AECIO MASSAYOSHI YAMADA JUNIOR

AECIO MASSAYOSHI YAMADA JUNIOR

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A case report of photodynamic therapy on bacterial reduction before immediate implant
2004 - SUZUKI, L.C.; YAMADA JUNIOR, A.M.; HAYEK, R.R.A.; RIBEIRO, M.S.
Recent studies have demonstrated that a number of oral bacteria can be killed by photodynamic therapy with low concentrations of dyes. Photodynamic therapy is the combination of light with appropriate wavelength and a photosensitizer. The antimicrobial activity is mainly mediated by singlet oxygen and/or free radicals generated by the photoactivated sensitizer. A flap surgery aiming an immediate implant was made in a residual root with periodontal lesion on upper first premolar. After the extraction, a microbiological sample with sterile paper points was harvested. Then, the photosensitizer was applied in the infected alveolus and irradiated with low-intensity laser, ?= 660 nm, P= 30 mW and E= 9 J . After the photodynamic therapy, a new microbiological sample was harvested. Subsequently, it was prepared the implant bed with conical burs and then the implant was placed. Patient was medicated with antibiotic after surgery. The microbiological analysis showed a significant reduction of Prevotella sp., Fusobacterium sp. and Streptococcus beta-hemoliticus. This finding suggests that photodynamic therapy is an alternative method to disinfect alveolus before implant placement. Therefore, this study highlights the need for future work in the area of photodynamic therapy to reduce bacteria without harming host tissue.
Local Treatment using high and low-power laser on herpes simplex
2004 - MULLER, K.P.; YAMADA JUNIOR, A.M.; SUGAYAMA, S.T.; RIBEIRO, M.S.
Herpes simplex (HSV) is commonly encountered in the dentistry practice disappearing after 10 to 14 days. Recently alternative treatments have been introduced, among those laser therapy. The aim of this study is to evaluate the efficacy of laser therapy in patients with perioral herpes simplex infection. A 32 years old female was treated with high-intensity laser therapy (HILT) in vesicle phase using a Nd:YAG laser, l= 1064 nm, P= 1,5 W, f= 15 Hz on days 1 and 2 to drainage the vesicles. Low-intensity laser therapy (LILT) was applied on the affected area in the 3 consecutive days with a GaAlAs laser, l= 830 nm, D= 5 J/cm2. On the other hand, a 7 years male patient, which presented the vesiculo-ulcerative stage, only LILT (l= 660 nm, D= 4 J/cm2) was carried out. For both cases, it was observed that the course of the infection was quicker than the normal. Seven days after treatment beginning the lesions were healed. These findings suggest that LILT associated or not to HILT is a efficient and promising treatment for HSV. Further larger studies aiming at confirming these data and investigating the LILT mechanisms of action should be performed.
Bacterial reduction by photodynamic therapy in peri-implantitis
2004 - YAMADA JUNIOR, A.M.; HAYEK, R.R.A.; GIOSO, M.A.; FERREIRA, J.; BATISTA SOBRINHO, C.A.; RIBEIRO, M.S.
Progressive peri-implantar bone losses, which are accompanied by inflammatory process in the soft tissues is referred to as peri-implantitis. The aim of this study was to compare the effects of lethal photosensitization with the conventional technique on bacterial reduction in ligature induced peri-implantitis in dogs. Seventeen third premolars of eight Labrador dogs were extracted and, immediately after, the implants were submerged. After osseointegration, peri-implantitis was induced. After 4 months, ligature were removed and the same period was waited for natural induction of bacterial plaque. The dogs were randomly divided into two groups. In the conventional group, they were treated with the conventional techniques of mucoperiosteal flaps for scaling the implant surface and irrigation with chlorexidine. In the laser group, only mucoperiosteal scaling was carried out before photodynamic therapy. On the peri-implantar pocket an azulene paste was introduced and a GaAlAs low-power laser (l= 660 nm, P= 30 mW, E= 5,4 J and Dt= 3 min.) was applied. Microbiological samples were obtained before and immediately after treatment. The results of this study showed that Prevotella sp., Fusobacterium e S. Beta-haemolyticus were significantly reduced for the conventional and laser groups (100%,99.8%; 100%,100%; 85.7%,97.6%, respectively).
Comparation between photodynamic therapy and a bactericidal solution in the treatment of dental alveolitis microbiological evaluation
2004 - HAYEK, R.R.A.; YAMADA JUNIOR, A.M.; GARCEZ, A.S.; NUNEZ, S.C.; SUZUKI, L.C.; RIBEIRO, M.S.
Photodynamic therapy is a new therapeutic modality to treat microbial infections. The aim of this pilot study was to compare this new therapeutic approach with clorhexidine in mini pigs induced alveolitis. Alveolitis is an inflammatory disease that involves the superficial bone layer in the dental alveolus. Eight dental elements were extracted from mini pigs and immediately after the alveolus were contaminated with Streptoccocus aureus. After seven days the area presented edema and hyperemia. In the clorhexidine group the alveolus were debrided and irrigated with a 0.12% solution of clorhexidine. In Laser group the alveolus were debrided and photodynamic therapy was performed consisting in the application of a azulene paste inside the alveolus with a preirradiation time of 5 minutes followed by irradiation with a low power diode laser, ?= 685 nm, P= 50 mW, E= 9 J, for 3 minutes. Microbiological samples were harvested before and after treatment for both groups with sterile paper points. The results showed bacterial reduction in both groups, although photodynamic therapy was significantly more effective to reduce the population of S. aureus. This finding indicates that photodynamic therapy can be an alternative method to the treatment of alveolitis.
Terapia fotodinamica: mecaniscos e aplicacoes
2010 - PRATES, RENATO A.; YAMADA JUNIOR, AECIO M.; HASHIMOTO, MARIA C.; RIBEIRO, MARTHA S.
Photosensitization of Actinobacillus actinomycetemcomitans with malachite green and methylene blue: microbiological analysis
2006 - YAMADA JUNIOR, A.M.; PRATES, R.A.; HASHIMOTO, M.C.; SUZUKI, L.C.; CAI, S.; RIBEIRO, M.S.
Histological analysis in ligature induced periodontitis in rats following photodynamic therapy
2006 - YAMADA JUNIOR, A.M.; PRATES, R.A.; SUZUKI, L.C.; VILLA, N.; CAI, S.; RIBEIRO, M.S.
Azul de metileno, verde de malaquita, indocianina verde e veterporfirina: acao fotodinamica antimicrobiana sobre Escherichia coli
2007 - PRATES, R.A.; SUZUKI, L.C.; YAMADA JUNIOR, A.M.; RIBEIRO, M.S.
Reducao microbiana em periodontite apos terapia fotodinamica
2007 - YAMADA JUNIOR, A.M.; SUZUKI, L.C.; PRATES, R.A.; CAI, S.; RIBEIRO, M.S.
Estudo dos efeitos da terapia fotodinâmica em periodontite induzida em ratos
2007 - YAMADA JUNIOR, AECIO M.
O objetivo deste trabalho foi observar a ação da terapia fotodinâmica (PDT) antimicrobiana do azul de metileno (AM) frente ao Aggregatibacter actinomycetemcomitans em estudo in vitro e em periodontite induzida em ratos. No estudo in vitro foram utilizadas suspensões de cultura de A. Actinomycetemcomitans selvagens na avaliação de diferentes parâmetros de irradiação na busca de otimizar a redução bacteriana. No estudo in vivo foram selecionados 20 ratos Wistar machos, adultos, com massa corpórea semelhante de aproximadamente 300 g. Os animais foram submetidos a uma antibioticoterapia durante cinco dias. A indução foi elaborada através da colocação de ligaduras embebidas em A. actinomycetemcomitans por um período de 15 dias. Após este período, observou-se clinicamente e por sondagem a presença da doença sendo os animais divididos em dois grupos: Grupo RM (n=10) - remoção mecânica de placa e Grupo RM + PDT (n=10) - remoção mecânica de placa + terapia fotodinâmica. Para a PDT, o azul de metileno a 0,01% foi aplicado topicamente diretamente nas bolsas periodontais que foram então irradiadas com um laser de emissão vermelha, A = 660nm, P= 100 mW, t= 54s e E= 5,4 J. Foram realizadas coletas microbiológicas antes, imediatamente após tratamento, 3 dias e sete dias para análises por cultura e reação de polimerase em cadeia (PCR). Os resultados microbiológicos obtidos no experimento in vitro apresentaram uma eficácia da terapia fotodinamica frente ao A. actinomycetemcomitans, 98,4% quando irradiado com uma energia de 5,4J e 99,9% com energia de 9J. No estudo in vivo, foi obtida uma redução microbiana de 93,5% no grupo RM+PDT, frente a uma redução de 87,7% no grupo RM. No controle do dia 7 foi observado uma recolonização em ambos os grupos. As análises por PCR confirmaram a presença do microorganismo em todas as coletas. Estes estudos sugerem que a terapia fotodinâmica pode ser uma alternativa promissora para sua utilização coadjuvante em periodontia.