head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2021, vol. 27, issue4
Subject Area: Dental Medicine
-
DOI: 10.5272/jimab.2021274.4048
Published online: 18 October 2021

Original article

J of IMAB. 2021 Oct-Dec;27(4):4048-4051
ANTIMICROBIAL EFFECT OF A MEANS FOR ENZYME EXCAVATION (BRIX 3000) AND PHOTODYNAMIC THERAPY IN CARIOUS LESIONS OF PRIMARY TEETH – IN VITRO EXPERIMENT
Zornitsa Lazarova1ORCID logo Corresponding Autoremail, Maya Rashkova1ORCID logo, Raina Gergova2ORCID logo, Virna-Maria Stavros Tsitou2ORCID logo,
1) Department of Pediatric Dentistry, Faculty of dental medicine, Medical University – Sofia, Bulgaria.
2) Department of Medical Microbiology, Faculty of Medicine, Medical University - Sofia, Bulgaria.

ABSTRACT:
The selective removal of the caries dentin via enzyme methods for excavation appears to be an alternative to the conventional treatment of carious lesions in childhood. Photodynamic therapy is an effective alternative for the reduction of cariesogenic microorganisms. Brix 3000 is an enzyme-based material for excavation of carious dentin.
Aim: To study the antimicrobial effect of means for enzyme excavation (Brix 3000) and photodynamic therapy with FotoSan 630 Intro Kit to the two main cariesogenic microorganisms – S. mutans and L. acidophilus, in vitro experiment;
Materials and Methods: Eighty plates were prepared: group 1- 20 plates only with Brix 3000; group2 – 20 plates only with FotoSan; group 3 – 20 plates with a combination of Brix 3000 and FotoSan; group 4 – 20 plates without an active agent.
In the agar of each plate, three 7 mm wells in diameter were made, where the Brix 3000 gel was placed, as well as discs soaked with the dye and irradiated with FotoSan and a combination of them. After 24 hours, the zone of inhibition was measured.
Results: Compared to the control group, Brix 3000 and FotoSan have a defined antimicrobial activity against S. mutans and Lactobacillus spp. By combining the two materials, their antimicrobial activity significantly increases. S. mutans shows greater resistance compared to Lactobacillus spp.
Conclusion: A combination of enzyme-based excavation and photodynamic therapy could be used successfully in the treatment of carious lesions in primary teeth.

Keywords: S. mutans, Lactobacillus spp., photodynamic therapy, Brix 3000,

pdf - Download FULL TEXT /PDF 643 KB/
Please cite this article as: Lazarova Z, Rashkova M, Gergova G, Stavros Tsitou V-M. Antimicrobial Effect of a Means for Enzyme Excavation (Brix 3000) and Photodynamic Therapy in Carious Lesions of Primary Teeth – in vitro Experiment. J of IMAB. 2021 Oct-Dec;27(4):4048-4051. DOI: 10.5272/jimab.2021274.4048

Corresponding AutorCorrespondence to: Zornitsa Branimirova Lazarova, Department of Pediatric Dentistry, Faculty of dental medicine, Medical University – Sofia; 1, Georgi Sofiisky str., Sofia, Bulgaria; E-mail: z.lazarova@fdm.mu-sofia.bg

REFERENCES:
1. Giacaman RA, Muсoz-Sandoval C, Neuhaus KW, Fontana M, Chaіas R. Evidence-based strategies for the minimally invasive treatment of carious lesions: Review of the literature. Adv Clin Exp Med. 2018 Jul;27(7):1009-1016. [PubMed]
2. Schwendicke F. Removing Carious Tissue: Why and How? Monogr Oral Sci. 2018; 27:56-67. [PubMed]
3. Bussadori SK, Castro LC, Galvгo AC. Papaingel: A newchemo-mechanical caries removal agent. J Clin Pediatr Dent. 2005 Winter;30(2):115-9. [PubMed]
4. Motta LJ, Bussadori SK, Campanelli AP, Silva AL, Alfaya TA, Godoy CH, et al. Efficacy of Papacarie(®) in reduction of residual bacteria in deciduous teeth: a randomized, controlled clinical trial. Clinics (Sao Paulo). 2014; 69(5):319-22. [PubMed]
5. de Oliveira AB, Ferrisse TM, Marques RS, de Annunzio SR, Brighenti FL, Fontana CR. Effect of Photodynamic Therapy on Microorganisms Responsible for Dental Caries: A Systemic Review and Meta-Analysis. Int J Mol Sci. 2019 Jul 23;20(14):3585. [PubMed]
6. Alves LVGL, Curylofo-Zotti FA, Borsatto MC, Salvador SLS, Valerio RA, Sauza-Gabriel AE et al. Influence of antimicrobial photodynamic therapy in carious lesion. Randomized split-mouth clinical trial in primary molars. PhotodiagnosisPhotodynTher. 2019 Jun;26:124-130. [PubMed]
7. Konopka K, Goslinski T. Photodynamic therapy in dentistry. J Dent Res. 2007 Aug;86(8):694-707. [PubMed]
8. Hamblim MR. Antimicrobial photodynamic inactivation: a bright new technique to kill resistant microbes. Curr Opin Microbiol. 2016 Oct;33:67-73. [PubMed]
9. Bittencourt ST, Pereira JR, Rosa AW, Oliveira KS, Ghizoni JS, Oliveira MT. Mineral content removal after Papacarie application in primary teeth: a quantitative analysis. J Clin Pediatr Dent. 2010 Spring;34(3):229-31. [PubMed]
10. Costa-Santos L, Silva-Junior ZS, Sfalcin RA, Mota ACCD, Horliana ACRT, Motta LJ, et al. The effect of antimicrobial photodynamic therapy on infected dentin in primary teeth: A randomized controlled clinical trial protocol. Medicine (Baltimore). 2019 Apr;98(15):e15110. [PubMed]
11. Peters MC, Flamenbaum MH, Eboda NN, Feigal RJ, Inglehart MR. Chemo-mechanical caries removal in children: efficacy and efficiency. J Am Dent Assoc. 2006 Dec;137(12):1658–66. [PubMed]
12. Goyal PA, Kumari R, Kannan VP, Madhu S. Efficacy and Tolerance of Papain Gel with conventional Drilling Method: a clinico-microbiological study. J ClinPediatr Dent. 2015 Winter;39(2):109-12. [PubMed]
13. Singh S, Singh DJ, Jaidka S, Somani R. Comparative clinical evaluatio of chemo-mechanical caries removal agent Papacarie® with conventional method among rural population in India - in vivo study. Braz J Oral Sci. 2011;10(3):193-98.
14. Araujo NC, Fontana CR, Gerbi ME, Bagnato VS, Overall-mouth disinfection by photodynamic therapy using curcumin. Photomed Laser Surg. 2012 Feb;30(2):96-101. [PubMed]
15. Melo MA, Rolim JP, Passos VF, Lima RA, Zanin IC, Codes BM, et al. Photodynamic antimicrobial chemotherapy and ultraconservative caries removal linked for management of deep caries lesions. PhotodiagnosisPhotodyn Ther. 2015 Dec;12(4);581-6. [PubMed]
16. Ricatto LGO, Conrado LAL, Turssi CP, Franca FMG, Basting RT, Amaral FLB. Comparative evaluation of photodynamic therapy using LASER or light emitting diode on cariogenic bacteria: An in vitro study. Eur J Dent. 2014 Oct;8(4):509–514. [PubMed].

Received: 19 April 2021
Published online: 18 October 2021

back to Online Journal