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The Effect of Photodynamic Therapy in Root Canal Disinfection: A Systematic Review.
MedLine Citation:
PMID:  24935531     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION: Effective root canal disinfection is a fundamental component of successful root canal treatment. Photodynamic therapy (PDT) has been proposed as a new adjunctive method for additional disinfection of the root canal system with the possibility of improved treatment outcomes. The aim of this systematic review was to investigate the effect of PDT on bacterial load reduction during root canal disinfection.
METHODS: Two reviewers independently conducted a comprehensive literature search using a combination of medical subject heading terms and key words to identify studies relevant to the Population Intervention Control Outcome question. The selection of articles for inclusion was performed in 2 phases based on predetermined eligibility criteria according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Inter-reviewer agreement for each phase was recorded. The effect of PDT on bacterial load reduction during root canal disinfection was evaluated as the primary outcome variable during data extraction.
RESULTS: The literature search provided 57 titles and abstracts. Three articles met the inclusion criteria and were selected for this systematic review. The reasons for study exclusion in each phase were recorded. Because of the heterogeneity in clinical indications and PDT protocols among the included studies, a meta-analysis could not be performed. All included studies showed a positive effect of PDT in the reduction of microbial load in root canal treatment ranging from 91.3%-100%.
CONCLUSIONS: Limited clinical information is currently available on the use of PDT in root canal disinfection. If supported by future clinical research, PDT may have efficacy for additional root canal disinfection, especially in the presence of multi-drug-resistant bacteria.
Authors:
Vanessa Chrepa; Georgios A Kotsakis; Tom C Pagonis; Kenneth M Hargreaves
Publication Detail:
Type:  REVIEW     Date:  2014-5-2
Journal Detail:
Title:  Journal of endodontics     Volume:  40     ISSN:  1878-3554     ISO Abbreviation:  J Endod     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-6-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7511484     Medline TA:  J Endod     Country:  -    
Other Details:
Languages:  ENG     Pagination:  891-898     Citation Subset:  -    
Copyright Information:
Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.
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