“…The treatment of periodontitis by these intra-pocket antibacterial delivery systems is interesting due to the prospects of maintaining effective high levels of drug in the gingival crevicular fluid for a prolonged period of time to produce the desirable clinical benefits [2]. Chitosan gels comprising metronidazole demonstrated the effectiveness in the periodontitis treatment [3].…”
“…The treatment of periodontitis by these intra-pocket antibacterial delivery systems is interesting due to the prospects of maintaining effective high levels of drug in the gingival crevicular fluid for a prolonged period of time to produce the desirable clinical benefits [2]. Chitosan gels comprising metronidazole demonstrated the effectiveness in the periodontitis treatment [3].…”
“…20 Such agents were studied in a variety of specialized systems like fibers, films, microparticles, semisolids, and gels to maintain the antimicrobial agents in the gingival crevicular fluid (GCF) at a bactericidal concentration for the required period of therapy. 21 Ion activated in situ gel-forming delivery systems have been studied mainly for ophthalmic drug delivery where they exhibit reversible phase transition (sol-gel-sol) and pseudoplastic behavior. 22,23 Such systems were aiming at gel formation upon exposure to physiological conditions, and thus increasing the pre-corneal residence time of the delivery system and improving the ocular bioavailability.…”
This study reports on the formulation of doxycycline HCL in an ion activated in situ gelling delivery system and its implications for the treatment of periodontal disease. The system is based on the use of alginate as the gelling agent and hydroxypropyl methylcellulose (HPMC) as a viscosity enhancing agent. The ion activated gelling mechanism in this system is based on the concept of interaction with the divalent calcium ions present in the gingival crevicular fluid (GCF). The gelling capacity of the prepared formulations was assessed visually and by investigating their rheological behavior upon mixing with human blood serum since it has the same composition as the GCF. The rheological behavior of all formulations was not affected by incorporation of the drug. In vitro release studies showed that the alginate/HPMC mixture, upon gelling after mixing with serum, can sustain the release of doxycycline HCL for an extended period of time which was more than 12 days. These results indicated that this system can be used as an in situ gelling local delivery system for the treatment of periodontal disease.
“…It is a localized inflammatory response due to accumulation of sub-gingival plaque (Medlicott et al, 1994). Various periodontal drug delivery systems (PDDS) have been reviewed for local delivery of chemotherapeutic agents (Flotra, 1973;Pitcher et al, 1980;Greenstein, 1987;Jones et al, 1996).…”
(2010) Formulation development of smart gel periodontal drug delivery system for local delivery of chemotherapeutic agents with application of experimental design, Drug Delivery, 17:7, 520-531,
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