Traditional
surgical intervention and antibiotic treatment are
poor and even invalid for chronic diseases including periodontitis
induced by diverse oral pathogens, which often causes progressive
destruction of tissues, even tooth loss, and systemic diseases. Herein,
an ointment comprising atomic-layer Fe2O3-modified
two-dimensional porphyrinic metal–organic framework (2D MOF)
nanosheets is designed by incorporating a polyethylene glycol matrix.
After the atomic layer deposition surface engineering, the enhanced
photocatalytic activity of the 2D MOF heterointerface results from
lower adsorption energy and more charge transfer amounts due to the
synergistic effect of metal–linker bridging units, abundant
active sites, and an excellent light-harvesting network. This biocompatible
and biodegradable 2D MOF-based heterostructure exhibits broad-spectrum
antimicrobial activity (99.87 ± 0.09%, 99.57 ± 0.21%, and
99.03 ± 0.24%) against diverse oral pathogens (Porphyromonas
gingivalis, Fusobacterium nucleatum, and Staphylococcus aureus) by the synergistic effect of reactive
oxygen species and released ions. This photodynamic ion therapy exhibits
a superior therapeutic effect to the reported clinical periodontitis
treatment owing to rapid antibacterial activity, alleviative inflammation,
and improved angiogenesis.