Antibacterial activity of blue high-power light-emitting diode-activated flavin mononucleotide against Staphylococcus aureus biofilm on a sandblasted and etched surface.

BACKGROUND: Because of high affinity to the titanium implant surface, Staphylococcus aureus (S. aureus) has been reported as key microorganism that cause the peri-implantitis, even though it is not the typical periodontal pathogenic bacterial strain. The aim of this study was to evaluate the antibacterial property of the aPDT device, using blue high-power LED light activated flavin mononucleotide, comparing to the previously proven aPDT method using methylene blue and red laser on S. aureus biofilm. METHODS: Commercial pure titanium grade 4 modified surface with SLA were used to form S. aureus biofilm for 48 h. Two aPDT systems were used in this study; 1) HELBO®Blue Photosensitizer (Bredent medical), which is methylene blue (MB) activated by 670-nm red diode laser and 2) FotoSan® Blue agent Gel (CMS Dental), which contains flavin mononucleotide (FMN) activated by FotoSan® BLUE LAD (Light Activated Disinfection) light. The antibacterial tests were performed by total viable count, crystal violet assay, and direct observation methods. RESULTS: Using the light activated-PS, the log reduction in CFU/mL compared to non-treatment was 1.23 ±â€¯0.19 log10 and 1.23 ±â€¯0.12 log10 (about 93 % of reduction) for MB and FMN, respectively. The significant difference in the reduction could be determined when comparing with using only light (p < 0.01). Regarding two aPDT systems, the decrease in amount of bacteria after treatment was not significantly different (p > 0.05). CONCLUSION: The antibacterial activities of aPDT using blue high-power LED light activated flavin mononucleotide on S. aureus biofilm was comparable to those of previous research supporting aPDT using photoactivated MB.

The Antibacterial Activity of Hydroxyapatite-Tryptophan Complex with Gray Titania by Photocatalysis Using LED Diodes.

PURPOSE: Peri-implantitis is an important biologic complication that can lead to implant failure. Proper treatment should effectively kill bacteria, not harm the implant surface, and promote regeneration. Recently, photocatalytic coating without antibiotics or external agents was proposed to be an alternative to antibiotic therapy. The aim of this study was to evaluate the photocatalytic antibacterial effect of a new titanium implant coating made from hydroxyapatite-tryptophan complex and gray titania, which was activated by two visible lights. MATERIALS AND METHODS: Titanium alloy substrate was plasma sprayed with hydroxyapatite (80 wt%) and dititanium trioxide (20 wt%) and then pressed with tryptophan. Three bacteria related to peri-implantitis, Porphyromonas gingivalis, Tannerella forsythia, and Aggregatibacter actinomycetemcomitans, were used in this study. Six conditions were tested: (1) control group (only bacteria), (2) photocatalytic sample in darkness (bacteria and coated sample in darkness), (3) red laser for 15 minutes (bacteria irradiated with photoactivated disinfection [PAD] light, 650-nm wavelength), (4) broadband light-emitting diode (LED) for 15 minutes (bacteria irradiated with broadband LED, peak wavelength at 470 nm), (5) photocatalysis by red laser for 15 minutes (bacteria and coated sample irradiated with PAD light), and (6) photocatalysis by broadband LED for 15 minutes (bacteria and coated sample irradiated with broadband LED). After 15 minutes of irradiation, photocatalytic antibacterial effects were evaluated by total viable bacterial count, adenosine triphosphate (ATP) assay, and LIVE/DEAD assay. RESULTS: The number of all bacteria tested was significantly decreased by the photocatalytic effect of both visible light sources (P < .05). For P gingivalis, viable bacteria of lethal photosensitization groups were also significantly decreased (P < .05), especially when using the broadband LED. However, the coating material itself did not have antibacterial properties without light activation. There was no significant difference in ATP among groups (P > .05). LIVE/DEAD staining showed that red fluorescent bacterial cells were present in photocatalytic groups from the two light sources. CONCLUSION: Photoactivated hydroxyapatite-tryptophan complex and gray titania as a photocatalytic coating has antibacterial effects on bacteria associated with peri-implantitis.

Cytotoxicity of hydroxyapatite-tyrosine complex with gray titania coating on titanium alloy surface to L929 mouse fibroblasts.

Hydroxyapatite particles (HAp) have been widely used by many dental implant systems as an implant coating material because of their osteoconductive properties. This study aimed at improving the antibacterial effect of HAp as a substitute for antibiotic agents which can increase drug resistance. HAp/gray titania was selected as the coating material for on the titanium alloy substrate due to its antibacterial properties after photocatalytic reaction. When combined with amino acids, HAp can form a fluorescent complex which enhances this property. Before clinical application, this new coating should be examined for cytotoxic effects against biological cells or tissues. Therefore, L929 mouse fibroblasts were used to represent fibrous tissue surrounding dental implant. After performing a 6-day alamarBlue assay, the new coating method using hydroxyapatite-tyrosine complex with gray titania on titanium alloy surface can be said to have no influence on the growth of fibroblasts.