Photodynamic therapy: prospects and application in the prevention of dental diseases (a review)
https://doi.org/10.33667/2078-5631-2025-20-100-106
Abstract
Photodynamic therapy is a rapidly developing non-invasive treatment method that holds significant promise in dental practice. This review article discusses the principles of action of photodynamic therapy, as well as the possibilities of its application in the prevention of dental diseases such as caries, periodontitis, peri-implantitis and oral tumors. The unique advantages of photodynamic therapy, such as selectivity of action, a broad spectrum of antimicrobial effects, the absence of resistance development and its synergistic effect with other treatment methods, are emphasized. However, challenges such as delivery of the photosensitizer, the penetration of light into deeper tissues, oxygen availability and the need for standardization of protocols are also recognized. The integration of advanced technologies such as nanotechnology and synthetic biology into photodynamic therapy may provide a solution to some of the current limitations of the method and further improve the effectiveness of photodynamic therapy in the prevention of dental diseases.
About the Authors
E. V. KorostelevaRussian Federation
Ekaterina V. Korosteleva – Postgraduate student; Department of Dentistry
Moscow
L. A. Mamedova
Russian Federation
Lima A. Mamedova – Doctor of Medical Sciences, Professor of the Department of Dentistry
Moscow
O. I. Efimovich
Russian Federation
Olga I. Efimovich – Doctor of Medical Sciences, Professor of the Department of Dentistry
Moscow
M. N. Podoinikova
Russian Federation
Maria N. Podoinikova – Doctor of Medical Sciences, Professor of the Department of Dentistry
Moscow
References
1. Gholami L, Shahabi S, Jazaeri M, Hadilou M, Fekrazad R. Clinical applications of antimicrobial photodynamic therapy in dentistry. Front Microbiol. 2023 Jan 5;13:1020995. doi: 10.3389/fmicb.2022.1020995.
2. Abrahamse H, Hamblin MR. New photosensitizers for photodynamic therapy. Biochem J. 2016 Feb 15;473(4):347-64. doi: 10.1042/BJ20150942. PMID: 26862179; PMCID: PMC4811612.
3. Hou YJ, Yang XX, Liu RQ, Zhao D, Guo CX, Zhu AC, Wen MN, Liu Z, Qu GF, Meng HX. Pathological Mechanism of Photodynamic Therapy and Photothermal Therapy Based on Nanoparticles. Int J Nanomedicine. 2020 Sep 15;15:6827-6838. doi: 10.2147/IJN.S269321. PMID: 32982235; PMCID: PMC7501968.
4. Castano AP, Mroz P, Hamblin MR. Photodynamic therapy and anti-tumour immunity. Nat Rev Cancer. 2006;6:535–545.
5. Zeng D, Long H, Zhu B. Antitumor effects of targeting myeloid-derived suppressive cells. Transl Cancer Res. 2020;9:5787–5797.
6. Mfouo-Tynga IS, Mouinga-Ondeme AG. Photodynamic therapy: A prospective therapeutic approach for viral infections and induced neoplasia. Pharmaceuticals (Basel). 2022;15.
7. Monteiro CJP, Neves MGPMS, Nativi C, Almeida A, Faustino MAF. Porphyrin Photosensitizers Grafted in Cellulose Supports: A Review. Int J Mol Sci. 2023 Feb 9;24(4):3475. doi: 10.3390/ijms24043475. PMID: 36834886; PMCID: PMC9967812.
8. Ji B, Wei M, Yang B. Recent advances in nanomedicines for photodynamic therapy (PDT)-driven cancer immunotherapy. Theranostics. 2022 Jan 1;12(1):434–458. doi: 10.7150/thno.67300. PMID: 34987658; PMCID: PMC8690913.
9. Prażmo EJ, Kwaśny M, Łapiński M, Mielczarek A. Photodynamic Therapy As a Promising Method Used in the Treatment of Oral Diseases. Adv Clin Exp Med. 2016 Jul-Aug;25(4):799-807. doi: 10.17219/acem/32488. PMID: 27629857.
10. Kwon T, Lamster IB, Levin L. Current Concepts in the Management of Periodontitis. Int Dent J. 2021 Dec;71(6):462-476. doi: 10.1111/idj.12630. Epub 2021 Feb 19. PMID: 34839889; PMCID: PMC9275292.
11. Chambrone L, Wang HL, Romanos GE. Antimicrobial photodynamic therapy for the treatment of periodontitis and peri-implantitis: An American Academy of Periodontology best evidence review. J Periodontol. 2018 Jul;89(7):783–803. doi: 10.1902/jop.2017.170172. PMID: 30133749.
12. Salvi GE, Stähli A, Schmidt JC, Ramseier CA, Sculean A, Walter C. Adjunctive laser or antimicrobial photodynamic therapy to non-surgical mechanical instrumentation in patients with untreated periodontitis: A systematic review and meta-analysis. J Clin Periodontol. 2020 Jul;47 Suppl 22:176-198. doi: 10.1111/jcpe.13236. PMID: 31859395.
13. Etemadi A, Hamidain M, Parker S, Chiniforush N. Blue Light Photodynamic Therapy With Curcumin and Riboflavin in the Management of Periodontitis: A Systematic Review. J Lasers Med Sci. 2021 Apr 21;12:e15. doi: 10.34172/jlms.2021.15. PMID: 34733738; PMCID: PMC8558718.
14. Annunziata M, Donnarumma G, Guida A, et al. Clinical and microbiological efficacy of indocyanine green-based antimicrobial photodynamic therapy as an adjunct to non-surgical treatment of periodontitis: a randomized controlled clinical trial. Clin Oral Invest. 2023;27:2385–2394.
15. El Mobadder M, Nammour S, Grzech-Lesniak K. Photodynamic therapy with tolonium chloride and a diode laser (635 nm) in the non-surgical management of periodontitis: A clinical study. J Clin Med. 2023;12.
16. Kassa CT, Salviatto LTC, Tortamano A, et al. Antimicrobial photodynamic therapy mediated by methylene blue in surfactant vehicle as adjuvant to periodontal treatment. Randomized, controlled, double-blind clinical trial. Photodiagnosis Photodyn Ther. 2023;41, 103194.
17. Arsi´c Z, Jovanovi´c R, Đorđevi´c A, et al. Clinical and microbiological effects of photodynamic therapy applied in non-surgical treatment of periodontitis. Vojnosanit Pregl. 2022;79:17–24.
18. Kazemi KS, Kazemi P, Mivehchi H, Nasiri K, Eshagh Hoseini SS, Nejati ST, Pour Bahrami P, Golestani S, Nabi Afjadi M. Photodynamic Therapy: A Novel Approach for Head and Neck Cancer Treatment with Focusing on Oral Cavity. Biol Proced Online. 2024 Aug 17;26(1):25. doi: 10.1186/s12575-024-00252-3. PMID: 39154015; PMCID: PMC11330087.
19. Saini R, Lee NV, Liu KY, Poh CF. Prospects in the Application of Photodynamic Therapy in Oral Cancer and Premalignant Lesions. Cancers (Basel). 2016 Sep 2;8(9):83. doi: 10.3390/cancers8090083. PMID: 27598202; PMCID: PMC5040985.
20. Bartusik-Aebisher D, Osuchowski M, Adamczyk M, et al. Advancements in photodynamic therapy of esophageal cancer. Front Oncol. 2022;12, 1024576.
21. Rigual NR, Thankappan K, Cooper M, et al. Photodynamic therapy for head and neck dysplasia and cancer. Arch Otolaryngol Head Neck Surg. 2009;135: 784–788.
22. Perez C, Zuniga T, Palavecino CE. Photodynamic therapy for treatment of Staphylococcus aureus infections. Photodiagn Photodyn Ther. 2021;34, 102285.
23. Saffarpour A, Nozari A, Fekrazad R, Saffarpour A, Heibati MN, Iranparvar K. Microstructural evaluation of contaminated implant surface treated by laser, photodynamic therapy, and chlorhexidine 2 percent. Int J Oral Maxillofac Implants. 2018;33:1019–1026.
24. Melo MA, Rolim JP, Passos VF, et al. Photodynamic antimicrobial chemotherapy and ultraconservative caries removal linked for management of deep caries lesions. Photodiagn Photodyn Ther. 2015;12:581–586.
25. Milly H, Festy F, Watson TF, Thompson I, Banerjee A. Enamel white spot lesions can remineralise using bio-active glass and polyacrylic acid-modified bio-active glass powders. J Dent. 2014;42:158–166.
26. Bargrizan M, Fekrazad R, Goudarzi N, Goudarzi N. Effects of antibacterial photodynamic therapy on salivary mutans streptococci in 5- to 6-year-olds with severe early childhood caries. Lasers Med Sci. 2019;34:433–440.
27. Karygianni L, Ruf S, Hellwig E, Follo M, Vach K, Al-Ahmad A. Antimicrobial photoinactivation of in situ oral biofilms by visible light plus water-filtered infrared A and tetrahydroporphyrin-tetratosylate (THPTS). Microorganisms. 2021; 9:145.
Review
For citations:
Korosteleva E.V., Mamedova L.A., Efimovich O.I., Podoinikova M.N. Photodynamic therapy: prospects and application in the prevention of dental diseases (a review). Medical alphabet. 2025;(20):100-106. (In Russ.) https://doi.org/10.33667/2078-5631-2025-20-100-106