(94 J/cm−2)
Reduction in viable microorganisms with LED/TB and LED (94 J/cm−2) alone

Schneider et al., 2012 [14]Biofilm from saliva from 4 volunteers and growth in 4 hours
Glass surface
Single species
Phenothiazine chlorideDiode laser 660 nm (100 mW)S. mutans 2 minutes of irradiationReduction in viable microorganisms

Chen et al., 2012 [28]Synthesized biofilm in 24 hours
Single species
Stainless steel discs
Nanoparticles of ER + CSGreen LED
540 ± 5 nm (22m W/cm2)
S. mutans ER/CS nanoparticles
for 12 h followed by dose of 50 J cm2
Reduction in viable microorganisms

Silva et al., 2012 [29]Synthesized biofilm in
24 hours
Single species
Bovine dentin discs
Photogem hematoporphyrin derivative Biotable LED 610–650 nmS. mutans 25 minutes of irradiation (75 Jcm−2) and 50 minutes of irradiation (150 Jcm−2)Reduction in viable microorganisms

Teixeira et al., 2012 [30]Natural dental biofilm in 7 days
Acrylic palatal device with human enamel slabs
21 volunteers
TBRed LED 620–660 nmS. mutans 15 minutes of irradiation (55 J cm−2)No reduction in viable microorganisms

Pereira et al., 2013 [31]Synthesized biofilm in
48 hours
Single species
Acrylic resin discs
ER and RBBlue LED
455 ± 20 nm (200 mW)
S. mutans, S. sanguinis 95 Jcm² (36 J and for 180 s)Reduction in viable microorganisms

Al-Ahmad et al., 2013 [32]Culture of microorganisms from the saliva of a volunteer of 45 years oldTBBroadband VIS + wIRA radiator with a water-filtered (580–1400 nm)Salivary bacteria
(species not listed)
220 mW cm−2
For 1 min
Reduction in viable microorganisms

Araújo et al., 2014 [33]Synthesized biofilm in 7 days
Single species
Polystyrene 96-well plates
CurcuminBlue LED 450 nmS. mutans, L. acidophilus 5 minutes
5, 7 J/cm2 (19 mW/cm2)
Reduction in viable microorganisms

AlPcS2: aluminum disulfonate phthalocyanine; GaAlAs: gallium-aluminum-arsenide; HA: hydroxyapatite; HeNe: helium/neon; LED: light emitting diode; PPC: pyridinium Zn(II) phthalocyanine; TB: toluidine blue; ER: erythrosine; TB: toluidine blue; MB: methylene blue; H2O2: hydrogen peroxide; CS: chitosan; ER: erythrosine; TBO: toluidine blue; RB: rose bengal; VIS + wIRA: visible light together with water-filtered infrared-A.