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التاثير السمي للضوء الازرق المرئي على البكتيريا المشعشعة المصاحبة للورم الفطري والبورفيروموناس اللثوية في المرضى المصابين بالتهاب اللثة المزمن : دراسة مختبرية == Phototoxic Effect of Visible Blue Light On Aggregatibacter Actinomycetemcomitans And Porphyromonas Gingivalis In Patients With Chronic Periodontitis (An In - Vitro Study
Author name:
علي رعد عبد العزيز
Supervisor name:
مها شكري محمود | وفاق محمود الوتار
General topic:
Dentistry
Specific topic:
Around the Teeth Diseases
Degree:
Master
University:
University of Baghdad - Faculty Of Dentistry - Department Of Periodontics And Peridontics
Language:
English
University location:
Baghdad
First pages:
20T366 - p.pdf
Abstract:
الخلفية : على الرغم من ان ازالة الصفائح الجرثومية (الجير) وكلس الاسنان ( الحصى السنية ) بالطرق الميكانيكية يمثل حجر الزاوية في علاج امراض اللثة، يبقى ذلك بحاجة الى علاج مساند اذا علمنا ان التنظيف الميكانيكي لا يستطيع الوصول الى كل السطوح والاماكن حول السن | Background : Although mechanical debridement of dental plaque and calculus represents the corner stone in periodontal treatment , still it needs an adjunctive therapy since mechanical cleaning cannot reach all the surfaces and sites all around the tooth and within periodontal defect or the bacteria that resides inside periodontal tissues. Chemotherapy been used as an adjunctive therapy alongside with mechanical debridement in different compositions and routes, i.e. : chlorhexidine mouth washes (local routes) , antibiotics (systemic route) , yet chemical treatment might not be sufficient or cannot be used as in cases of drug sensitivity , difficulty to maintain effective concentration at wanted sites and lack of patient dexterity and compliance.Hence, arises the need for an alternative adjunctive therapy, photodynamic therapy has been used in recent years, taking advantage of the toxic effect of light on periodontal pathogens (bacteria). Aims of the study : The purpose of this study was to determine the toxic effect of visible blue light emitted from dental curing led light device of wavelength ranges between 400 - 500nm and energy of 1000 - 1200 mw/cm on the viability of periodontal pathogens (Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis), alone once , and with combination of 0.2% chlorhexidine mouthwash in vitro.Materials and methods : A.actinomycetemcomitans and P. gingivalis, was obtained from periodontal pockets of patient suffering from periodontitis by removing the plaque carefully to be cultured under anaerobic conditions for 3 days in suitable culture media using anaerobic jar in the incubator, presence of the wanted micro - organism is confirmed using Gram stain and biochemical activity tests.The amount (quantity of bacteria) was determined by direct colony counting and using visual software aids (open CFU software program) when needed.Visible blue light (LED curing light) from a commercially available device the same used in light - cured fillings in dentistry was used to generate a beam of visible blue light with amount of energy 1000 - 1200 mW/cm2 of a wavelength ranges between 400 - 500nm. Samples were subjected to blue light for increasing time intervals and were subcultured after each exposure.Same procedure of light exposure was repeated on plates containing chlorhexidine mouth wash in holes created with pasture tube, a standardized amount of chlorhexidine (0.1mml) was administrated into the holes of each plate, and then the inhibition zone was measured repeatedly for each plate after 72 hours of anaerobic incubation.
