Advanced Biomedical Research · 2013 · 57 citations · 18 references
DentistryPeriodonticsPeriodontologyPeriodontal BiomaterialsPeriodontal MedicinePeriodontal TherapyDrug Delivery BiomaterialsPeriodontal DiseasePeriodontal InflammationPeriodontal Pocket FormationAntimicrobial Periodontal GelsMucoadhesion MechanismsMucoadhesive Drug DeliveryMucoadhesive Drug Delivery SystemsMucoadhesive Drug FormulationsMucoadhesive Oral FormulationsMucoadhesive SystemsPeriodontal Drug Delivery
BACKGROUND: Periodontitis is inflammation of the supporting tissues of the teeth caused by specific microorganisms. Intra-periodontal pocket, mucoadhesive drug delivery systems have been shown to be clinically effective in the treatment of periodontitis. The aim of this study was to formulate a mucoadhesive gel from the seed hull of Quercus brantii and fruits of Coriandrum sativum for the treatment of periodontitis. MATERIALS AND METHODS: The semisolid concentrated extracts were incorporated in gel base. Mucoadhesive gels were prepared using carbopol 940, sodium carboxymethylcellulose (sodium CMC) and hydroxypropyl methylcellulose K4M (HPMC) as bioadhesive polymers. Physicochemical tests, mucoadhesive strength measurement and in vitro drug release study were carried out on two formulations containing carbopol 940 and sodium CMC polymers (Formulations F4 and F5). We investigated the antibacterial activity of formulation F5 against Porphyromonas gingivalis using the disk diffusion method on supplemented Brucella agar. RESULTS: Eight gel formulations were prepared. Physical appearance, homogeneity and consistency of F4 and F5 were good. Mucoadhesion and viscosity of F5 (1% carbopol 940 and 3% sodium CMC) was more than F4 (0.5% carbopol 940 and 3% sodium CMC). Drug release from F5 was slower. Both of formulations were syringeable through 21 G needle. In the disk diffusion method, F5 produced significant growth inhibition zones against P. gingivalis. CONCLUSION: The ideal formulation for the treatment of periodontitis should exhibit high value of mucoadhesion, show controlled release of drug and be easily delivered into the periodontal pocket preferably using a syringe. Based on in vitro release and mucoadhesion studies, F5 was selected as the best formulation.
18
A. David Woolfson, Andrew F. Brown, Wilson A. Coulter et al. · Journal of Controlled Release · 2000 · 174 citations