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Evidence-Based Supplement Research
Evidence-Based Supplement Research

Antimicrobial photodynamic therapy with Bixa orellana extract and blue LED in the reduction of halitosis-A randomized, controlled clinical trial.

  • 2020-06
  • Photodiagnosis and photodynamic therapy 30
    • Marcela Leticia Leal Gonçalves
    • Ana Carolina Costa da Mota
    • Alessandro Melo Deana
    • Lisyanne Araújo de Souza Cavalcante
    • Anna Carolina Ratto Tempestini Horliana
    • Christiane Pavani
    • Lara Jansiski Motta
    • Kristianne Porta Santos Fernandes
    • Raquel Agnelli Mesquita-Ferrari
    • Daniela Fátima Teixeira da Silva
    • Pamella de Barros Motta
    • Renato Araújo Prates
    • Sandra Kalil Bussadori

Study Design

Type
Randomized Controlled Trial (RCT)
Sample size
n = 15
Population
44 UNINOVE students or employees with a diagnosis of sulfide (H2S) ≥ 112 ppb in gas chromatography
Methods
Randomized trial comparing aPDT with annatto and LED, tongue scraping, or tongue scraping and aPDT
Duration
7 days

Background

This study aimed to evaluate the reduction of halitosis when using antimicrobial photodynamic therapy (aPDT) with Bixa orellana extract and blue light-emitting diode (LED).

Methods

Forty-four UNINOVE students or employees with a diagnosis of sulfide (H2S) ≥ 112 ppb in gas chromatography were selected. The patients were randomly divided in groups: Group 1 (n = 15): aPDT with annatto and LED; Group 2 (n = 14): tongue scraping; Group 3 (n = 15): tongue scraping and aPDT. For aPDT, a wasBixa orellana extract used in a concentration of 20 % w/v (Fórmula e Ação®, São Paulo, Brazil) on the tongue for 2 min, associated with a blue-violet LED (Valo Cordless Ultradent® Products, Inc., South Jordan, UT, USA) (395-480 nm). Six points were irradiated on the back of the tongue, at wavelength 395-480 nm for 20 s, energy of 9.6 J and radiant energy of 6.37 J/cm2 per point. The results were compared before, immediately after treatment and 7 days after. The Friedman test was used for the intragroup analysis and the Kruskal Wallis test for the intergroup analysis.

Results

In all groups, there was a difference between baseline and the value immediately after the treatment. In Groups 1 and 3, there was no difference between the baseline and the 7 days control.

Conclusion

There was an immediate reduction of halitosis, but the reduction was not maintained after 7days.

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