Caries is a destructive condition
caused by bacterial infection that affects the hard tissues of the
teeth, significantly reducing the quality of life for individuals.
Photothermal therapy (PTT) offers a noninvasive and painless treatment
for caries, but the use of unsafe laser irradiance limits its application.
To address this challenge, we prepared nanoparticles of silver ion-doped
Prussian blue (AgPB), which was encased within cationic guar gum (CG)
to form the antibacterial PTT hydrogel CG-AgPB with a photothermal
conversion efficiency of 34.4%. When exposed to an 808 nm laser at
a power density of 0.4 W/cm2, the hydrogel readily reached
a temperature of over 50 °C in just 3 min, synchronized by the
discharge of Ag+ ions from the interstitial sites of AgPB
crystals, resulting in broad-spectrum and synergistic antibacterial
activities (>99%) against individual oral pathogens (Streptococcus sanguinis, Streptococcus
mutans, and Streptococcus sobrinus) and pathogen-induced biofilms. In vivo, CG-AgPB-mediated PTT demonstrated
a capability to profoundly reduce the terminal number of cariogenic
bacteria to below 1% in a rat model of caries. Given the outstanding
biocompatibility, injectability, and flushability, this CG-AgPB hydrogel
may hold promise as a next-generation oral hygiene adjunct for caries
management in a clinical setting.