AECIO MASSAYOSHI YAMADA JUNIOR
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Resumo IPEN-doc 11770 Bacterial reduction by photodynamic therapy in peri-implantitis2004 - 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).Resumo IPEN-doc 10875 Comparation between photodynamic therapy and a bactericidal solution in the treatment of dental alveolitis microbiological evaluation2004 - 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.