Evidence map›Paper›PMID 38689259›Full record

ArticleJournal of nanobiotechnology2024

Photodynamic and nitric oxide therapy-based synergistic antimicrobial nanoplatform: an advanced root canal irrigation system for endodontic bacterial infections.

Youyun Zeng, Xiangyu Hu, Zhibin Cai, Dongchao Qiu, Ying Ran, Yiqin Ding, Jiayi Shi, Xiaojun Cai, Yihuai Pan

Abstract read
In one paragraph

Article in Journal of nanobiotechnology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. NIR-Assisted Multimodal Strategies for Enhanced Antibacterial Therapy.Small (Weinheim an der Bergstrasse, Germany) · 2026
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  8. Evaluation of Antimicrobial Efficacy and Cytotoxicity of Phytoextract fromInternational journal of clinical pediatric dentistry · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Youyun Zeng *School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China.
Xiangyu Hu *School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China.
Zhibin CaiSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China.
Dongchao QiuSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China.
Ying RanSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China.
Yiqin DingSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China.
Jiayi ShiSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China.
Xiaojun CaiSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China. cxj520118@wmu.edu.cn.
Yihuai PanSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China. yihuaipan@wmu.edu.cn.

Funding

Medicine and Health Science and Technology Plan Projects in Zhejiang province 2022RC212Wenzhou Major Science and Technology Special Project ZY2022019Zhejiang Provincial Natural Science Foundation of China LGF21H140005
6 · The paper itself

Abstract

backgroundThe main issues faced during the treatment of apical periodontitis are the management of bacterial infection and the facilitation of the repair of alveolar bone defects to shorten disease duration. Conventional root canal irrigants are limited in their efficacy and are associated with several side effects. This study introduces a synergistic therapy based on nitric oxide (NO) and antimicrobial photodynamic therapy (aPDT) for the treatment of apical periodontitis.

resultsThis research developed a multifunctional nanoparticle, CGP, utilizing guanidinylated poly (ethylene glycol)-poly (ε-Caprolactone) polymer as a carrier, internally loaded with the photosensitizer chlorin e6. During root canal irrigation, the guanidino groups on the surface of CGP enabled effective biofilm penetration. These groups undergo oxidation by hydrogen peroxide in the aPDT process, triggering the release of NO without hindering the production of singlet oxygen. The generated NO significantly enhanced the antimicrobial capability and biofilm eradication efficacy of aPDT. Furthermore, CGP not only outperforms conventional aPDT in eradicating biofilms but also effectively promotes the repair of alveolar bone defects post-eradication. Importantly, our findings reveal that CGP exhibits significantly higher biosafety compared to sodium hypochlorite, alongside superior therapeutic efficacy in a rat model of apical periodontitis.

conclusionsThis study demonstrates that CGP, an effective root irrigation system based on aPDT and NO, has a promising application in root canal therapy.

Indexed as

BiofilmsNanoparticlesNitric OxidePhotochemotherapyAnimalsAnti-Bacterial AgentsAnti-Infective AgentsBacterial InfectionsChlorophyllidesMalePeriapical PeriodontitisPhotosensitizing AgentsRatsRats, Sprague-DawleyRoot Canal IrrigantsAnti-Bacterial AgentsAnti-Infective AgentsChlorophyllidesNitric OxidePhotosensitizing AgentsphytochlorinRoot Canal IrrigantsAntimicrobial photodynamic therapyAntimicrobialsBiofilmMultifunctional nanoparticlesNitric oxide gas therapyOsteogenesisRoot canal irrigation

Identifiers

PMID38689259
PMCPMC11059741

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.