This review highlights the possibilities of photodynamic therapy (PDT) using drugs based on chlorin e6, aluminum phthalocyanine, methylene blue as photosensitizers for bacterial and fungal pathologies. This method was developed initially to treat tumor diseases, where it had shown its high efficiency and safety. Now photodynamic therapy is actively used in the treatment of cancers of the skin, bronchi, stomach, cervix, larynx, or other regions. However, numerous studies have been carried out for the entire existence of the method, demonstrating new possibilities of its application. This review highlights a number of studies in which the efficacy and safety of antimicrobial and antimycotic PDT were studied in vivo and in vitro. It has been proven to have a positive effect on the reparative processes in the wound. An experimental study was carried out to study the effectiveness of photodynamic therapy in the treatment of peritonitis in mice. Demonstrated anti-inflammatory potential in the treatment of autoimmune diseases.

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Mechanical and drug treatment of the root canal are the most important components of the success of endodontic treatment. This work presents the results on the effectiveness of the root canal disinfection using an erbium laser in combination with a 17% solution of ethylene diaminetetraacetic acid (EDTA) in vitro and in clinical studies. An in vitro study was carried out on removed intact teeth infected with strains of Enterococcus faecalis, Streptococcus sanguinis, and Candida albicans. An experimental group of teeth was treated medically according to a standard protocol using 3% solution of sodium hypochlorite and 17% solution of EDTA followed by irradiation with erbium laser. The control group was treated similarly but without laser irradiation. The treatment effectiveness was evaluated by the reduction of CFU. After the treatment, in the control group after the mechanical and drug treatment, the CFU amount lowered by 4 times, while the complete sterilization was observed in the experimental group. The clinical studies included two groups of 35 patients each diagnosed with chronic periodontitis. In the experimental group of patients, at the final stage, treatment with erbium laser for 1 min using endodontic piece (40 mJ power, 2940 nm wavelength, 10 Hz pulse rate) and a 17% EDTA solution was performed before filling. Periodontitis treatment in the control group was carried out without the laser treatment. The control group of patients saw the reduction on CFU after the mechanical and drug treatment by 3–6 times, while the experimental group achieved the complete sterilization of the root canals. The obtained results prove that the modification of the root canal treatment by the inclusion of erbium laser irradiation is a promising direction in endodontics.

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